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<br />........... . iiffii <br />~~ <br /> <br />~ <br />.. <br />:~ <br /> <br />("'r, <br /> <br />PERFCRMANCE BUSINESS PROCUCTS. iNC. 313-71\HiOO8 "AX 313-719-7919 <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />v 3>- 11 ') ~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE 1(,..)23/c l' <br />.' <br /> <br />~ . <br />OWNER/ r., n r 1/ <br />RENTER I e....V\ 40j I ( v'-l"-- <br /> <br />'""\ ../"j <br />j H 5 5 C C-'->l'<::2':i <br /> <br />MAILING <br /> <br /><;-'<..~ <br /> <br />:1 <br />( ,nn',J. <br />.j <br /> <br />LlC( U h <br />SERVICE ADDRESS ,l l ,y..." <br /> <br />--.-- <br />I I W1 b~ L..;.,'1~ <br />I <br />I <br /> <br />r..z;/ <br />./ <br />[}/WATER <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE cg/ <br /> / <br />INSTALL METER W <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />/' <br />G' IN CITY <br /> <br />o OUT CITY <br /> <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />0/ <br />.JI <br />/'1 <br /> <br />_ AMOUNT LAST BILL <br /> <br />') <br /> <br />I <br />~ <br />i : . illy <br />t,...v~ <br /> <br />-J-; , <br />/1'" .iA_',y <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />~} /[:::,," <br />ORDER GIVEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Oept. to sign yellow form & return to office, <br /> <br /> <br />.VVL,-z ..~~/ <br />