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<br />~; <br /> <br />E3 <br /> <br />PERFORMANCE BUSINESS "RCDUC-;-S. iNC. a13-719-8008 FAX a13-719-7919 <br /> <br />03-.1l{'J3 <br />CITY OF ZEPHYRHlllS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />/V/2c;/c 3 <br /> <br />l I <br /> <br />OWNER/ <br />RENTER <br /> <br />(7{-f(1 <br />~-'; / <br /> <br />p{ <br /> <br />I . I <br />7/)''?A;J'h'' /; s <br /> <br />MAILING <br /> <br /> &//f " f~ sT <br />SERVICE ADDRESS .r- <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE Q./ <br />, INSTALL METER U;;Y' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />[J./WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />cr IN CITY <br /> <br />o OUT CITY <br /> <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />, I ( ~-;,.' ---.L- <br />I ~ -#r;v,. _ /r.;;jj2y <br />1(1 <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />-r~5>t~ of f~i)') <br /> <br />pew. q;"" t:JPf( CCJ\6i, (10:..;1'" <br /> <br />u-rz l.-t Ti1i_S (2' '0.f1-f>() <br />WORK COMPLETED BY <br />& DATE COMPlETED <br /> <br />f~ <br />~ <br /> <br />'B. <br /> <br />ORDER TAKEN BY <br /> <br />? , <br />,,:.., ../. -- /,. .-. <br />{, ",,;2.. '1/ Co"? <br /> <br />RDER GIVEN BY <br /> <br />// ~ <br />/ pdJ I.~~ <br /> <br />Retam white form in office at all times. <br />Send pink & yellow forms to Water ServICe Dept. <br />Water Service Dept. to sign yellow form & return to office, <br />