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<br />;'P" <br /> <br />r"'"""""'l <br />H'''~ <br />~ <br /> <br />~- <br /> <br />PERFORMANCE BUSINESS PRODUCTS. iNC. 313-.719-3008 FAX 313-719,7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />c3___ 1 L(,? '9 <br />, <br /> <br />WATER ACCT. NO. <br /> <br />DATE / tJ ~ ~/J () ..:3 <br />. / <br /> <br />';J .~! <br />'~A~i ::f /L:5sa1 <br />"/ I J ~ (---'J <br />MAILlNG;$,!;)~.$Z'2- L. jI;,a La '-LJ-1.. <br />.......,... ;)' ;-' <br />,.G ..;t&-li ~ /- L t -q ~ -1' I <br />SERVICE ADDRESS #.91/ ~ '" j./~.;L-IJ..)~ . A 0/ .;S.cJ <br />LAp" WATER <br /> <br />OWNER/' A <br />RENTER ~ L ./.LA-1 <br /> <br />JJtL- <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE ~. <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />I.-,( IN CITY <br />I~ <br /> <br />o OUT CITY <br /> <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />S- -f- <br />If II L.u$~~ <br /> <br />_ AMOUNT LAST BILL <br /> <br />c <br /> <br />_ DATE <br /> <br />--...... <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />V:' <br /> <br /> <br />/z:;f7 <br /> <br />Retain 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 />