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<br /> <br />. <br /> <br />. <br />~~ <br /> <br />C>ERFCRMANCE 3USINESS "RODUGTS, ,NG. 313-719-<1008 FAX 813-719-,919 <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />C tl. cr:: c~'""""'" <br />~, ! ' ...~'-J <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS" FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />'" <br />,; .~l1 V1,\ Co v, <br />l <br /> <br />...,.- <br />i~(C <br /> <br />,...., .. <br />" -- <br />, f <br />UYL 1,;<.. . <br /> <br />MAILlNG <br /> <br />s.;~ <br /> <br />('J ""'-V'\Al'" <br />"--...---'<.. / , v' J M <br />.; <br /> <br />SERVICE ADDRESS <br /> <br />--fA? <br />/0-,./ C <br /> <br />J.r0 <' ~(,/ c <br /> <br />c;J./ WATER <br /> <br />i.h,-,' tj~I1, tll- <br />f f,. "'(.,0 'A-A <br />.A <br />V <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />UJ/ <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />iNSTALL METER <br /> <br />[!(' <br /> <br />o (3ARBAGE <br /> <br /> <br />~N CITY <br /> <br />READ METER <br /> <br />o <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />OTHER <br /> <br />o <br /> <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-? <br />"" <br />c-/'j <br />// <br />'- <br />. I <br />i <br /> <br />,-'; 1''''' ,'l I[;;v <br />:v~r C I \.k'-J.y, <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />&. DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />,1 <br /> <br />r.9 -.J' -I(." Y <br /> <br />ORDER GIVEN BY <br />,7 <br /> <br />l!~~. .:!~ <br /> <br />;-'~ <br />L..-.:;/ <br /> <br />/< <br /> <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 /> <br />\ <br />i <br />J <br />