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<br /> <br />. <br /> <br />. <br />~;ji;N.d. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />WATER ACCT. NO. <br /> <br />OWNER/ <br />RENTER <br /> <br />,;\ <br /> <br />'1'<'-'1 ~V\ <br />, <br /> <br />?ERFORMANCE BUSINESS PRe Due,s. NC. d13-719-8008 FAX 813-719-7919 <br /> <br />("" ':).., af'.(") c-7'! <br />'" ~---, I ~ r <br />\, <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHlllS. FLORIDA <br /> <br />DATE <br /> <br />e~, <br /> <br />,"0 <br />L~p <br /> <br />~,,,, -,- /~- <br />, ./ - ;' ) t ,r <br />~ - <br /> <br />17 //, ..t f <br />Jhr...'-" 4! fl7~n)lri/.Cllc('. L~l.r. <br />~ATER <br />C SEWER <br /> <br />.L.J-r: <br />16 <br /> <br />MAIUNG <br /> <br />/" - <br />0e..(,<.o <br /> <br />o <br />[[!// <br />Qr'/' <br /> <br />o GARBAGE <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />iNSTAll METER <br /> <br />READ METER <br /> <br />CHECK METER <br /> <br />OTHER <br /> <br />...., <br />-") I <br />,j <br />/1 <br />I <br />/ .' .- ~ <br />< :-....f <br />r <br />, <br /> <br />j !. \.,/-;;1/ <br />f.,\J' \" .' <br /> <br />o <br /> <br />Q--/ iN CiTY <br /> <br />o <br /> <br />o OUT CITY <br /> <br />o <br /> <br />I <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-I <br />..-r- <br /> <br />lj1~ lor <br /> <br />- AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />I ~_;~E:;NBY r / <br /> <br />I f',' j ~RDER GIVEN B~,,' ~ <br /> <br />i(12~~ <br /> <br />Retain white form in office at all times, J <br />Send pink & yellow forms to Water Service Dept. '" / <br />Water Service Dept. to sign yellow form & return to office. --' <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br />