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<br /> <br />. <br /> <br />. <br />~;;~~ <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />PERFORMANCE 3USJNESS DRODUOTS. ,NO. d13-,1\H300B FAX B13.,19.,919 <br /> <br />~ CJ..CT~! ~ <br />.-/ -"! ' <br /> <br />-", <br /> <br />'-, <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />;-<- ~3 -:;'4 <br />f <br /> <br />OWNER/ <br />RENTER <br /> <br />,---., <br />) <br />'X .~ /m:d/>> <br />" <br />,. <br /> <br />.l\",y <br />.~,/; 'k:' <br /> <br />,./. .~ <br />~g'r;/j?/ <br /> <br />MAILJNG <br /> <br />.-, ,.. .,~ <br />.--c L'/ -- ,,~~,' <br /> <br />SE::1VICE ADDRESS <br /> <br />"-..7.-"-"-'..' <br />...... - r ~ <br />-.; -'- --.....:- / <br /> <br />~7 .. .:J J:;.t'11'J /i'T'r..Ce .'-L .: <br /> <br />SHUT OFF SEHVICE 0 <br />TURN ON SERVICE ~ <br />iNSTALL METER 0 <br />READ METEH 0 <br />CHECX METER 0 <br />OTHER 0 <br /> <br />"p WATER <br />... <br /> <br />,i~ Loy /J./ <br />/ ' , .;4..".: <br /> <br />o SEWEH <br /> <br />o GARBAGE <br /> <br />\~ <br /> <br />iN CITY <br /> <br />o OUT CITY <br /> <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST 81U <br /> <br />-:- <br /> <br />..-' <br />, <br /> <br />_ DATE <br /> <br />.-::--- <br /> <br />~/i)-6.Li-. "~ <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />-' .------:;- <br /> <br />;:-;::. - .).-1.1 <br /> <br />'::"'4' /...- <br />. .~"'S ?-., <br />\" ORDER81VEN BY <br />\~ <br /> <br />., <br /> <br /> <br />Retain white form In office ar all times. <br />Send pink" yellow forms to Water Service Dept <br />'Nater Service Dept to sign yellow form & return to office. <br /> <br />v <br />