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<br />~ <br /> <br />'-- -'-"'- _....,.~ '_'''k,.,..~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 313-719.800& FAX 313-719-7919 <br /> <br />~ :~--q1 ~ Co <br />CITY OF ZEPHYRHlllS <br />ZEPHYRHIllS., FI:.ORIDA <br /> <br />WATER ACCT. NO. <br /> <br />/~ (4/ <br />'~~ '?-5~d1fA--- "-,Lj ;:nn,~ <br />'~-'-i ./Q . 9r:r <br />/.~ 1..-1 . ~ ~ '/ <br />(27,b/tLU'R. <br /> <br />SERVICE ADDRESS ~-3 9 9 C' C; j/>L/( .JIi. <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />-< <br />-y .{,J 47 <br />---- j <br /> <br />SHUT OFF SERVICE 0 <br /> .- <br />TURN ON SERVICE IKt <br />INSTAll METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />/1 <br />./ ! <br />.---;r <br />. -I' <br />/, <br />rt <br /> <br />~/ <br /> <br />/ <br />/:~(~i <br /> <br />5 - ~~. Zi:y1~ <br />WORK COMPLETE BY <br />& DATE COMPLETED <br /> <br />DATE <br /> <br />62- 9-0j/ <br /> <br />{' <br />\. .J ,;L.L <br /> <br />-:7--> ~ ;2{ <br />..-<" d _ _,.." <br />~-'~ '<:-' <br /> <br />/1 .':-" <br />/-; v' ~ <br /> <br />'4' WATER <br /> <br />[J SEWER <br /> <br />o GARBAGE <br /> <br />':2( IN CITY <br /> <br />[] OUT CITY <br /> <br />I <br />~- No. OF UNITS <br /> <br />-- DEPOSIT AMOUNT <br /> <br />-- AMOUNT LAST BILL <br /> <br />-_ DATE <br /> <br />-- MISC. CHARGE <br /> <br />h" .n <br />" (iF <br />'n :.,' b1-14 l.a,<Pt <br />;/1 ORDER TAKEN ~. '-- <br /> <br />- {~ - /- -.v <br /> <br /> <br />} / <br />. / r .ll" n. <br /> <br />j/~:1"~ <br /> <br />./7 <br /> <br /> <br />Retain white form in offICe at all times. <br />SeI1d pink & yellow fonns to Water Service Dept <br />'Miter Service Capt to sign yellow form & return to office, <br /> <br />,..-..-.- <br /> <br />