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<br /> <br />J96786 <br /> <br />. <br /> <br />. <br />.~ <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />PERFORMANCE BUSINESS PRODUCTS. iNC. 813-7190$008 FAX 813-719-7919 <br /> <br />f!j <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />CITV OF ZEPHYRHlllS <br />ZEPHYRHILLS. FLORIDA <br /> <br />4-'~~?(, <br /> <br />WATER ACCT. NO. <br /> <br />/ I/, . / <br />"'-1/2(.-/ c../ <br />J J . / <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />'\ . <br />+-1 I \j i V\ <br />, ' <br /> <br />r- <br />~U 1-- i <br />!..)AC n. l::...v <br /> <br />,. <br />l"t .-r- <br />l....:. 0"t 1...,).... ,- <br /> <br />M~ /;2 5";";;> <br />.- -:::::;:::::::: <br /> <br />~ /Lh P73 S/;:'v-? /f::I.. <br />/SL./ .3JSS9 <br /> <br />c::. &/7;z <br /> <br /> Q5'c;cc-, p /-l- <br />SERVICE ADDRESS "":./( , . , .-/ :.. t - <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE IT <br /> 1M .- <br />INSTALL METER <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~v <br />1.1" <br />i ~ <br /> <br />rr WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />U IN CITY <br /> <br />o OUT CITY <br /> <br />_ No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />-:? <br />) <br /> <br />". :T;v <br />/ Y"-<. \# / <br /> <br />~- <br />-~'- '&'( <br /> <br />_ MISC. CHARGE <br /> <br />. , <br />-.. <br />, <br /> <br />:..... l, <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />/-/ - ~'~' - r t.~. It~, <br />t ..' ~.' I ' <br /> <br />ORDER GIVEN BY <br /> <br /> <br />~ <br />~a;?' <br /> <br />i'lelain white form in office at all times. <br />Send pink 3. yellow forms to Waler Service <br />Waler Service Dept. :0 sign je/Iow :'orm & <br /> <br />(/ <br />