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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 BUSINESS PRODUCTS. :NC. 31:3-719-8008 FAX 813.719-7919 <br /> <br />- <br />'--' <br /> <br />,,""").. c::::;" C' .' v\ <br />~- I ~- ( ..(, <br /> <br />CITY OF ZEPHYRHIUS <br />ZEPHYRHII:LS,. FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />:If; ;;y <br /> <br />DATE <br /> <br />g~~~DR f ~)W"'-r- <br />MAILING tf~ 9 Lu, ~~ <br />~~ 64-e~ sg;~ <br />SERVICE ADDREss3Z; (3& E r-?t-".'-(j/ f31 vJ. <br /> <br />It <br />~ <br /> <br />SHUT OFF SERVICE 0 <br /> / <br />TURN ON SERVICE ~ <br />INSTAll METER <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ IN CITY <br /> <br />o OUT CITY <br /> <br />-+- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />~ ~ <br />--;;-// <br />rl- LJ ~ ',/?r7~ <br />I <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />'NaRK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />Retain wnile 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 />