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<br />~ <br />~~~ <br /> <br />LLI <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />If' "'I.~_ <br />V "....""'X <br />.-":J' ~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />/ , <br />~? ~:>?'V <br /> <br />OWNER/ <br />RENTER <br /> <br />/1 i. .r . <br />f . ! 'J , ,1 <br /> <br />.....-. <br />f;o<' 1l <br />! ;,"'-' <br /> <br />-J ,-v /... <br />-r t /1,0....."., ~r 7. <br />1,' '-<..""~ L--C.'.I :....-.~,/ -;:1 ..... <br /> <br />. "0. <br />j , <br />j,c,- 11 c.. t <br /> <br />;;2;,( rf fc (/ <br />~ / /). <br />(. r..,;LIL...] <br /> <br />I .... i? <br />L. '. .t;..io...1CJ <br /> <br />17f" ({ <br /> <br />MAILING <br /> <br />;' <br /> <br />/-:/'. -:;;L .' /~ :( q <br />_ J I · '/ i <br /> <br />SERVICE ADDRESS <br /> <br />.. /"' :)... , <br />/ I ~I " ; <br />"---t i.... / <br /> <br />fL, <br /> <br />.:-( <br />.-' '. <br /> <br />1 '. r <br />;'--<:T: (,,- <br />"'"'-- <br /> <br />--' <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />Q.. WATER <br /> <br />TURN ON SERVICE <br /> <br />0/ <br /> <br />o SEWER <br /> <br />INSTAll METER <br /> <br />0' <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />o IN CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />--'-- No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />.....-., <br />, <br />, ; <br />'// , <br />/LI <br /> <br />_ AMOUNT LAST BIll <br /> <br />" <br />--- <br />I. / i <br />l,,-: .1\_ \....-.... , <br /> <br />~.- <br />f ....:~ tl r <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WCHK COMPLETED BY <br />3. DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />~ '-I.f-Cy Lr- <br /> <br />ORDER GIVEN BY <br /> <br />.~ <br />\ ^ <br />\ . <br />X.. '. 6!f/'/:!'UJ:;;t?:&1 <br />~etaJn'Nhlte :'arm : n office at all times. ./ <br />Send pink ,i< fellow'orms "0 Water Service DePl. <br />'Hater SaP/Ice ;)ept. ~o sign yellow form & ret\Jrn/to office, <br /> <br />;;;;r-; j <br />>>~ ~s!t.tZ/ <br /> <br />/' <br />