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<br />996786 <br /> <br />.~ <br /> <br />........-. <br />, <br />oil <br />. 'II. ~ <br />'.......... <br /> <br />?ERFORMANCE BUSINESS PRODUCTS, INC. J13-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />\./ .\...... ~ L:. <br />s '",,' ~.5, ~~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />\I/-//~ ~ <br />-- I ,r ,/ .:,.. y.. <br />I <br /> <br />OWNER/ ." <br />RENTER J-t..." /' <br /> <br />.,11, ,,/ r / <br />l".....h3, L j., / -<-r <br /> <br />J <br />/' ~ 77- .-- <br />c .7;-;.. ,~(. ( ;:C ,;- <br />/' '-" <.... - <br />" <br /> <br />MAILING <br /> <br />.,;-.... --, L/! / ~I/ <br />--:-I.. --<, &' . <br /> <br />/ , (r; <br />"-,~~ f<... ,.J-' <br /> <br />/ I ; <br />j:.) / (, C::' I <br /> <br />, <br />I , <br />.-;!.~7./~lq <br /> <br />,It -, / / '. 'J /- ~ . <br />l-- ~.....~-- ~f <br /> <br />/7. <br />/. <br /> <br />~,,:,j/.3c; <br />_.-' 7i? I <br /> <br />SERVICE ADDRESS <br /> <br />J./;;,:::? ~ <br />! I -::..J ;,7 <br /> <br />.::- /!:. C:' T <br />"'.-/ --" <br /> <br />~Ty <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />D--"'~ATER <br /> <br />TURN ON SERVICE <br /> <br />!4J" <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />G:V/ <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />!U'/iN CiTY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />OTHER <br /> <br />o <br /> <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST SILL <br /> <br />_ DATE <br /> <br />-, <br /> <br />:"!" <br /> <br />--+-'. <br />. r ~I Ir' <br />:;.J:.. (. r /1'11..- '-, f <br /> <br />_ MISC. CHARGE <br /> <br />NORK COMPLETED '3Y <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />. s-=. Llf _ ::: c:.../ /<-r;L- <br />./ f .' 'Lf <br />ORDER GIVEN BY <br /> <br />/') <br /> <br />~ <br /> <br />'4/--1.--~-2-:;:::'-C v? <br />',~ta," ,white 'orm -n CJtfiC,e-lt all ',,,ne. s. '_ -<~/ . <br />Send plnki fellow 'orms '0 'Vater :3er"IC'r'-"'lJI. <br />'Nater 3ervlce 0eoto;lgn "ellow'orm <1.Tet1Jrn to oTfice. <br />/ <br /> <br />~~k/ <br /> <br />'- <br />