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<br />396786 <br /> <br />--...... <br /> <br />.. <br /> <br />~ <br /> <br />.......... <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHfLlS <br />ZEPHYRHILLS, FLORIDA <br /> <br />l.i .,1 ....,?^ <br />. ~ ---' j '-.) <br />I <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />/' I <br />"-j' /0</ <br />J, i.f I ' ", <br />r <br /> <br />OWNERI <br />RENTER <br /> <br />~/> <br />.' ,'" ' /\ <br /> <br />.-; 1.+ /" <br />CP'-C. ~lLjl <br /> <br />/f ~ <br />I . ....tY.Xl . <br /> <br />L..tP-1 c. <br /> <br />MAILING <br /> <br />_.~ 2. <br /> <br />(,/ '-I <br />"I ()~ , <br /> <br />-/ <br />L 2t_Jp"d-- <br />("!/ J, (p,- <br />__ ~-t~-----,... <br /> <br />I {'II' JJ <br />,,~ ((..f. <br /> <br />,'0 <br />J"" <br />. <br /> <br />) <br />::.f <br /> <br />f.-I <br /> <br />--::::. (.J- / -~ a <br />..-/ I <.p,../ / <br />1.--0-(- <br />'x--- <br /> <br /> / iq1 C ~ c( <br />SERVICE ADDRESS I u r .J' ~ :.- " <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTAll METER [Y/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />[J,.. . WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />G iN CITY <br /> <br />o OUT CITY <br /> <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />"/ <br />.-., <br />/ <br /> <br />_ DATE <br /> <br />it.. <br /> <br />- <br /> <br />"'L17r <br /> <br />-' <br /> <br />iJ c.:L I <br />; , <br /> <br />_ MISC. CHARGE <br /> <br />'MJRK COMPLETED BY <br />& DATE COMPLETED <br /> <br />I <br /> <br />I <br />I . <br />~. <br />j " <br />\ <br />I . l., <br /> <br />ORDER TAKEN BY <br /> <br />"5 ~'T' - Cl/ K:r- <br />ORDER GIVEN BY <br /> <br />Retain white torm '" office at 3.11 rimes. <br />Send pink ,:l.;eIlow 'orms '0 Water Servicfr <br />'Nater Service Qept. - o'3ign jellow form J rE <br />-- <br /> <br />