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<br /> <br />996786 <br /> <br />. <br /> <br />. <br />r-';;; <br /> <br />. <br /> <br />. <br /> <br />E!3 <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-<1008 FAX 813-719-7919 <br /> <br />!1-.~ <br /> <br />":4: .c:; ~, <br />--' """", <br /> <br />CITY OF ZEPHYRHlllS <br />ZEPHYRHfllS, FlORIDA <br /> <br />WATER ACCT. NO. <br /> <br />/.' I <br />.~/SI/ J '/ <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />~T? <br />II <br /> <br />~l.'.t:\.. &.,. '\ <br /> <br />c ~'L~r- <br /> <br />MAIUNG <br /> <br />s- (..( r: ("') ~ tj ;, <br />J <br /> <br />SERVICE ADDRESS <br /> <br />-=<i--::; .r..,-~ / I' 1/ . I' <br />. / ~..-'J~'l..... ~( /f':'-'/~!ln~(.R C~f <br /> <br />A-.4 / <br />)~~ <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />P WATER <br />0 SEWER <br />0 GARBAGE <br />!:t:Y IN CITY <br />D OUT CITY <br />_ No. OF UNITS <br /> <br />TURN ON SERVICE <br /> <br />[y <br />~/ <br /> <br />INSTAll METER <br /> <br />READ METER <br /> <br />o <br /> <br />CHECK METER <br /> <br />o <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />7' . <br />)1 <br />:i ' <br />/4" <br />I <br /> <br />_ AMOUNT LAST BILL <br /> <br />ir~L.:..-Y <br /> <br />L'. ,.<-L./ <br />,\-,,,,,- ' <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />.- '/ .' <br />_) ,-~; - ~;'I (/ 4::r- <br /> <br />ORDER GIVEN W <br /> <br />y~.1 ;i./~/ ' <br /> <br />"' ~(/ !/~ <br />Retain white form in office at all times. ____- <br />Send pink &. yellow forms to Water Service Dept. <br />Water Service Dept to sign yellow 'orm 3. return ~o office. <br /> <br />~4-______ <br /> <br />'J <br />