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<br />396766 <br /> <br />~~ <br /> <br />PERFORMANCE 3USINESS PRODUCTS, :NC. 313-7~~008 FAX 313-7~9-79t9 <br /> <br />l"'l <br />r , <if <br />i....A-.J <br /> <br />CITY OF ZEPHYR HILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />...... <br />Jl --., oJ. "f' C' .~ <br /> <br />,/ <br /> <br />WATER ACCT. NO. <br /> <br />~ I <br />DATE'-' / ' <br /> <br />OWNER/ <br />RENTER <br /> <br />,/"'<. , <br /> <br />C ,"')(..,_i" ; <br /> <br />// -77- <br />C.("1t...;J..t <br /> <br />~-',,,,, <br />.J~',; <br /> <br />../-/1 C. <br /> <br />-...~ r 0 / <br />j i ;"(0/> /6 <br /> <br />MAIUNG <br /> <br />.~ /) j j \ j ...'-1 <br />.c:2--';/f'~./.-!.A'A '_, . '/':'-'_ <br /> <br />;>]>5 '~\ <br /> <br /> ,- , . - ~ <br />SERVICE ADDRESS -:) '.> ..~ <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE Q.--/ <br />iNSTAll METER 0-/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER il <br /> <br />'-... / <br />f '\ ....,. /' _' I <br />_/ 'or ,y..:-,-", -' ~'c..4' <br /> <br />..... <br />-' <br /> <br />"cCT /1/:: <br /> <br />a-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 />_ OEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BIU <br /> <br />--, <br /> <br />-,~;- <br /> <br />~--r.- <br /><........~L...::.// <br /> <br />_ DATE <br /> <br />/~ <br /> <br />\--,--(..~.f/ <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />.1 DATE COMPLETED <br /> <br />,,JRDER TAKEN BY <br /> <br />c~ <br /> <br />./ <br /> <br />ORDEFl GIVEN BY <br /> <br />, ... <br />\ <br /> <br />('/,e:- -; (' <br />/ ......, /.''-01 <br />i "J / "'?:-~ / . i~"""""'-- <br />/...._~/'-<, :~ <br /> <br />=leta," white rorm in office at ail times. .< <br />3ef1d pInk 1 yellow forms 10 'Nater ServIce DeDI. <br />Neier ServICe Depl.:o .sIgn yellow 'arm ,.; --alum DJtfice. <br />