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<br /> <br />. <br />~ <br /> <br />103110 <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <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 ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />'1~ '1167 <br /> <br />WATER ACCT. NO. <br /> <br />7 -1'1-01/ <br /> <br />DATE <br /> <br />OWNER/ 'R ~ /I1IVMI\ ~J Tl-tc. <br />RENTER ;' <br />MAILING 5-U... ~ . <br /> <br />SERVICE ADDRESS 37 htJ3 <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE cY' <br />INSTAll METER rn/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />Acuvd I/a.ffl~~ dr: <br />o WATER <br /> <br />4T <br />:27 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />o IN CITY <br /> <br />o OUT CITY <br /> <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />31 <br />Lf <br /> <br />_DATE <br /> <br />( I <br /> <br />~Jlir--n~ <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />7~/~- 01( <br /> <br />Retain white form in office at all limes. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br />