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<br />("l <br /> <br />n <br />~ <br /> <br />(l <br /> <br />(', <br /> <br />(i <br /> <br />n <br /> <br />C\ <br /> <br />~ <br /> <br />103110 <br />(""\ <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-7919 <br /> <br />4-YJ<O~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT NO. <br /> <br />DATE 7 /~ ~/O 'I <br />I t <br /> <br />/~C 5OA'1 S;/V4-S <br />S. f). )(eHrlf'~~ " ~c / 'L1'l"/AJ-W' <br /> <br />MAIUNG '725, frt>fftW5 ~ s-rE. I <br />/1-!f!Jwre. tf~ / 0'/4. 3000 -- 7t? 70 <br /> <br />SERVICE ADDRESS 74 Lf I G ~ b 1(/ ci . <br /> <br />OWNER/ <br />RENTER <br /> <br />~r <br />'-I <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE [J/' <br />INSTAll METER Q/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~ATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />I <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />IX" W$r ~ <br /> <br />_ AMOUNT lAST Bill <br /> <br />_ DATE <br /> <br />_ MISC, CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />I <br /> <br />I <br />I <br />! <br /> <br /> <br />Ii Retain white form in office at all times, <br />Send pink & yellow forms to Water Serv' pt. <br />I Water Service Dept. to sign yellow form & return to office. <br />II <br /> <br /> <br />7~z~-(}r y <br /> <br />ORDER GIVEN BY <br /> <br />