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<br />n <br /> <br />n <br />~ <br /> <br />o <br /> <br />() <br /> <br />() <br /> <br />n <br /> <br />103110 <br />I, (, <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />'1-y)4,? <br /> <br />WATER ACCT. NO, <br /> <br />DATE <br /> <br />7 ;;//0 v <br /> <br />/ Lc"G .]"8/...", <br />5', ,q. /( eA1Y\fd-j T"1 Co d-- A ,;.~ <br />I I <br />MAILING '-/-255 t;()7te.v5 W"1 STE ( <br />A ( p~CVY E-tf- ~ I GA. ,3 DDL.{ _ <br />SERVICE ADDRESS 7Cfi I GIT~ 6/vcl <br /> <br />OWNER/ <br />RENTER <br /> <br />s, ,{ Ve.,- S 7;,(' , <br /> <br />7~ID <br />~T <br />'I <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE cY <br />INSTALL METER CD/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />Il::]/' WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~'N CITY <br /> <br />o OUT CITY <br /> <br />( <br />_ No, OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />3({r) . r/ <br />/1..; -rrr~, ~ <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 />7"<.~-t1l( d::.t <br /> <br />Retain white form in office at all times, <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Depl. to sign yellow form & return to office. <br /> <br />