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<br />,~ <br /> <br />103110 <br />!\ <br /> <br />r <br /> <br />r <br />r <br /> <br />,r, <br /> <br />r <br /> <br />n <br /> <br />t) <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-3008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLs <br />ZEPHYRHILLS, FLORIDA <br /> <br />t1.... Lt I <0 cr <br /> <br />WATER ACCT. NO. <br /> <br />7 /~ 7/0 '-/ <br />f f <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />1?~ "'~ ~ 7ltc <br />$-0L ~_ <br /> <br />MAILING <br /> <br />I <br />I <br />! <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />I <br />I <br />I <br />j <br />I <br />I <br />i <br />I <br />I <br />I <br /> <br />3g--3()~ <br /> <br />u~~, <br /> <br />Q-wATER <br /> <br />~-t' <br />Y' <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br /> w 0 SEWER <br />TURN ON SERVICE <br /> ~ 0 GARBAGE <br />INSTALl METER <br /> 0 ~Y <br />READ METER <br /> 0 0 OUT CITY <br />CHECK METER I <br /> _ No. OF UNITS <br />OTHER 0 <br /> _ DEPOSIT AMOUNT <br />Jj/, - AMOUNT lAST Bill <br />W$ ~ ~DATE <br /> _ MISC. CHARGE <br /> <br />WORK COMPLETED BY ORDER TAKEN BY <br />& DATE COMPLETED <br /> <br /> <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 form & return to office. <br />