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<br />996786 <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-3008 FAX 813-719-7919 <br /> <br />02-. ,] ~ br <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIlLS, A.ORlDA <br /> <br />WATER ACCT NO. <br /> <br />DATE .~-~ 9 -0 3 <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSlALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />OWNER/ a /~ -t- /1 . n ",.." /f . <br />RENTER tf' ~ " ~'" G<..IC - - U,/.1 J ~ "~4( ) <br /> <br /> <br />MAIUNG .:?~~11~ ~~i4~~_~~ <br />{~A<~~, ~~~lIf <br />SERVICE ADDRESS ( q, ~ -. . / L -, <br />~ WATER <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ IN CITY <br /> <br />o OUT CITY <br />~ No. OF UNITS <br /> <br />I 1f.uU ';tmr /H7uLk <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT lAST BIU <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPlETED <br /> <br />ORDER TAKEN BY <br /> <br />Retam white form in office at all times. <br />Send pink & yellow forms to Water Service <br />'Nater ServICe Dept. to sign yellow form & <br /> <br />