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<br />o <'"' <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 FAX 813-7111-711111 <br /> <br /> 0 . 103110 E:8 0 <br />\'1 0 n 0 <br /> <br />('J <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />i--54Y <t <br /> <br />WATER ACCl. NO. <br /> <br />DATE <br /> <br />9-d.tl--tJf <br /> <br />I <br />Icpwt.u::~ <br />I REmER <br />~ <br /> <br />~t'.,o~ c5~~ <br />r-.~ IJ':< -:2. - ~ ~~ :5t; <br />~-ry:~~, FZ <br /> <br />SERVICE ADDRESS -0 - 6'M- ~ p <br />%1' <br /> <br />o <br /> <br />'R <br />~ <br />o <br /> <br />WATER <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />o SEWER <br /> <br />CHECK METER <br /> <br />o <br /> <br />0 GARBAGE <br />)Q IN CITY <br />0 OUT CITY <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />OTHER <br /> <br />o <br /> <br />--1- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-fil tJ> . ;~ <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 />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Depl. to sign yellow form & return to office. <br /> <br />