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<br />,,} <br /> <br />(1 <br />-= <br /> <br />Ii <br /> <br />Cl <br /> <br />r, <br /> <br />(1 <br /> <br />103110 <br />(-I Ii <br /> <br />n <br /> <br />II <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIUS, FLORIDA <br /> <br />L{-L(l'fl <br /> <br />WATER ACCl. NO. <br /> <br />DATE <br /> <br />q!,y (0<( <br /> <br />. <br /> <br />OWNER/ <br />RENTER <br /> <br />~~ ~'I we <br />S~ ~~ <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />37f"yt7 ~~ /~dr, <br /> <br />0/ WATER <br /> <br />hr <br />'/7 <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />INSTALL METER <br /> <br />[jJ./' <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~N CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />---1- No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />- DEPOSIT AMOUNT <br /> <br />8/ II <br />14 - <br /> <br />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 />9-li-01 <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 /> <br /> <br />ORDER GIVEN BY <br /> <br />