Laserfiche WebLink
<br />("') <br /> <br />n <br />~ <br /> <br />r <br /> <br />r-j <br /> <br />(l <br /> <br />n <br /> <br />(l <br /> <br />103110 <br />n (1 <br /> <br />r'1 <br /> <br />.r'I <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />L{ - 5*-1 6~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE /t~/ ~t <br /> <br />OWNER/ <br />RENTER <br /> <br />~ <br /> <br />~~ <br /> <br />,U/c <br />( <br /> <br />~ <br />~ <br /> <br />SERVICE ADDRESS ?3 ~5 c:2 d-.. !-ktrt/ dr~ <br /> r <br />SHUT OFF SERVICE 0 ~ATER <br /> ru/ 0 SEWER <br />TURN ON SERVICE <br /> c/ 0 GARBAGE <br />INSTALL METER <br /> 0 ~CITY <br />READ METER <br /> <br />kTB <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />y/ (, -If. ~ <br />IL( ~ W~ <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 />1-:u~Y~ <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 />