Laserfiche WebLink
<br />r.~~ <br /> <br />,- <br /> <br />n <br /> <br />(""'1 <br /> <br />(1 <br /> <br />:r'1 <br /> <br />n <br /> <br />103110 <br />II <br /> <br />r <br /> <br />n <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />t;{ -.56 bJ <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />Cj -2.1-CY <br /> <br />OWNER/ <br />RENTER <br /> <br />~~ <br /> <br />~ <br />k~, <br /> <br />SHUT OFF SERVICE <br /> <br />('~ <br /> <br />j) ~~; ~. <br /> <br /> <br />SERVICE ADDRESS . J 7 7"3'5/ ,,(~ ~ ok. <br />[] WATER <br /> <br />:/ <br /> <br />MAILING <br /> <br />4r <br />3/ <br /> <br />[] SEWER <br /> <br />TURN ON SERVICE <br /> <br />READ METER <br /> <br />[] <br /> <br />[] GARBAGE <br /> <br />diN CITY <br /> <br />INSTALL METER <br /> <br />CHECK METER <br /> <br />[] <br /> <br />[] OUT CITY <br />-L No. OF UNIlS <br /> <br />OTHER <br /> <br />[] <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />}11I <br />(L/ -' <br /> <br />wJir ~ <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 Dept. to sign yellow form & return to office. <br /> <br />