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<br />r', (' <br />\......' . <br />~ <br /> <br />n <br /> <br /> 103110 f:, (') <br />(') !\ (i (j C' r' <br />. , <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-7919 <br /> <br />'1-f"JJ5~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO, <br /> <br />DATE <br /> <br />/2,(3/0</ <br /> <br />OWNER/ <br />RENTER <br /> <br />~ <br /> <br />S~. <br /> <br />YV\~ <br /> <br />MAILING ~ 0 bo)( } <..( '5 <br />?o-rl ~[C~ \ fl. <br />SERVICE ADDRESS {,231 POle,- Kt ~ <br /> <br />3<..f~/3 <br />fJ2.eO. <br />~TER <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE uY' <br />INSTALL METER m/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />II~ <br /> <br />w;f!;r ~ <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 Dept to sign yellow form & return to office. <br /> <br />