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<br />f:'\ (' <br />~ <br /> <br />,~ <br /> <br />f', <br /> <br />(\ <br /> <br />'1 <br /> <br />105763 <br />(1 n <br /> <br />~ <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919 <br /> <br />6- , <0 l$" LI <br />CITY OF ZEPHYRHILLS J <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE i1~(1J 5 <br /> <br />L-,/ '" r - <br />/~ .b1c. <br /> <br />MAILING <br /> <br />,jl!.-y- 5~ <br />tf <br />f () ,60 X 153Cp <br />~vlAl'l(c:s, Fl. 33s37 <br />td 3 5 ~. 1/. Jo R, 4...-. tJ""r <br /> <br />[j]/ WATER <br /> <br />7~ <br /> <br />. <br /> <br />OWNER/ <br />RENTER <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />0/ <br />r:V' <br /> <br />o SEWER <br /> <br />INSTALL METER <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 /> <br />I <br />_ No, OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />- DEPOSIT AMOUNT <br /> <br />x (( ;JRR~-~ <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 />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 />j{~ -L?5 C/ <br /> <br />ORDER GIVEN BY <br />