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<br /> <br />("\ <br />~ <br /> <br />( <br /> <br />f', <br /> <br />(1 <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-7190$008 FAX 813-719-7919 <br /> <br />WATER ACCT NO, <br /> <br />(1 <br /> <br />103110 <br />1\ (j <br /> <br />(""\ <br /> <br />~ <br /> <br />~ <br /> <br />(1 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />l{- 5 ~'J~ <br /> <br />DATE <br /> <br />/O~.2f-flV <br /> <br />OWNER/ <br />RENTER <br /> <br />VI'! IJ~ <br /> <br />MAILING <br />..-- <br />- <br /> <br />Sl vM-L <br /> <br />J5t-t: Idtrs <br /> <br />~n(, <br />I <br /> <br />SERVICE ADDRESS &?4 3 S <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE 0./ <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />;rlr <br /> <br />).,..or <br />I€' <br /> <br />V;2{oR~~ ~ <br /> <br />~TER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />..-- <br /> <br />tJ~~ <br /> <br />_ DATE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />_ MISC, CHARGE <br /> <br />ORDER TAKEN BY <br /> <br />/P-;2 1-Pyd:r- <br />ORDER GIVEN BY <br /> <br /> <br />Retain white form in oHice at all times, <br />Send pink & yellow forms to Water Service Dept, <br />Water Service Depl. to sign yellow form & retur to oHice, <br />