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<br />(i <br /> <br />o <br />~ <br /> <br />(1 <br /> <br />r, <br /> <br />'("1 <br /> <br />("'\ <br /> <br />n <br /> <br />103110 <br />n 0 <br /> <br />f') <br /> <br />() <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-aOO8 FAX 813-719-7919 <br /> <br />Lf-5~ ;:;'6 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE /O!::lt!})V <br />, { <br /> <br /> <br /> <br />5~ J3Jk; ;-~( , <br /> <br />OWNER/ <br />RENTER <br /> <br />V i /( "J- J2- <br /> <br />MAILING <br />..--;:;::::>- <br />SERVICE ADDRESS ~r:3 /' <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE g/ <br />INSTALL METER cV <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />V/o;R/~!Jcv, hi./; <br />~ATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />/ <br />_ No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3//( <br />(if - <br /> <br />_ AMOUNT LAST BILL <br /> <br />u;ji;,- ~ <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 <br /> <br /> <br />BY <br />