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<br />rj <br />~ <br /> <br />,I'"') <br /> <br />(1 <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919 <br /> <br />WATER ACCl. NO. <br /> <br />(") <br /> <br />1 05763 <br />n n <br /> <br />(") <br /> <br />rl <br /> <br />(\ <br /> <br />('j <br /> <br />6-fb<b3 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />DATE <br /> <br />'1~/o5 <br /> <br />\/i/(c..y.. ~~ <br />7, 0.. Bo~ <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />b.-u~/~ <br />/5 .3~ <br /> <br />--- <br />.J t1C <br /> <br />SERVICE ADDRESS It '1,(~ <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE 0/ <br />INSTAll. METER OJ/' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />'V;'c{Oe/~ <br /> <br />L~ <br /> <br />~ <br /> <br />~ WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ITY <br /> <br />o OUT CITY <br />-L No. OF UNllS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BIU <br /> <br />X '1__ 7R~,~ <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY <br /> <br />Y-& ~ 05/if' <br /> <br />ORDER GIVEN BY <br /> <br />;j <br /> <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 />