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<br />r') <br /> <br />r] <br />~ <br /> <br />r] <br /> <br />r1 <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />103110 <br />(j n <br /> <br />n <br /> <br />() <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919 <br /> <br />4-56~1 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO, <br /> <br />DATE !()-2.1 ~ 0 V <br /> <br />OWNERI <br />RENTER <br /> <br />\f;ll~ '<)'r/\JL l0~ <br /> <br />~ <br />:.t- Ir1. c , <br /> <br />MAILING <br />-;:::::=-- <br /> <br />SERVICE ADDRESS It l.( '( S 1/,' cIO"2(~ f.tJ~ h-r J-t; <br /> 0 ~TER <br />SHUT OFF SERVICE <br /> [J/ 0 SEWER <br />TURN ON SERVICE <br /> GV 0 GARBAGE <br />INSTALL METER <br /> 0 ~CITY <br />READ METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />( <br />_ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />34" <br /> <br />w~~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />!O-21'-ClC/ <br /> <br />I:Y- <br /> <br />>( <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 0 <br />