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<br />(- <br /> <br />r, <br /> <br />r-. <br /> <br />.r <br /> <br />f'1 <br /> <br />n <br /> <br />103110 <br />r, r, <br /> <br />EJ <br /> <br />!l <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />L1~55 3'-( <br /> <br />WATER ACCT. NO, <br /> <br />DATE /1-5-07' <br /> <br />MAILING <br /> <br />r-:J' P <br />'/n-~~ ~,a~",,) <br />~~9/~~ /~~ ~J <br />Z ~~;L4. / F.L <br />SERVICE ADDRESS ~ f / ~ ~ - / r-2 <ti! {l~- , <br /> <br />~ ~ WATER <br /> <br />~ 0 SEWER <br /> <br />)( 0 ~~E <br /> <br />~_ IN CITY <br /> <br />o <br /> <br />OWNER/ <br />RENTER <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />-L- No, OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />~ b O~" -/- <br />If /I ~!J71 /?1t~_ <br /> <br />_ AMOUNT lAST BIll <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />c.. <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />/'" <br /> <br /> <br />~ <br /> <br />ORDER GIVEN 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 />