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<br />o <br /> <br />n <br /> <br /><) <br /> <br />(') <br /> <br />n <br /> <br />103110 <br />(1 () <br /> <br />(] <br /> <br />,n <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813.71UOO8 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />V{-~ 69 b <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />1/-/0 -~ y <br /> <br />OWNER/ <br />RENTER <br /> <br />~l3n~ ( <br /> <br />!/SSO(!. Me. <br />/ <br /> <br />MAILING <br /> <br />s~ ~. <br /> <br />SERVICE ADDRESS ~C[3{ <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTAlL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />O~k-C/u)(W~ <br /> <br />GJl"WATER <br /> <br />Lo T; (p <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />-1.. No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />~" <br /> <br />_ AMOUNT LAST Bill <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 />11- 10- oC; cr <br />X 9~ OfmEbG.NE~ ~ ~ <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 />