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<br />Ii <br />,~ <br /> <br />(J <br />~ <br /> <br />(j <br /> <br />o <br /> <br />('\ <br /> <br />(I <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. P' <br /> <br />CITY OF ZEPHYRHIL <br />ZEPHVRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />OWNER/ <br />RENTER <br /> <br />~ fYr/M GoJ <br />Sfll C-~ <br /> <br />MAILING <br /> <br />3 7 4 It) ~ !la4YI/hP:!:- c:J, . <br /> <br />~ATER <br /> <br />SERVICE ADDRESS <br /> <br />I <br />I, SHUT OFF SERVICE <br /> <br />, TURN ON SERVICE <br /> <br />l INSTALL METER <br /> <br />READ METER <br /> <br />o <br /> <br />w <br />a/ <br /> <br />o SEWER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />OTHER <br /> <br />o <br /> <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />1/' <br /> <br />-- <br /> <br />wJi/ ~ <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 Depl. <br />Water Service Depl. to sign yellow form & return to office. <br /> <br /> <br />~ <br />