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<br />r] <br /> <br />n <br /> <br />(l <br /> <br />i" <br /> <br />r. <br /> <br />n <br /> <br />r', <br /> <br />103110 <br />ri (, <br /> <br />r <br /> <br />r1 <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />L{_G~5r <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />I~ 7/b'i <br /> <br />OWNER/ <br />RENTER <br /> <br />~~ &rnJ. <br />S..e.e &mf' <br />3 733Lf ~~/k~ck. t;~ <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />rn/. <br />0/ <br /> <br />IB"'WATER <br /> <br />TURN ON SERVICE <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />W;N CITY <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 />1rf,- wk~ <br /> <br />- AMOUNT LAST BILL <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 Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br /> <br />/~..'f~{JV (crT' <br /> <br />ORDER GIVEN BY <br /> <br />... <br />