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<br />r <br />\ <br /> <br />'--~.--~._--~... <br /> <br />n <br /> <br />n <br /> <br />0, <br /> <br />,;a. 103110 <br />.. C' <br /> <br />@, <br />\," <br />,~- .. <br /> <br />(1 <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 />Y-l1LfC( <br /> <br />WATER ACCT. NO. <br /> <br />. DATE JrtJ/o V <br /> <br />OWNER/ <br />RENTER <br /> <br />5"""ilr c/~"'-f;~,'n. <br />:5P~ ~* <br /> <br />. ~ / <br />VI'" 0.5 <br /> <br />MAILING <br /> <br /> SERVICE ADDRESS 7?~9 t:;~ ~/vc( ~ATER ~ <br /> 0 <br /> SHUT OFF SERVICE <br /> Q/ 0 SEWER <br /> TURN ON SERVICE <br /> g/ 0 GARBAGE <br /> INSTALL METER ~N CITY <br /> 0 <br /> READ METER <br /> 0 o OUT CITY <br /> CHECK METER --1- No. OF UNI1S <br />I <br />I OTHER 0 <br /> - DEPOSIT AMOUNT <br />I <br /> - AMOUNT lAST BILL <br />I <br />I % _DATE <br />II uJbr ~ <br /> - MISC. CHARGE <br />I <br />I <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />'.:2 -/Z> ~O V U- <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 />