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<br />r' <br />. I <br /> <br />r <br /> <br />(Jl <br /> <br />103110 <br />r <br /> <br />[0J <br />W <br /> <br />n <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-,,16'? <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />\ ~( "2 I ( oy <br /> <br />OWNER/ ~ <br />RENTER ~ ~ <br />\ <br /> <br />MAILING <br /> <br />.Al.U.-- <br /> <br />~ <br />r~ <br /> <br />:=3'6 3;;;Z Ir ~U'1 R.#. <br />o ~A~R <br /> <br />/--rc; <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />of <br />or" <br /> <br />o SEWER <br /> <br />READ ME~R <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~CJTY <br /> <br />INSTALL METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />--1- No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />- DEPOSIT AMOUNT <br /> <br />3/y <br /> <br />- AMOUNT lAST Bill <br /> <br />wJtw ~ <br /> <br />_DA~ <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 />l2~2 (- 0 c.r <br /> <br />ORDER GIVEN BY <br /> <br />.~d~ <br /> <br /> <br />\\~ <br />kl\:) <br />