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<br />(1 <br /> <br />I <br />\-. <br /> <br />c' <br /> <br />I ! <br />"- <br /> <br />o <br /> <br />c' <br /> <br />(, <br /> <br />103110 <br />(" <br />,......, <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-7111-8008 FAX 813-7111.711111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />Lf - 'J1 -5 ~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />;j~/us <br /> <br />OWNER/ ;n.;;L / 1 /J <br />RENTER ) ~/. 1\ ), o~ <br />,-- .f <br /> <br />MAILING {;,oj)..... /2, ~ "51' /fJ.. <br /> <br />-- ~3d;~~ t:: ~;7 <br />SERVICE ADDR-".S Zl6S- ~ . ; -: _. - 38S;s>f{.).!M!i/ <br />. ~TER <br />SHUT OFF SERVICE 0 <br /> <br />TURN ON SERVICE g/ <br />INSTAll METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />3/' {I ok-~ <br />/4 - <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 />