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<br />r <br /> <br />r' <br /> <br />r <br /> <br />r <br /> <br />,......, <br /> <br />r\ <br /> <br />103110 <br />('I <br /> <br />t3 <br /> <br />~- <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC_ 813-719-8008 FAX 813-719-71119 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />~ (-) 'f<l? <br /> <br />WATER ACCT. NO. <br /> <br />DATE ,;2.4y(05 <br />, <br /> <br /> <br />:$ >? 73 U r:?:llb. /~IL ~ <br />~~- - () <br />SERVICE ADDRESS 37 ~ 31' N e c:...) fo (T Jr. <br /> <br />MAILING <br />- <br />.:::;...--' <br /> <br />~I: I:J (, <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE Q../ <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />O/"WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BIU <br /> <br />:P/y <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 Oept <br />Water Service Oept to sign yellow form & return to office_ <br /> <br /> <br />~- .:2<(- tJ 5 IV- <br />