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<br />n n <br />~ <br /> <br />() <br /> <br /> 103110 <br />() 0 (") 0 n 0 0 ("'\ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719.7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIUS, FLORIDA <br /> <br />5- oq l' () <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />76fts <br /> <br />OWNER/ <br />RENTER <br /> <br />.5~ J;.4~ <br /> <br />(2303 ~,~IJ I <br />1p~&..t ~.~ (r 335;;JS <br />} <br />17S~ CJ fJ1.f~~ Ilk tJ~ <br />. ~TER <br /> <br />o <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />41/ <br />r;V <br /> <br />o SEWER <br /> <br />READ METER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />INSTALL METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT crT-v <br />~No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />~ ~ 1Al,i;y ~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />3 -3-0$ cf- <br /> <br />Retain white form in office at all ti . <br />Send pink & yellow forms to Water Service pI. <br />Water Service Depl. to sign yellow form & return to office. <br /> <br />