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<br />c) <br /> <br />r1 <br /> <br />C) <br /> <br />(1 <br /> <br />(J <br />'-........., <br /> <br />103110 <br />o (l <br /> <br />(') <br /> <br />~ <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. 'NC. 813.719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5: C> erst ~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />3h/os <br /> <br />I <br /> <br />OWNER/ <br />RENTER <br /> <br />~~ &.xf)'i'~4 <br /> <br />/;;Z;30 3 Ifw, 30 ( <br />J"'eQo (';+..., (F(. ~ =is c9-5 <br />,~75dY ~~fY:.tJay <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~ER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ITY <br /> <br />o OUT crN <br />-L:-. No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />1{ " <br />y <br /> <br />- AMOUNT lAST BILL <br /> <br />-- <br /> <br />w:t;;" ~ <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 /> <br />3-3-t75"' ~ <br />