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<br />Ii ('1 <br />~ <br /> <br />(1 <br /> <br /> 103110 ~ n <br />n n n (\ () (i <br /> '-- <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813.719-8008 FAX 813.719-7919 <br /> <br />- <br /> <br />5'.... D '1 ~ '? <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />3/~ ~5 <br /> <br />. I <br /> <br />MAILING <br /> <br />~~ <br /> <br />/~3D? tlw1 50 ( <br />ve;J~ CA'+, /FI- 335:J-s- <br /> <br />SERVICE ADDRESS 3 ~!5 2~ ttt~ M uJ~ <br />o [J/"WATER <br /> <br />OWNER/ <br />RENTER <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE rn/ <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />[1/{N CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />~ r, ~~~ <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- <br />