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<br />r <br /> <br />r"; <br /> <br />1"""\ <br /> <br />(""') <br /> <br />rl <br /> <br />n <br /> <br />n <br /> <br />103110 <br />1""") n <br /> <br />~ <br /> <br />Ii <br /> <br />~. <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5- v Cfer? <br /> <br />WATER ACCT. NO. <br /> <br />DATE S -:3 -D.:) <br /> <br />OWNERI <br />RENTER <br /> <br />~","L ~~ <br /> <br />MAILING <br /> <br />SERVICE ADDRESS r$7J/i3 ~.d.0 {k. At' r /71 <br /> 0 ~ WATER <br />SHUT OFF SERVICE <br /> ~ 0 SEWER <br />TURN ON SERVICE <br /> t( 0 GARBAGE <br />INSTALL METER <br /> xJ <br /> 0 IN CITY <br />READ METER <br /> 0 0 OUT CITY <br />CHECK METER --'- No. OF UNITS <br />OTHER 0 <br /> _ DEPOSIT AMOUNT <br /> <br />f0.~ <br /> <br />_ AMOUNT lAST BILL <br /> <br />_ DATE <br /> <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />3-:$--06 <br /> <br /> <br />ORDER GIVEN BY <br /> <br />LJ <br /> <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Depl. to sign yellow form & return to office. <br />