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<br />(i <br /> <br />o <br />~ <br /> <br />o <br /> <br /> 103110 fQ] <br />0 (1 ("I ("\ (') 0 C <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~- e><fq? <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />;3- ~"'O5" <br /> <br />=:~ /4pn ~r:!2hk.-...Lt!-, <br /> <br />MAILING 90 "2~ /5.3t. <br />'z.~./D~ _~~3~ <br />SERVICE ADDRESS te. '/157 ad~,;Jj)/f. 1.0/ <br /> <br />~ WATER <br /> <br />o SEWER <br /> <br />/~ <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~ <br />~ <br /> <br />o GARBAGE <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />o <br /> <br />~ IN CITY <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />CHECK METER <br /> <br />o <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />.+ .A-J. A'?fA <br /> <br />_ AMOUNT LAST BILL <br /> <br />c- <br /> <br />_ DATE <br /> <br />-- <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />~.. <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 />