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<br />r, <br /> <br />(l <br />~ <br /> <br />,(') <br /> <br />() <br /> <br />(j <br /> <br />() <br /> <br />n <br /> <br />n <br /> <br />103110 <br />() <br /> <br />(' <br /> <br />() <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919 <br /> <br />S- I \:) C Q <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />3h/os <br /> <br />I <br /> <br />OWNER/ <br />RENTER <br /> <br />R~ fV\N1 &4 <br />S~ 0n-nf- <br /> <br />MAILING <br /> <br />,37C!07 ~ !kn~k. ~~ <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE GV <br />INSTAlL METER Q/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />I t:VWATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CIiY <br />L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3;> <br />~ <br /> <br />tJ:ffir ~ <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />3-7-/)5- ~ <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 />ORDER GIVEN BY <br />