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<br />c <br /> <br />(') <br /> <br />n <br /> <br />(1 <br /> <br />(') <br /> <br />() <br /> <br />o <br /> <br />103110 <br />(i r'1 <br /> <br />~ <br /> <br />r, <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />5'- r ~a f <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT NO, <br /> <br />DATE :3/1;:S <br /> <br />OWNER/ ~~ ~ <br />RENTER <br />MAILING S ..elL ~. <br />SERVICE ADDRESS 3'l3'1? ~ Iim~M. ~ <br /> ~ATER yt; <br />SHUT OFF SERVICE 0 <br /> a./ 0 SEWER <br />TURN ON SERVICE <br /> Q/ 0 GARBAGE <br />INSTALL METER <br /> 0 ~CITY <br />READ METER <br /> 0 0 OUT CrTY <br />CHECK METER ~ No. OF UNITS <br />OTHER 0 <br /> _ DEPOSIT AMOUNT <br /> <br />~ r, <br /> <br />~~ <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 />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~ 7~fJ.5 ,(:r- <br /> <br />ORDER GIVEN BY <br />