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<br />r. <br /> <br />(: <br /> <br />(j <br /> <br />r, <br /> <br />n <br /> <br />r, <br /> <br />103110 <br />n <br /> <br />(""I <br /> <br />n <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 />S-- ( DC) Y <br /> <br />WATER ACCT. NO. <br /> <br />DATE $-/~-O~ <br /> <br />~~~iE~ (! ~~ c:?~~ :5"Ut7<' ~_. <br />~$/f) Cl4~ ~ <br />~,g}.Rt< ::B8d-~1 <br />SERVICE ADDRESS 51$1/ r;", )"d .,Jlt. If!; 1/5'r~ <br /> <br />o ~ WATER <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE ~ <br />INSTAlL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ IN CITY <br /> <br />o OUT CITY <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />'*,,~~ ~~ <br /> <br />-..... <br /> <br />_ AMOUNT LAST Bill <br /> <br />c <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />RDER GIVEN BY <br /> <br />~ <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept <br />Water Service Depl. to sign yellow form & return to office. <br />