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<br />rl <br /> <br />f'1 <br /> <br />f'1 <br /> <br />f'1 <br /> <br />n <br /> <br />n <br /> <br />(i <br /> <br />163110 <br />rl <br /> <br />~ <br /> <br />[1 <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: /oe5 <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />3;7/05 <br /> <br />OWNER/ <br />RENTER <br /> <br />. , <br />/ <br />./ <br />f) t-M <br />j,.,a .D <br />, <br /> <br />.-. <br />/- A . " \ <br />.. - ..;A~."1.-U,J <br />/ /......, <br />Us ~1 ,;iPS <br />35'7_75- <br />I? 'fL1 <=l' <br /> <br />--r <br />.-I ,<1 ( <br /> <br />MAILING <br /> <br />i '/)_ <br />// ""::) () <br /> <br />c/,ck (/ .-1} <br />~:;,;u; <br />SERVICE ADDRESS ~ <br /> <br />;::/ <br />I , <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE :; <br />INSTALL METER <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />// <br />if WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />/ <br />~CITY <br /> <br />o OUT CITY <br />I <br />--L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3~.. il <br />'1..../. '" <br />{ <br />I <br /> <br />_ AMOUNT LAST BILL <br /> <br />w::t,,J;; <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 />/ <br />