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<br />Construction Mgmt. Services <br /> <br />o ("'l <br />~ <br /> <br />("'I <br /> <br /> 103110 <br />n 0 0 0 (' (') n n <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~ (be Cp <br /> <br />WATER ACCT. NO. <br /> <br />DATE 3;;:;),5 <br /> <br /># <br /> <br />OWNER/ <br />RENTER <br /> <br />t~~ /)1~ <br /> <br />I <br /> <br />S~ <br /> <br />MAILING <br /> <br />39~( f?l~ dr. <br /> <br />~TER <br /> <br />/-Ar <br />17 <br /> <br />~ <br />. SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />~ <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />o GARBAGE <br /> <br />INSTAlL METER <br /> <br />READ METER <br /> <br />o <br /> <br />~CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT Cfrv <br />~ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST Bill <br /> <br />/ ~ <br /> <br />w,:P;r p::;;t; <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />3 --IS~ os ;t;r- <br /> <br />ORDER GIVEN 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 />