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<br />(""', <br /> <br />() <br /> <br />n <br /> <br />n <br /> <br />o <br /> <br />n <br /> <br />105763 <br />(l n <br /> <br />Ii <br /> <br />n <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7910 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5- {6~ r <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />{ff A> <br /> <br />OWNER/ <br />RENTER <br /> <br />K{ vY'% 0n.aT <br />~~' <br /> <br />MAILING <br /> <br />SERVICE ADDRESS 53'12- <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTAll METER u/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />T~/~ <br /> <br />dr. <br /> <br />.kT// <br /> <br />D..--iVATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSrr AMOUNT <br /> <br />) /L( q <br /> <br />vJ~~ <br /> <br />- AMOUNT LAST BIU <br /> <br />_ DAle <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />L/~ If ~1) !> <br /> <br />)( <br /> <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 />