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<br />. <br /> <br />r' <br />, <br /> <br />(, <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />fi <br /> <br />105763 <br />() () <br /> <br />r <br /> <br />n <br /> <br />-= <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-71D-711HI <br /> <br />~LI~ <br />CITY OF ZEPHYRHIL'ts-" <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO, <br /> <br />DATE <br /> <br />X <br />Lf- -e--oS <br /> <br />OWNER/ <br />RENTER <br /> <br />Be:rr~ Bl.A.('LT ~'I <br />y- o. Box <br />~t-t sT c.1 <br />SERVICE ADDRESS .:3 ~(3 ~ <br /> <br />TI^-c. , <br /> <br />MAILING <br /> <br />\000 <br /> <br />':>~r:no I "ft. ""335;1..1( <br />K-<:.ll1 (LfJ1n t2-T Jv;t3 <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE 0/ <br />INSTALL METER [J/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />I!;;Y. WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />[]/iN CITY <br /> <br />o OUT CITY <br />--1- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT lAST BILL <br /> <br />Xrl/ <br /> <br />0$~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />'X' <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 />