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<br />,ry----------- --,-- <br /> <br />f ,.--- ~ <br /> <br />-- <br /> <br />o <br /> <br />105763 <br />r <br /> <br />n <br /> <br />(\ <br /> <br />r, <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-71~008 FA)( 813-719-7910 <br /> <br />--.. <br /> <br />~ <br /> <br />ill <br />I <br />I <br />I <br />/ <br />I <br />I <br />I <br />I <br />i <br />I <br />i <br />i <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />i <br />! <br />! <br /> <br />CITY OF ZEPHYRHlllS <br />ZEPHYRHILlS, FLORIDA <br /> <br />S'-:J-SQ Cf <br /> <br />WATER ACCT. NO. _ <br /> <br />_DATE~-;1..I,,-~~- _ <br /> <br />=':{~7ZL Q~,:~ <br /> <br />~5Z~ <br /> <br /> <br />SERVICE ADDRESS <br />$g/5 <br />t( <br />\r5 <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />WATER <br /> <br />INSTAlL METER <br /> <br />SEWER <br /> <br />o GARBAGE <br />W IN CITY <br /> <br />READ METER <br /> <br />o <br />o <br /> <br />o OUT CITY <br />( <br />- No, OF UNITS <br /> <br />CHECK METER <br /> <br />OTHER <br /> <br />o <br /> <br />-f;, <br /> <br />- DEPOSIT AMOUNT <br /> <br />~~ -4'lk <br /> <br />- AMOUNT lAST SIll <br /> <br />-DATE <br /> <br />- MISC. CHARGE <br /> <br />- <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />- <br /> <br />ORDER TAKEN BY <br /> <br />,1 <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 />