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<br />)' <br /> <br />105763 <br />/"'. <br />\ <br /> <br />~ <br /> <br />:- <br /> <br />n <br /> <br />r <br /> <br />r, <br />i <br /> <br />{'\ <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC_ 813-719-8008 FAX 813-719-7919 <br /> <br />--- <br />~-2138 <br />CITY OF ZEPHYRHILl:s"""' <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO, <br /> <br />tluf> <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />fr~~ ~4P <br />~ Ump. <br /> <br />~(. <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />3y'o]/v D~~ /:(. <br />o ~WATER <br />o SEWER <br /> <br />~.,... <br />/::z <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE a/ <br />INSTALL METER [IJ/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />--1..- No. OF UNI1S <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST Bill <br /> <br />~ <br /> <br />l( <br /> <br />_ DATE <br /> <br />w~~ <br /> <br />_ MISC, CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />'1-;;-- BY U <br /> <br />J <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 />