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<br />r-- <br />I <br /> <br />(] <br />~ <br /> <br />(] <br /> <br />in <br /> <br />n <br /> <br />n <br /> <br />;' <br /> <br />1 05763 <br />n (") <br /> <br />(] <br /> <br /><" <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-79111 <br /> <br />CITY OF ZEPHVRHI~ 2. ("3 T <br />ZEPHVRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />'-4;' f.{ (oS" <br /> <br />OWNER/ <br />RENTER <br /> <br />~h.V\ <br /> <br />S VV\.\~ <br /> <br />~,MC. <br /> <br />/ <br /> <br />r:2 5""0 fYf)~ 1?dJ, <br />ftr-4///1/ // 33SC//" <br />SERVICE ADDRESS 3'{ 0 F OR.T K (~0, R~, <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALL METER [J/' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~ATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />%/'- W~~ <br /> <br />- AMOUNT LAST BIll <br /> <br />_DATE <br /> <br />- MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Serv. Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br /> <br />Li -I ({ - 0 s K-t <br /> <br />ORDER GIVEN BY <br /> <br />~ --?~ <br />