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<br />~ <br /> <br />r"'~"---'=- <br /> <br />i <br />! <br /> <br />r <br /> <br />r <br /> <br />r <br /> <br />n <br /> <br />n <br /> <br />(I <br /> <br />105763 <br />n n <br /> <br />n <br /> <br />o <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-aOO8 FAX 813-719-7919 <br /> <br />r~- <br />i <br />I <br />I <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />.G/2L(9~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />/f-$-~ <br /> <br />OWNER/ ~~ /i7 ,,~/J "-; fl / <br />RENTER ~_ . C~~~I.TJ Ggn-Su. V~ <br /> <br />MAILING G () v ~ n / t? /JO <br />rl.t;.ittJ7/ ~A7fe. FL c$9S;2/f <br />SERVICE ADD ESS ;3 ~ /:z ~ >f1r J<"r ~. <br />o ~ WATER <br /> <br />).r; ~ <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE ~ <br />INSTAlL METER )d <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />);Q IN CITY <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br /> <br />tJ;J;r/J1l~ <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 Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br />