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<br />(i <br /> <br />(i <br />~ <br /> <br />r, <br /> <br />("1 <br /> <br />n <br /> <br />rJ <br /> <br />(i <br /> <br />105763 <br />(i (', <br /> <br />,/" <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-7111-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />!:-~7~~ <br /> <br />WATER ACCT. NO, <br /> <br />DATE <br /> <br />5-'fo~- <br /> <br />OWNER/ <br />RENTER <br /> <br /> <br />MAILING <br /> <br />C <br /> <br /> <br />~.WATER <br /> <br />o SEWER <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE P\ <br />INSTAll METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o GARBAGE <br /> <br />~ IN CITY <br /> <br />o OUT CITY <br /> <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />ftJ.~ <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 /> <br />s- <br />