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<br />~ <br /> <br />\. _.71'. <br /> <br />:- <br /> <br />1 05763 <br />n <br /> <br />("'\ <br /> <br />~ <br />6--~ /\)(] <br /> <br />Ii <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719.'7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />5/~- <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />Ry~ <br />/2-U- ~ <br /> <br />~ -z:;,c. <br />, <br />I <br /> <br />MAILING <br /> <br />SERVICE ADDRESS ~171 l)Ot /;''1M. <br /> r <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALL METER 0'" PefLM; + 1F <br />READ METER 0 <br />CHECK METER 0 '1;)0& <br />OTHER 0 <br /> <br />.;{p~ <br /> <br />I:;}-' WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />D" IN CITY <br /> <br />o OUT CITY <br />-L No. OF UNI1S <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST Bill <br /> <br />3) . ~ <br />I L(- (I - w;!!iy <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />5.- I 3.- 05 let- <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 />