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<br />( <br /> <br />n <br />~ <br /> <br />("1 <br /> <br />n <br /> <br />(1 <br /> <br />(i <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 />OWNER/ <br />RENTER <br /> <br />4mM'1 ~ ~C. <br />5~ ~, <br /> <br />MAILING <br /> <br />("'I <br /> <br />105763 <br />n n <br /> <br />n <br /> <br />n <br /> <br />5..~1~'l <br /> <br />DATE <br /> <br />5h/s <br /> <br />SERVICE ADDRESS <br /> <br />~ 773 pq/;'~ /Z/ <br /> <br />, <br /> <br />~-r- <br />~ <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE rn/ <br />INSTALL METER ~ RfLM',r' <br /> 0 <br />READ METER <br />CHECK METER 0 4Jo3 <br />OTHER 0 <br /> <br />34'~ W~~ <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />~ATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />[iJ/;N CITY <br /> <br />o OUT CITY <br />I <br />_ No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY <br /> <br />3-/3-05 er <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 />