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<br />("") <br /> <br />(') <br />~ <br /> <br />n <br /> <br />(j <br /> <br />.f""\ <br /> <br />(""'l <br /> <br />(""'l <br /> <br />105763 <br />(j (i <br /> <br />n <br /> <br />C' <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 FAX 813-719-7919 <br /> <br />.5 -~ '1 0 <6 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />~-.2- Ob- <br /> <br />::~R~ (L. ~ W Q?nL. ~. <br />~OO 72 0~~_ ~ ~k ~OO <br />~~,P~. PI. rSEI...09 <br />SERVICEADDRESS 7S~d ~ r:7f-~GA. /-.T" //~ <br />~TER <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~ <br />~ <br /> <br />~WER <br /> <br />INSTAlL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~ITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />I <br />_ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST Bill <br /> <br />1J/~A~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />.- <br />t. ' .;1.-0 ;7 <br /> <br /> <br />~> <br />ORDER GIVEN 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 />