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<br />("1 <br /> <br />rl <br /> <br />(""l <br /> <br />(1 <br /> <br />(j <br /> <br />n <br /> <br />r! <br /> <br />PeRFORMANCE BUSINESS PRODUCTS. INC. 813-71ll-8008 FAX 813-7111-7919 <br /> <br />~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCl. NO. <br /> <br />OWNER/ <br />RENTER <br /> <br />u~ (~5 <br />A-R-L ~ <br /> <br />MAILING <br /> <br />1 05763 <br />n (1 <br /> <br />~ <br /> <br />("'\ <br /> <br />5.-:J.. 7 -5 '1 <br /> <br />DATE ft ~:2 - 0 $" <br /> <br />SERVICE ADDRESS <br /> <br />793 ( <br /> <br />1-017;'6' <br /> <br />fYlwct~(!k 0r. <br /> <br />~ATER <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE 0/ <br />INSTAlL METER cV' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />3/11 L~' <br />7(/ - CJ <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /><2- ()~Cf- <br /> <br />ORDER GIVEN BY <br /> <br /> <br />u <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Depl. to sign yellow form & return to office. <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~IN CITY <br /> <br />o OUT CITY <br />-1- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br />