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<br />r. <br /> <br />r <br />, , <br /> <br />r-', <br />t. i <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-79111 <br /> <br />r\ <br />, <br /> <br />105763 <br />r: n <br /> <br />("\ <br /> <br />(' <br /> <br />~ <br /> <br />~ <br /> <br />{;--~ '] S <6 <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />WATER ACCl. NO. <br /> <br />DATE <br /> <br />tt(3/tJ5 <br /> <br />~y\q;y ~ ;;n.C. <br />0(v~ <br /> <br />OWNER/ <br />RENTER <br /> <br />/y DO ~. <br />1I+W\.p~ J f I. <br /> <br />SERVICE ADDRESS 7 ~ '-t7 <br /> <br />MAILING <br /> <br />WesT s ~ <br />33 (p 0 )' <br />,TeN) 5T <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE [2,../ <br />INSTAlL METER W <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />3/cr /1- W$ ~ <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />STE. '70D <br /> <br />~(;;o <br /> <br />Q./'WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />-'- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY <br /> <br /> <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 /> <br />u <br />