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<br />I~ <br /> <br />r <br /> <br />.r\ <br />, , <br /> <br />n <br /> <br />('I <br /> <br />105763 <br />n 0: <br /> <br />(] <br /> <br />n <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-79111 <br /> <br />5.d...1~Cj <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE ?,hjPs- <br /> <br />OWNER/ <br />RENTER <br /> <br />~t1t1VJ' ~ <br />S..eh ~ <br /> <br />- <br />../41 c <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />7~L(1 J.eM..o ~, <br /> <br />)....,{- <br />101 <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE rg/ <br />INSTALL METER cJ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~TER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br /> <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />3~((~ ~~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN 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 />