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<br />Ii <br /> <br />105763 <br />n n <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />r. <br /> <br />n <br /> <br />o <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-71118 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5- ~ 76 { <br /> <br />WATER ACCT. NO. <br /> <br />ulM 5- <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />k?/1.ar ~ 7)rc, <br />_~1J C~ <br /> <br />MAILING <br /> <br /> SERVICE ADDRESS 1~;27 u~ 57: ~f(~3 <br /> 0 ~ER <br /> SHUT OFF SERVICE <br /> [Zl./' 0 SEWER <br /> TURN ON SERVICE <br /> ~ 0 GARBAGE <br /> INSTALl METER ~ITY <br /> 0 <br /> READ METER <br /> 0 o OUT CITY <br /> CHECK METER <br /> -1- No. OF UNITS <br /> OTHER 0 <br /> _ DEPOSIT AMOUNT <br />I 3t/ - AMOUNT lAST BILL <br />w;fkr ~ <br /> _ DATE <br /> _ MISC. CHARGE <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />! <br />I <br />i <br />i <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />x <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 />