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<br />n <br /> <br />(, <br /> <br />'l <br /> <br />rJ <br /> <br />rJ <br /> <br />(l <br /> <br />n <br /> <br />105763 <br />(l \J <br /> <br />~ <br /> <br />n <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-71119 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~-~0<Olf <br /> <br />WATER ACCT. NO, <br /> <br />DATE <br /> <br />?h!os <br /> <br />OWNER/ <br />RENTER <br /> <br />L#1Y1tA/y ~ pC . <br />~Cm1f . <br /> <br />MAILING <br /> <br />HerCh~U;(le CIY"' <br />~TER <br /> <br />I n( <br />'?1 <br />'" <br /> <br />SERVICE ADDRESS 7eLfl <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE Q./ <br />INSTALl METER [L]/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />3j " <br />'-I <br /> <br />- AMOUNT lAST BIU <br /> <br />- <br /> <br />wdir <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 />I Water Service Dept to sign yellow form & return to office. <br /> <br />" <br /> <br /> <br />/85 ~ <br />