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<br />(] <br /> <br />(l <br />~ <br /> <br />(l <br /> <br />(l <br /> <br />(i <br /> <br />(i <br /> <br />o <br /> <br />105763 <br />(l (j <br /> <br />(J <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-71119 <br /> <br />5-~1~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO, <br /> <br />DATE <br /> <br />it/3/o5 <br /> <br />OWNER/ <br />RENTER <br /> <br />~f/tPVY ~ kJ1. c . <br />S,V- ~ <br /> <br />MAILING <br /> <br />78';75 jJ10r"~ v/! Ie CI;"'. <br /> <br />~TER <br /> <br />!vo7-3C" <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br />~ <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />INSTAll METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />JJ/ <br /> <br />_ AMOUNT LAST BILL <br /> <br />wM ~ <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 lorm & return to office, <br /> <br />