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<br />r <br /> <br />,/"-., <br /> <br />/' <br /> <br />PERFORMANCE BUSINESS <br />PRODUCTS. INC, 813-719-8008 FAX 813-719-71119 <br /> <br />~ <br /> <br />WATER ACCT. NO, <br /> <br />n <br /> <br />105763 <br />() (1 <br /> <br />(1 <br /> <br />() <br /> <br />n <br /> <br />r, <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />6- ~ 1<0] <br /> <br />DATE <br /> <br />tt/4!o 5 <br /> <br />~l1LtWY ~ -:he ' <br />/2h- ~~ <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />SERVICE ADDRESS 7ftJ( <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE @./' <br />INSTALL METER cg/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />?j <br />Lf <br /> <br />~~~vr'I/<- CI;'" <br /> <br />).,. 'fir ; <br /> <br />W WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br /> <br />I <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT lAST BIU <br /> <br />If <br /> <br />w:& rrb <br /> <br />_ DATE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <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 />