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<br />r\ <br /> <br />on <br /> <br />n <br /> <br />() <br /> <br />() <br /> <br />105763 <br />n n <br /> <br />(1 <br /> <br />I'" <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5-~11/ <br /> <br />WATER ACCT, NO. <br /> <br />DATE <br /> <br />~ I~!O' <br /> <br />OWNER/ 1< \.-\ V'V\.PW"\ ~, -- <br />RENTER j...M. ( , <br /> \ <br />MAILING S.-R..JL ~~ <br /> <br />31 '3 ~~ kJ2 1~\M.OdC ~. <br /> <br />~re <br />l..f'r <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br /> <br />[il../'WATER <br /> <br />TURN ON SERVICE <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />ijl/ <br />o <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />~N CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />( <br />_ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />3 {L( tr <br /> <br />LJ~~ <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 ti <br />Send pink & yellow forms to Water Service Dept, <br />Water Service Depl. to sign yellow form & return to office, <br /> <br /> <br />if <br />