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<br />,.- <br />I <br /> <br />r <br />I <br /> <br />105763 <br />(- <br /> <br />~ <br /> <br />("') <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-791~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />6__ 4/?~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />(P!&(V5 <br /> <br />, <br /> <br />MAILING <br /> <br />~~~E~~ ~ ~. -r/llC. <br />~~ <br /> <br />5'7L(13 ~f ~~dr. kSV <br /> <br />SOD <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />[J/'"WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />--t- No, OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />3~'1_ W~~ <br /> <br />- AMOUNT lAST Bill <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 Depl. to sign yellow form & retum to office, <br /> <br /> <br />~ -ft -0 s Kf <br />