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<br />I' <br /> <br />I <br /> <br />, <br />, <br /> <br />,. <br /> <br />r) <br /> <br />n <br /> <br />(1 <br /> <br />(l <br /> <br />i'! <br /> <br />105763 <br />r. () <br /> <br />~ <br /> <br /><'" <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS.INC, 813-719-8008 FAX 813-719-7919 <br /> <br />S' - ':l.. 11 '1 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />~~!os <br /> <br />OWNER/ <br />RENTER <br /> <br />~1'ttM'" I~ <br />S~~ <br /> <br />7i1c. <br /> <br />MAILING <br /> <br />SERVICE ADDRESS 'l ~ Il, r~ S-r. <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE GJ../' <br />INSTALL METER cY" <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />4-t 12- f.p <br /> <br />IIl...-iiVATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~'TY <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BIll. <br /> <br />31/' <br /> <br />_ DATE <br /> <br />.- <br /> <br />wj:v ~ <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 <br />Water Service Dept. to sign yellow form & return <br /> <br />