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<br />r <br />I <br /> <br />( <br /> <br />r-, <br />I . <br /> <br />(", <br /> <br />(" <br /> <br />n <br /> <br />n <br /> <br />105763 <br />n n <br /> <br />r, <br /> <br />/) <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-70111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />6-:J../?5 <br /> <br />WATER ACCT NO. <br /> <br />DATE ~#~S <br />( <br /> <br />OWNER/ <br />RENTER <br /> <br />LQNI/AOVY ~ r~. <br />~-eO ~. <br /> <br />MAILING <br /> <br />JeIto 57 <br /> <br />!-ol- <br />(2..7 <br /> <br />SERVICE ADDRESS 7 f, 2'7 <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 />~R <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />~ ~ tJ$ J;; <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 />It --? -05' az- <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 /> <br />