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<br />..r- <br /> <br />("""'I <br /> <br />() <br /> <br />n <br /> <br />("'\ <br /> <br />n <br /> <br />(I <br /> <br />105763 <br />("'\ n <br /> <br />("'\ <br /> <br />n <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-~0<6( <br /> <br />WATER ACCT NO. <br /> <br />DATE <br /> <br />~j;1;J <br /> <br />OWNER/ <br />RENTER <br /> <br />~~~ <br />S~ r ~~ <br /> <br />r-;- <br />J/lC' . <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br />g/ <br /> <br />~TER <br /> <br />h~~8" <br /> <br />76:1:J I~5T <br /> <br />SERVICE ADDRESS <br /> <br />TURN ON SERVICE <br /> <br />o SEWER <br /> <br />READ METER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~ CITY <br /> <br />INSTALL METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />OTHER <br /> <br />o <br /> <br />-I-- No, OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />x ~ ~hJif <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 />x <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 />