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<br />{ <br /> <br />I'! <br /> <br />r <br /> <br />n <br /> <br />n <br /> <br />("", <br />, ' <br /> <br />1 05763 <br />o n <br /> <br />E3 <br /> <br />("') <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 FAX 813-719-7910 <br /> <br />q~~f')~~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />~ (~/o s <br /> <br />OWNER/ <br />RENTER <br /> <br />~IIIW'{ {~TVlC. <br />S~~. <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />7~3<6 <br /> <br />J~ <br /> <br />sT- <br /> <br />~~:l'1 <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />I1J...-WATER <br /> <br />TURN ON SERVICE <br /> <br />G].../' <br />[]./'" <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />~ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />~t(1 <br /> <br />w:!ir rN1ir <br /> <br />- AMOUNT LAST BIU <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 />