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<br /> <br />. <br /> <br />105763 <br />r. <br />\ <br /> <br />EJ <br /> <br />. <br />~ <br /> <br />. <br /> <br />:(' <br /> <br />n <br /> <br />(1 <br /> <br />rl <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-79111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5-~')1f.c, <br /> <br />WATER ACCT NO. <br /> <br />0~/tJ S <br /> <br />( r <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />12 ( M~ {'!,..4 J;... Co <br />~~- <br />37Yc1Y ~~ ~~A. <br /> <br />~ATER <br /> <br />.L& <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br />0.---- <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />TURN ON SERVICE <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />o <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />-+- No. OF UNIlS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />% II w-hr ~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />~ - ~ --05 (Cf-- <br /> <br /> <br />ORDER GIVEN BY <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 />