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<br />,~ <br /> <br />/""" <br />I <br /> <br />11 <br /> <br />n <br /> <br />("'\ <br /> <br />.(i <br /> <br />("~ <br /> <br />1 05763 <br />("l (l <br /> <br />n <br /> <br />n <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-710-7910 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />6 - r:J.. ~ '?: 6- <br /> <br />WATER ACCl. NO. <br /> <br />DATE <br /> <br />~A5 <br /> <br />OWNER/ <br />RENTER <br /> <br />~/A~ ~ The. <br />)p~ ~' <br /> <br />MAILING <br /> <br />SERVICE ADDRESS 7~S-8- ;j~ sf: <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE [J.../' <br />INSTALL METER [J./' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />M,T;.3 .:< <br /> <br />~TER <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 />JI !, <br />L( <br /> <br />- AMOUNT LAST BILL <br /> <br />v:1ir ~ <br /> <br />_DATE <br /> <br />_ MISC, CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />Relain white form in office at all times. <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Dept to sign yellow form & return to office. <br /> <br />)C <br /> <br />