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<br />1 , <br /> <br />I <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8006 FAX 813.719.7919 <br /> <br /> 105763 ~ <br />n n (l .(l n n n <br /> <br />r <br /> <br />(~\ <br /> <br />/') <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~ ~ 1 ~Co <br /> <br />WATER ACCT. NO. <br /> <br />DATE ~fi /05 <br /> <br />, <br /> <br />OWNER/ <br />RENTER <br /> <br />{)s ~ &r. <br />,~-RL ("~ ~ <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br />~ <br /> <br />, <br />ell" <br />, <br /> <br />D.-wATER <br /> <br />!-or- <br />f(J <br /> <br />7935 HY"~1-v;/I~ <br /> <br />SERVICE ADDRESS <br /> <br />TURN ON SERVICE <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~ITY <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 />:-Yt; ::b ;:;I;r <br />/1 ,- fA) <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 />-os t.-:€- <br /> <br />ORDER GIVEN BY <br /> <br />I I Retain white form in office at all times. <br />Send pink & yellow forms 10 Water Service Depl. <br />Water Service Depl. to sign yellow form & return to office. <br /> <br />U <br /> <br />