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<br />n <br /> <br />1"'1 <br />, , <br /> <br />(1 <br /> <br />('"'l <br /> <br />. <"" <br /> <br />~ <br /> <br /><"" <br /> <br />1Ub/o~ <br /><"" (} <br /> <br />(1 <br /> <br />;f" <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7918 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5-<J..1Y;? <br /> <br />WATER ACCT. NO. <br /> <br />DATE if;ffs <br /> <br />OWNER/ <br />RENTER <br /> <br />o ", H-~ &y <br />/;QJ12 C7 ' <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />7~'i'1 11~~tAllf CI'r, <br />~ER <br /> <br />~~o <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~ <br />~ <br /> <br />o SEWER <br /> <br />READ METER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />INSTAl..1.. METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />31/~ ~~ <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 /> <br />-~5U <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 Depl. to sign yellow form & return to office. <br /> <br />