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<br />,r <br /> <br />(', <br /> <br />r-, <br />\ <br /> <br />n <br /> <br />("'\ <br /> <br />(1 <br /> <br />n <br /> <br />105763 <br />('j r~ <br /> <br />r: <br /> <br />(""I <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813.719-8008 FAX 813-719.7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5- ~ J ~f <br /> <br />DATE &/7105 <br />( <br /> <br />0S~5~/~ <br />~C~ <br /> <br />SERVICE ADDRESS 79 Y7 ;t{ el'GA4J/~ ( ! -e C I r: <br />~ <br /> <br />WATER ACCT. NO. <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />.;Lo G 2, <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br /> <br />~/ <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />READ METER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~Y <br /> <br />INSTALL METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />-I- No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />34 (/ <br /> <br />~~ <br /> <br />_ AMOUNT LAST Bill <br /> <br />- <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. 10 sign yellow form & return to office. <br /> <br /> <br />- f)!>-!Cf <br /> <br />ORDER GIVEN BY <br />