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<br />f. <br /> <br />r\ <br /> <br />fJ <br /> <br />105763 <br />r <br />1 <br /> <br />E3 <br /> <br />,"-'''\ <br />I <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-7111-8008 FAX 813-719.7\110 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5-t.t?JC}5 <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />fthlos <br /> <br />, ( <br /> <br />0:> ~ ~ <br />"S-RL ~. <br /> <br />SERVICE ADDRESS ~ 95/ /101'A'( ~/' f (~ Cr ~ <br />o ~TER <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />4is3 <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE ~ <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />V CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />54 II~ tJYk ~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />~~7-V5 <br /> <br />ORDER GIVEN BY <br /> <br />y~ <br /> <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 />