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<br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-.719-8008 FAX 813-710.7910 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIUS, FLORIDA <br /> <br />5-'13 (18 <br /> <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />J5 !lOfY'-(,5 ~~hvvr <br />( <br /> <br />C~ <br />'7'1&7 Here f..~jle c/r ~7 <br /> <br />o ~TER <br /> <br />s~ <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE ~ <br />INSTALL METER g/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <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 />t/~ w:fir ~ <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 />&-7-os-t:{ <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 Dept. to sign yellow form & return to office. <br /> <br />~ <br /> <br />