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<br />r". <br /> <br />.,,-..., <br />'i j <br /> <br />r\ <br /> <br />r, <br /> <br />('I <br /> <br />105763 <br />n (, <br /> <br />(I <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-7fll-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />S-L1~0? <br /> <br />~!7~5 <br /> <br />WATER ACCT. NO, <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />( )~ <br /> <br />S...eL. <br /> <br />~~ <br />~'7YY]f' <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />iC(Le3 <br /> <br />VY\er~V;!IL ~f'r )..oJ; <br />~R <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~ <br /> <br />o SEWER <br /> <br />READ METER <br /> <br />o <br /> <br />o GARBAGE <br />~ITY <br /> <br />INSTALL METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />--t--- No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3411_ ~ r3!Yr <br /> <br />- AMOUNT lAST BIUL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />-l-o~ <tR- <br /> <br />ORDER GIVEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Oep!. <br />Water Service Oep!. to sign yellow form & return to office. <br /> <br />