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<br />( <br /> <br />(I <br /> <br />('i <br /> <br />() <br /> <br />(', <br /> <br />u <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-a008 FAX 813-719.7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />5-~JCf~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />~!7/o~ <br /> <br />. <br /> <br />OWNER/ <br />RENTER <br /> <br />~NA/'( ~/ <br />S-u- ~. <br /> <br />.--;- <br />tJtC . <br /> <br />MAILING <br /> <br />'7t~c{ fYLbrcJdvt/le 0~ <br />~ER <br /> <br />kr3~ <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE ~ <br />INSTALL METER rn/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3 ~ I~ wJJt,;J;; <br /> <br />_ AMOUNT LAST BIU <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. to sign yellow form & return to office. <br /> <br />