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<br />.~" <br /> <br />fj <br /> <br />(1 <br /> <br />(1 <br /> <br />('1 <br /> <br />("') <br /> <br />(1 <br /> <br />105763 <br />(1 (', <br /> <br />I~ <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-71119 <br /> <br />5-~ 1<13 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />0;i ;Os <br /> <br />OWNER/ <br />RENTER <br /> <br />~PwY <br /> <br />I~ I 7ftc. <br />S..ae. ~. <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />r112 f1/I~vl!~ 6',e <br /> <br />h~3i' <br /> <br />SHUT OFF SERVICE 0 ~ER <br /> ~ 0 SEWER <br />TURN ON SERVICE <br /> 0/ 0 GARBAGE <br />INSTALL METER <br /> 0 ~TY <br />READ METER <br /> 0 0 OUT CITY <br />CHECK METER I <br /> _ No. OF UNITS <br />OTHER 0 <br /> _ DEPOSIT AMOUNT <br />3~ w$~ _ AMOUNT lAST BILL <br />II <br /> _ DATE <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 />