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<br />n <br /> <br />(1 <br /> <br />n <br /> <br />(1 <br /> <br />n <br /> <br />n <br /> <br />105763 <br />n n <br /> <br />~ <br /> <br />~ <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYR HILLS, FLORIDA <br /> <br />5-'i~09 <br /> <br />I <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />0/;105 <br /> <br />, <br /> <br />OWNER/ <br />RENTER <br /> <br />~~ <br /> <br />~, ,~C"" <br /> <br />, <br /> <br />MAILING <br /> <br />:'SJ2-e <br /> <br />~ IJ>>Jf> . <br /> <br />~ 9Lf( rJ~ ~ dr, <br /> <br />,LoT?? <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />[J/'" <br />Q-/' <br /> <br />VWATER <br /> <br />TURN ON SERVICE <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />GJ...1N CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />! <br />_ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />. ( <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BIU <br /> <br />3 fr II <br /> <br />uJ;:ifr ~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />f-t -7' - ~:) /::.f <br /> <br />~ <br /> <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Oept. <br />Water Service Oept. to sign yellow form & return to office. <br />