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<br />"'"' <br /> <br />("\ <br />~ <br /> <br />n <br /> <br />n <br /> <br />("'\ <br /> <br />n <br /> <br />o <br /> <br />1 05763 <br />,., 0 <br /> <br />~ <br /> <br />() <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813.719-8008 FAX 813.719-7918 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />S .J1 '3 <l ,3 <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />Os <br /> <br />MAILING <br /> <br />,~-e <br /> <br />SERVICE ADDRESS <br /> <br />/JDf;ro <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />[].....wATER <br /> <br />TURN ON SERVICE <br /> <br />[J,/ <br />~ <br /> <br />o SEWER <br /> <br />INSTAlL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />OTHER <br /> <br />o <br /> <br />-+- No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />3/ II -11-. mA <br />IV -WJPr <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 /> <br />~ 0 5 {C-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 />