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<br />r <br />i <br />r <br />I <br />I <br /> <br />. <br />I <br />I <br />I <br /> <br />[ <br /> <br />105763 <br />(l n <br /> <br />n <br /> <br />(i <br />~ <br /> <br />~ <br /> <br />n <br /> <br />Ii <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />.f'l <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719.7910 <br /> <br />S-4f~9f) <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILlS, FLORIDA <br /> <br />WATER ACCT. NO, <br /> <br />DATE <br /> <br />~!(()(~S <br /> <br />OWNER/ <br />RENTER <br /> <br />05> Uo~Q~ <br /> <br />MAILING <br /> <br />.s~~ <br /> <br />SERVICE ADDRESS '75<;3 <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE 0/ <br />INSTAll METER Ei <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />\;Je.e..kt\. wK-e~ d y, <br />~ATER <br /> <br />,L~3 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />i No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BIU <br /> <br />3 /i.{ II <br /> <br />_ DATE <br /> <br />w;tu ~ <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />~-Io-([)str <br /> <br />ORDER GIVEN BY <br /> <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 />