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<br />r <br />( <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />105763 <br />(J .n <br /> <br />~ <br /> <br />(l <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719.79111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />.5__ l1 '3 'if 5 <br /> <br /> <br />WATER ACCT. NO, <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />I)S ~(}/J; ~. <br />_Z)..eL C~. <br /> <br />MAILING <br /> <br />7ttoo LJ~qwf.tvtt Jr. <br /> <br />~ATER <br /> <br />to~ <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~ <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 />+ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3~ II w:I)Py ~ <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 />to --If() "'05 <br /> <br />ORDER GIVEN BY <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 /> <br />