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<br />() <br /> <br />{I <br /> <br />n <br /> <br />105763 <br />("1 (, <br /> <br />E:3 <br /> <br />n <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813.719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />6- '1 '3 '6 1 <br /> <br />WATER ACCT. NO, <br /> <br />DATE ~/tJ (0 S <br /> <br />J -'2 g () ""EO S (l ~ /JO#1f1s,w <br />5~ 0:mvp. <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />/ S<{ft; '^}~~~ b~ <br /> <br />o ~ATER <br /> <br />~ <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />g/ <br />rn/ <br /> <br />o SEWER <br /> <br />READ METER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />INSTALL METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />-L No, OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />301~ W~~ <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 />-( [)~ OS Lf- <br /> <br />ORDER GIVEN BY <br /> <br />)<~ <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 />