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<br />i"" <br /> <br />(\ <br />~ <br /> <br />(\ <br /> <br />n <br /> <br />(J <br /> <br />() <br /> <br />(j <br /> <br />105763 <br />(j 0 <br /> <br />EQl <br /> <br />(j <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-79111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />s- Lf~ Cfcr <br /> <br />DATE ~/;O(05 <br />U<; ~ &;0 ;L", <br />~.~r <br /> <br /> <br />SERVICE ADDRESS 7 ~ 0 1 t.J ~1If tJ~ c:i.f.. <br /> <br />WATER ACCl. NO. <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />~? <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />Q...wATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />+ No, OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />.; <br /> <br />_ AMOUNT LAST Bill <br /> <br />341~ ~~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN 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 />