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<br />~ <br /> <br />PERFOR~NCE BUSINESS PRODUCTS, INC. 813-7111-8008 FAX 813-719-1818 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5_ ~3 <1<Z <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />~ /(O/05 <br /> <br />OWNER/ <br />RENTER <br /> <br />U~./1,rvM ~ /~ <br />5~ ~L). <br />-, <br /> <br />MAILING <br /> <br />~ t 'tV <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br />Q/ <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~'TY <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 />1{" <br /> <br />~b~ <br /> <br />- AMOUNT lAST BIU <br /> <br />, ( <br /> <br />_ DATE <br /> <br />_ MISC, CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />~ <br /> <br />-(()-o:iq <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 />