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<br />("l <br /> <br />("l <br />~ <br /> <br />n <br /> <br />(") <br /> <br />n <br /> <br />n <br /> <br />~ <br /> <br />105763 <br />f\ n <br /> <br />n <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-71UOO8 FAX 813-719-791" <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />--.S .--, Lf ~ ~ ~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />OWNERI <br />RENTER <br /> <br />MAILING <br /> <br />'7~~t W~"1tJ~ ~. <br /> <br />~'1~ <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE D <br />TURN ON SERVICE uV' <br />INSTALL METER 0..-/ <br />READ METER D <br />CHECK METER D <br />OTHER D <br /> <br />[J.;WATER <br /> <br />D SEWER <br /> <br />D GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />L No, OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3<" w:tir ~ <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 />&70,. 0 s tr <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 />