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<br /><"" <br /> <br />n <br />~ <br /> <br />n <br /> <br />,n <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />105763 <br />n n <br /> <br />(') <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71&-8008 FAX 813-719.7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />S - Lf '6 cry <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />f.t /to(oS' <br /> <br />. <br /> <br />OWNER/ <br />RENTER <br /> <br />US M>m.RA <br />5~~ <br /> <br />7 ~ t./o lJ44t-Jf~, <br /> <br />WATER <br /> <br />~(~/' <br />"'!)G <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br />~ <br />~ <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <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 />~ I~ w4 ,;J;r <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 />-(t) --05' fct- <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 />