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<br />n <br /> <br />n <br /> <br />105763 <br />() n <br /> <br />E:3 <br /> <br /><"' <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~_ LfL(O ( <br /> <br />. <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />0/;3/0)- <br />I <br /> <br />OWNER/ <br />RENTER <br /> <br />\h <br /> <br />~~ <br />SiZ-R ~. <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />'7Cf 71 <br /> <br />/vtwcUv/I! €- C. (r. <br />~ATER <br /> <br />~1j-f' <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />g/ <br />~ <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 /> <br />OTHER <br /> <br />o <br /> <br />--I-- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />,i <br /> <br />_ AMOUNT LAST BILL <br /> <br />3~11 <br /> <br />w;fu ~ <br /> <br />_ DATE <br /> <br />_.MISC, CHARGE <br /> <br />-- <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 />~ --( 3 - 05- tc;r- <br />~~NBY <br />