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<br />", <br /> <br />(1 <br />~ <br /> <br />("'I <br /> <br />("') <br /> <br />("l <br /> <br />(l <br /> <br />t' <br /> <br />105763 <br />(") () <br /> <br />n <br /> <br />n <br /> <br />PERFORMANCE BUSfNESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5- LfL-/ 0 '1 <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />?4~) <br /> <br />( I <br /> <br />OWNERI <br />RENTER <br /> <br />)~NN1 ~ <br />')~~' <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />~7S'~1 /JIkr~tvf!!-e el Y <br />o ~~R <br /> <br />,Lo~> <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />0/ <br />0/ <br /> <br />o SEWER <br /> <br />READ METER <br /> <br />o <br /> <br />o rGE <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 />+ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />. ( <br /> <br />_ AMOUNT LAST BILL <br /> <br />J /t( 11..- wJlU ~ <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 />