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<br />,(.........) <br /> <br />n <br />~ <br /> <br />n <br /> <br />(1 <br /> <br />(j <br /> <br />n <br /> <br />n <br /> <br />(i <br /> <br />105763 <br />n <br /> <br />("\ <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-71\1-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5 -L[Lfo ~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />It )/0 f <br /> <br />I r <br /> <br />OWNERI <br />RENTER <br /> <br />1 ~ J / <br />~ ~ TPue.. <br />S-u- ~. <br /> <br />MAILING <br /> <br /> 78L(S- H~I/itte. , ~-t~ <br />SERVICE ADDRESS C(~ <br />SHUT OFF SERVICE 0 ~ATER <br />TURN ON SERVICE G-'" 0 SEWER <br />INSTAlL METER ~ 0 GARBAGE <br />READ METER 0 ~ CITY <br />CHECK METER 0 0 OUT CITY <br />OTHER 0 -L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />.( <br /> <br />- AMOUNT LAST BILL <br /> <br />3/,/1 <br /> <br />w$r~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />Retain ~hite form in office at all times. <br />Send pink & yellow forms to Waler Service Dept <br />Water Service Dept to sign yellow form & return'lo <br /> <br /> <br />t -2/-~J /:::(" <br />