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<br />r <br /> <br />n <br /> <br />n <br /> <br />(, <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 FAX 813-719-7919 <br /> <br />~ <br /> <br />WATER ACCT. NO. <br /> <br />n <br /> <br />105763 <br />("'\ n <br /> <br />n <br /> <br />(l <br /> <br />o <br /> <br />n <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />6- 4 <j I t) <br /> <br />DATE ~/Z31os <br /> <br />~~~;E~ -U? ~ <br /> <br />MAILING <br /> <br />5~~ <br /> <br />SERVICE ADDRESS I &5 ~ <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE g/' <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />3~ (I <br /> <br />Jv,-t <br />""LC:> <br /> <br />0wch4 VI' lie CllZ <br />~TER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br /> <br />I <br />_ No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />.( <br /> <br />- AMOUNT lAST BIU <br /> <br />_ DATE <br /> <br />,- <br /> <br />w:Jtr ~ <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <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 />