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<br />Ii <br /> <br />,r-. <br />'~ 1 <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />105763 <br />n (1 <br /> <br />~ <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 />5- LtL119 <br /> <br />WATER ACCT. NO. <br /> <br />DATE ~ /7 3/~J <br /> <br />OWNERI <br />RENTER <br /> <br />u~ <br /> <br />~ <br />/J-D-e~f <br /> <br />'1~lS ~V/{(t CtR... <br /> <br />g/WATER <br /> <br />L.'r <br />2..3 <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~ <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 />-I-- No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />- DEPOSIT AMOUNT <br /> <br />, ( <br /> <br />?? It II <br /> <br />w~~ <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 />~ -23- 05 <br /> <br />ORDER GIVEN 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 />