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<br />.r <br />\. 1 <br /> <br />('; <br /> <br />(1 <br /> <br />(1 <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />105763 <br />o (") <br /> <br />(j <br /> <br />c <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-71~ FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />S- t.fL-{/1 <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />y(z;(O) <br /> <br />OWNER/ <br />RENTER <br /> <br />U~ (~ <br />~~ <br /> <br />MAILING <br /> <br />ry {2( /VI~e(ud(~ C.(~ <br />liJ..-"WATER <br /> <br />"-of <br />2...Y' <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />I;Y <br />Et' <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />f <br />_ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />.( <br /> <br />_ AMOUNT LAST BILL <br /> <br />;0 ' <br /> <br />w~~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />~ ''2,ro5' K{- <br /> <br />x~ <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 />