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<br />(") <br />~ <br /> <br />n <br /> <br />() <br /> <br />() <br /> <br />o <br /> <br />(1 <br /> <br />105763 <br />ti ti <br /> <br />n <br /> <br /><"" <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-718-3008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />-5- L('1/b <br /> <br />WATER ACCT. NO. <br /> <br />DATE ~/z~/bS <br />{ <br /> <br />OWNER/ <br />RENTER <br /> <br />u~ ~ <br />S-u- ~ <br /> <br />r; '73 ( /'YI4CAJI/ ,.t~ j:r;" <br /> <br />o WATER <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />~[y <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />w <br />e( <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 />-L No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />- DEPOSIT AMOUNT <br /> <br />,'( <br /> <br />- AMOUNT lAST BIU <br /> <br />3/ (( -t-^_ ~ <br />f'{ -w~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />~ r-23,OS U- <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 />