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<br />\ Cl (1 n <br /> ~ <br />I <br /> <br />('I <br /> <br />("\ <br /> <br />("\ <br /> <br />o <br /> <br />1 05763 <br />~ (') <br /> <br />~ <br /> <br />o <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719.7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~-L1<1I? <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />~ (z-) (7JS <br /> <br />MAILING <br /> <br />US~ <br />$JL9- ~ <br /> <br />OWNER/ <br />RENTER <br /> <br />SERVICE ADDRESS <br /> <br />11~1 <br /> <br />Y'^~Vl{(~ <br /> <br />, <br /> <br />C rlC Lo727 <br /> <br />INSTALl METER <br /> <br />o <br />[3""'/ <br />g/ <br /> <br />~ATER <br /> <br />SHUT OFF SERVICE <br /> <br />o SEWER <br /> <br />TURN ON SERVICE <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />(3"";'N CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />( <br />_ No, OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />. .( <br /> <br />_ AMOUNT LAST BILL <br /> <br />3;{/ <br /> <br />Wh~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />fp "'23-0~ tf- <br /> <br />ORDER GIVEN BY <br /> <br />){l< <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 />