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<br />n <br /> <br />(") <br />~ <br /> <br />.{'\ <br /> <br />r{'\ <br /> <br />{'\ <br /> <br />n <br /> <br />,~ <br /> <br />lUtl/o::S <br />n n <br /> <br />n <br /> <br />("'\ <br /> <br />" <br /> <br />PERFoRMANCE BUSINESS PRODUCTS, INC. 813-7111-8008 FAX 813-719-70111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5-w YY i <1 <br /> <br />WATER ACCT. NO. <br /> <br />DATE 1ft Iv " <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />ALL 5T~ ~ The. <br />U'3oo N ~~ <br />l4~1 FL <br />C;::<1~ y-rt. <br /> <br />Ave.. , <br /> <br />33(ef'2 <br />sT <br /> <br />hJ1JIJ <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE 0/ <br />INSTAll METER rV <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />[iJ/'WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br /> <br />--I- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />.( <br /> <br />_ AMOUNT LAST BIU <br /> <br />:j 4 ',~ w3w ~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />1-/~l{)s (.:;f- <br /> <br />ORDER GIVEN BY <br /> <br />Retain white form in office at all times. . <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Depl. to sign yellow form & return to office. <br /> <br />