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<br />'. <br /> <br />('i <br /> <br />rl <br />-= <br /> <br />105763 <br />n n <br /> <br />n <br /> <br />('i <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7910 <br /> <br />~, <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />S-~L15o <br /> <br />WATER ACCT. NO, <br /> <br />DATE 7(~/o5 <br />I-t<h... j..{> J P 10 ( k'5 . <br /> <br />OWNER/ ~~ OAr ~ <br />RENTER ' , --- r <br /> <br />MAILING <br /> <br />SERVICE ADDRESS '-/v3 / I rAu- Fctll Av-€'. <br /> 0 D-..wATER <br />SHUT OFF SERVICE <br /> [l/ 0 SEWER <br />TURN ON SERVICE <br /> ~ 0 GARBAGE <br />INSTALL METER <br /> 0 ~ CITY <br />READ METER <br /> 0 0 OUT CITY <br />CHECK METER <br /> 0 + No. OF UNITS <br />OTHER <br /> _ DEPOSIT AMOUNT <br /> " ( <br /> - AMOUNT LAST BILL <br /> I' <br />) W$r _ DATE <br />- <br /> _ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />7-5 -05 <br /> <br />ORDER GIVEN BY <br /> <br />X:: ~~_ ~ <br /> <br />'J <br /> <br />Retain white form in office at all times, <br />Send pink & yellow forms to Water Service Dept, <br />Water Service Depl. to sign yellow form & return to office, <br />