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<br />('] <br /> <br />(") <br />~ <br /> <br />("") <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS s-: ~ 9 7 j <br />ZEPHYRHILLS, FLORIDA <br />DATE 7fr~5 <br /> <br />r- ~~~ h~l1r~ <br />37t/5 7tV1t/~ 7NJ <br />P~d1~/F(. 33571 <br /> <br />, { <br /> <br />SERVICE ADDRESS ,!03f I f'/lUL h1Ll. !}I/e. <br />. ~R <br /> <br />WATER ACCT. NO. <br /> <br />(") <br /> <br />1 05763 <br />("'\ (i <br /> <br />E3 <br /> <br />(") <br /> <br />r, <br /> <br />OWNER/ <br />RENTER <br /> <br />~ <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~ <br />~ <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />o <br /> <br />CHECK METER <br /> <br />o <br /> <br />OTHER <br /> <br />o <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~TY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />. ( <br /> <br />- AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />I ~ t/ZllJ. Nlir <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY <br /> <br />7-1'-(- 0 ~!t:f- <br /> <br />ORDER GIVEN BY <br /> <br />x <br /> <br /> <br />~ <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 Dept to sign yellow form & return to office, <br />