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<br />n <br /> <br />(i <br />~ <br /> <br />(i <br /> <br />(") <br /> <br />(") <br /> <br />n <br /> <br />(i <br /> <br />105763 <br />n Ii <br /> <br />E:3 <br /> <br />r' <br />I <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-7111-8008 FAX 813-719-7919 <br /> <br />.5 -- L(Vf L( ~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br /> <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br />SHUT OFF SERVICE <br />TURN ON SERVICE 0 <br />INSTAlL METER '1(. <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />x.. IN CITY <br /> <br />o OUT CITY <br /> <br />_ No, OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BIll <br /> <br />~/I 4J. /M~ <br /> <br />- <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <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 /> <br />