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<br />I' <br />1 <br /> <br />(i <br /> <br />(1 <br />~ <br /> <br />(i <br /> <br />(i <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919 <br /> <br />("l <br /> <br />1 05763 <br />n n <br /> <br />(i <br /> <br />~ <br /> <br />n <br /> <br />('") <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5-L'fL16 Q. <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />1;;(05 <br /> <br />, <br /> <br />us ~ <br />~~ <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />SERVICE ADDRESS '1~S( <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE Q/ <br />INSTALl METER Q../' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />3i.r I( <br /> <br />kit, <br /> <br />I1wch4vl'lI-e cli. <br />I:J.-w.a.TER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />Q..AJ CITY <br /> <br />o OUT CITY <br />L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />. ( <br /> <br />LJ~~ <br /> <br />_ AMOUNT LAST BIU <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <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 />!J <br />