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<br /> <br />.~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813.71UOO8 FAX 813-718-7910 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS. FLORIDA <br /> <br />~~9g~ <br />DATE ;Y; t';h 5' <br />r / <br /> <br />WATER ACCT. NO. <br /> <br />OWNER/ <br />RENTER <br /> <br />j CJ.#lYlC1.Y <br />~ <br /> <br />MAILING <br /> <br />~ <br />~- <br />7S37 Jf1Byc/~/k <br /> <br />~TER <br /> <br />, V- <br />Crr. -7 <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~ <br /> <br />o SEWER <br /> <br />INSTAlL METER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />READ METER <br /> <br />o <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />--I- No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BIU <br /> <br />%// <br /> <br />_ DATE <br /> <br />~;j;;, ~ <br /> <br />_ MISC. CHARGE <br /> <br />--- <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />x <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 />