Laserfiche WebLink
<br /> <br />. <br />~ <br /> <br />105763 <br />..- <br /> <br />. <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-7111-79111 <br /> <br />f!l <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />(;-~1')D <br />CITY OF ZEPHYRHILLS ':' <br />ZEPHYRHILLS, FLORIDA " <br /> <br />WATER ACCT. NO. <br /> <br />7/7/D~ <br /> <br />I <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />~rtar ~ <br />v/d-eL ~r <br /> <br />750(.. ~4u/{{~Ct'r. I-orr;o <br />~R <br /> <br />o SEWER <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />~ <br />~ <br /> <br />o GARBAGE <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />o <br /> <br />~ITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />--+- No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />, ( <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />3~ II <br /> <br />- <br /> <br />0f);y ~ <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <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 />