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<br /> <br />. <br /> <br />. <br />~ <br /> <br />105763 <br />. <br /> <br />Ie <br /> <br />:. <br /> <br />. <br /> <br />e <br /> <br />'. <br /> <br />e <br /> <br />. <br /> <br />. <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71ll-8OO8 FAX 813-719.71119 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />s= Lie; S"8 <br /> <br />WATER ACCT. NO. <br /> <br />7-?-0:> <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />L eNNI+R (-t-o~E.5 <br /> <br /><; 6€ ~rnp . <br /> <br />MAILING <br /> <br />SERVICE ADDRESS ?53Z.I1ER.c.h~';~ CI:.e. <br /> <br />~T~3 <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALL METER <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />9-wATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~Y <br /> <br />o OUT CITY <br /> <br />I <br />_ No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />'. { <br /> <br />- AMOUNT lAST Bill <br /> <br />3' <br />~ '~ W;t, t'\\e:t "'Y" <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />tCr- <br /> <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 />