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<br />j' <br />! <br /> <br />lUo/l);j <br />n n <br /> <br />('} <br /> <br />(") <br />~ <br /> <br />[3 <br /> <br />f""" <br /> <br />(") <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />. ' <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-7UI-aOO8 FAX 813.719.7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />s: Lf9 ~J <br /> <br />WATER ACCT. NO. <br /> <br />DATE * <br /> <br />f7~ <br />~~, <br /> <br />SERVICE ADDRESS j73~7' kJ #~.,;. dr, <br /> <br />OWNER/ <br />RENTER <br /> <br />~. <br /> <br />MAILING <br /> <br />k? <br />Ji <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE w' <br />INSTALL METER r/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNl <br /> <br />, ( <br /> <br />_ AMOUNT LAST BIL <br /> <br />X fLW;};, ;dir <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <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 />