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<br />~ <br />I <br />I <br />I <br />! <br /> <br />--- ~-~-~ ~--------_.~--'--_.__._._--.._~._----.__._---- <br /> <br />n <br />~ <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />in <br /> <br />:("'1 <br /> <br />105763 <br />n 0 <br /> <br />~ <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7910 <br /> <br />5-5 I ~D <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />7 (Z7~S <br /> <br />OWNER/ <br />RENTER <br /> <br />IJdl?l'aA1 15 &J: Thr. <br />Qi30 ~jJ/e55 <br />C;h5rn1Jh, J~L '3353$1 <br />~g;51 't ~ sT ' <br /> <br />h,..yb (} r <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />~R <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE GJ/' <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />L No. OF UNllS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />. ( <br /> <br />_ AMOUNT LAST BILL <br /> <br />3) II <br />4 <br /> <br />_ DATE <br /> <br />- <br /> <br />wj;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 Depl. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br />