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<br /> <br />. <br />~ <br /> <br />105763 <br />. . <br /> <br />. <br /> <br />'. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-711l-8OO8 FAX 813-719-7918 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~ rf16 <br /> <br />WATER ACCl. NO. <br /> <br />DATE "1 (J... t) 10 > <br /> <br />OWNER/ <br />RENTER <br /> <br />L.h\ Y\~~ <br />~-~. <br /> <br />'75;2 7 Ii~ ~4;;,/~ e,/; ~ <br /> <br />o . ~WATER <br /> <br />. ..,- <br />Ps- <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />0/ <br />gI <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />o <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />- DEPOSIT AMOUNT <br /> <br />~', <br /> <br />- AMOUNT lAST BIU <br /> <br />w;JJy~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />7-~-05U- <br /> <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Depl. to sign yellow form & return to office. <br />