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<br />n <br /> <br />n <br />~ <br /> <br />n <br /> <br />() <br /> <br />("] <br /> <br />~ <br /> <br />n <br /> <br />105763 <br />(j n <br /> <br />~ <br /> <br />(""! <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-71119 <br /> <br />S--l1crJ~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />7/7/0 s <br /> <br />OWNER/ <br />RENTER <br /> <br />l~MIt4/Y <br />I <br /> <br />~ <br /> <br />l <br /> <br /> <br />SeR- ~. <br />7SLfLj tJ-eJ;~~ctr. <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />~rgy <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />Q...,wATER <br /> <br />TURN ON SERVICE <br /> <br />0......-- <br />~ <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />~'TY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br /> <br />OTHER <br /> <br />o <br /> <br />+ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST Bill <br /> <br />3' <br />4 I, <br /> <br />w~~ <br /> <br />_ DAlE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />I <br />I <br /> <br />I Retain white form in office at all times, <br />1 Send pink & yellow forms to Water Service Depl. <br />IJ Water Service Depl. to sign yellow form & return to office. <br /> <br />