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<br />.' <br /> <br />~. <br /> <br /> <br />- , <br /> <br />(' <br />, \ <br /> <br />n <br />~ <br /> <br />() <br /> <br />o <br /> <br />f) <br /> <br />('I <br /> <br />() <br /> <br />105763 <br />r) 0 <br /> <br />~ <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7910 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILlS, FLORIDA <br /> <br />6- 5 j q ~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE 9-jC,-05 <br /> <br />~~~ER~ /Zvli :nl-~ L e, <br />730g /I. /2~L Ck... <br />~J~~fJ-J R .J:3~O.y <br />SERVICE ADDRESS 51$ ~ 91':ti X <br /> <br />MAILING <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE i1 <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />)( WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ IN CITY <br /> <br />o OUT CITY <br />I <br />_ No. OF UNITS <br /> <br />. ( <br />_ DEPOSIT AMOUNT <br /> <br />-i'1 w;M 411~ <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />f <br /> <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 piQk & yellow forms to Water Service Depl. <br />Water Service Depl. to sign yellow form & return to office. <br /> <br />