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<br />!r-'j <br /> <br />('-, <br /> <br />r1 <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />105763 <br />(i () <br /> <br />n <br /> <br />(i <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-71110 <br /> <br />C- 5 J 15 <br /> <br />CITY OF'ZEPHYRHILLS <br />ZEPHYR HILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br /><Z-/1-a5 <br /> <br />OWNER/ <br />RENTER <br /> <br />t>L1~ Q~.i Of U5$OL ~ <br />~h 9o~ ~72 Sf (.J~c:, <br />~~~. rJ- _3.3511 <br />t/7~7- AT!! dt <br /> <br />'t WATER <br /> <br />o SEWER <br /> <br />o <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />~ <br />~ <br />o <br /> <br />CHECK METER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~ IN CITY <br /> <br />D. OUT CITY <br />-L. No. OF UNIlS <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />OTHER <br /> <br />o <br /> <br />. ( <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-t I{ tJ;i;;-~ <br /> <br />L--- <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY ORDER TAKEN BY <br />& DATE COMPLETED <br /> <br /> <br />4 ~v~c3-:-5 <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 />