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<br />"e~~ ~( <br />"! jlfo', C'? ~ 'ff"J\tJP <br /> <br />r <br /> <br />105763 <br />(') (1 <br /> <br />') <br /> <br />rr:J <br />W <br /> <br />c' <br /> <br />l) <br /> <br />,1"'\ <br />" I <br /> <br />(i <br /> <br />(j <br /> <br />(J <br /> <br />~ <br /> <br />PERFORMANC;E BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />.5-G~l{( <br /> <br />WATER ACCl. NO. <br /> <br />DATE /O-;2P-DS <br /> <br />OWNER/ ~ /J) ~ f <br />RENTER '.f2!-bAt c: t3?J.!2. u t QAt- <-- . <br />MAJUNG . ~~3 S K ~1 c.J.u."b <br />Z'11>> :J' 3 ~1/ I <br />SERVICE ADDRESS 1/5" 11- ~d- -::t~ G. ). /)7 I~ <br />3<6'15~ ~cl-\-nedn9 lf7( WATER <br />o ~ '" <br />~ 0 SEWER <br /> <br />~ <br />o <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />\P <br /> <br />IN CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />/ <br />_ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-1p W. /m~ <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />!tain white form in office at all times. <br />nd pink & yellow forms to Water Service Depl. <br />ter Service Depl. to sign yellow form & return to office. <br />