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<br />(', <br /> <br />I) <br /> <br />~ <br />r \ <br /> <br />tJ <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-71G-aOO8 FAX 813-719-71119 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPI:tYRHIUS, FLORIDA <br /> <br />~-695'b <br /> <br />WATER ACCT. NO. <br /> <br />DATE /1 /;7~5' <br />{ <br /> <br />. <br /> <br />OWNER/ ~~ ~ ~~C. <br />RENTER <br /> r <br />MAILING ..~ ~. <br /> <br />...- -~ tl: <br /> <br /> 38'Kof ~ . tJ~ 4tll <br />SERVICE ADDRESS rt!A -rIUJ1t ~ <br /> CI ~ATER <br />SHUT OFF SERVICE 0 <br /> ~ D SEWER <br />TURN ON SERVICE <br /> ~ D GARBAGE <br />INSTALL METER <br /> 0 ~ITY <br />READ METER <br /> 0 D OUT CITY <br />CHECK METER <br /> --1- No. OF UNITS <br />OTHER 0 <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BIU <br /> <br />XII <br /> <br />tJJv~ <br /> <br />_ DATE <br /> <br />-- <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />/- /7-0S /<.:r <br /> <br />ORDER GIVEN BY <br /> <br />Retain white form in office at all times, <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office, <br /> <br />