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<br />. . <br /> <br />() <br /> <br />~. <br /> <br />(~\ <br /> <br />105763 <br />('i () <br /> <br />() <br /> <br />~ <br /> <br />n <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTSoINC. 813-719-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5_5Cf<c( <br /> <br />WATER ACCT. NO. <br /> <br />DATE i \-\ %-05 <br /> <br />OWNER/ <br />RENTER <br /> <br />{~ATDcZ. -:r (2C>.ns PO 1<.:, <br /> <br />MAILING <br /> <br />\ , 30 \ <br /> <br />(<0"2.\ e." I.-n <br /> <br />l)p.,~~ C,\\-t) r-:c... 3352-5 <br /> <br />~d,O-."S. 1)y <br />~ATER <br /> <br />SERVICE ADDRESS 3'8-033 <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE U' <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />I#-:.JV <br />3/ LJ. " M~~" <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />~r~r <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />~ No. OF UNITS <br /> <br />~ .. <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY,' <br /> <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service <br />Water Service Dept to sign yellow form & <br /> <br />iX.'~N ~ <br />