Laserfiche WebLink
<br />(0 0 <br />~ <br /> <br />("'\ <br /> <br />~ <br /> <br />~ <br /> <br />~ <br /> <br />e. <br /> <br />PERFORMANGE BUSINESS PRODUCTS, INC. 813-7111-8008 FAX 813-719.7919 <br /> <br />DATE t2-(,~J()~ <br />~5\~ <br /> <br />~. .- \'Y'IQ.~-ch~+ 5&. <br />Prop. <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />. <br /> <br />WATER ACCT. NO, <br /> <br />OWNER/ <br />RENTER <br /> <br />r'no....+e:n-- <br />::r:......... \ Q../'("\ cl <br /> <br />MAILING <br /> <br />c <br /> <br />~ <br /> <br />o <br /> <br />("'l <br /> <br />~- r; 3 cr 0 <br /> <br /> <br /> SERVICE ADDRESS ""1 Lt09 Gal\ 6/ud <br /> SHUT OFF SERVICE 0 <br />, ' '" TURN ON SERVICE [id'" <br />~.. y,.~ <br /> INSTALL METER ~. <br /> READ METER 0 <br /> CHECK METER 0 <br /> OTHER 0 <br /> <br />3Jy (I W~ 0l~kr <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br /> <br />.... <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 & retum to office. <br /> <br />Q'" WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br /> <br />--i- No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BIU <br /> <br />_DATE <br /> <br />- MISC. CHARGE <br />