Laserfiche WebLink
<br />n <br /> <br />o <br />~ <br /> <br />n <br /> <br />o <br /> <br />n <br /> <br />o <br /> <br />o <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-7111-8008 FAX 813-719-791.. <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />o <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO, <br /> <br />OWNER/ <br />RENTER <br /> <br />L~~ ("{'r("v'\ ~) <br /> <br />~ ~ "",o..Y\ <br />, <br /> <br />~\~. <br /> <br />MAILING <br /> <br />,SLL ~ J <br /> <br />s- r; 3 ~ c; <br /> <br />DATE \ \ - ~9 -oS <br /> <br />SERVICE ADDRESS 3~5 <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE rg'" <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~eQ..-#lQn \'IS <br /> <br />Lo-r-/~ <br /> <br />311....1 !( <br />-, Me.-tM.... <br /> <br />w~ <br />~ WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />B"IN CITY <br /> <br />o OUT CITY <br />--L No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />bRDER TAKEN BY <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 & return to office. <br /> <br />r <br /> <br />~ <br /> <br />,__J <br /> <br />- p_\:~ <br />