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<br />n <br /> <br />(1 <br />~ <br /> <br />o 1:0 <br /> <br />(1 <br /> <br />() <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-7111-7010 <br /> <br />E:8 <br /> <br />o <br /> <br />() <br /> <br />:0 <br /> <br />o <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />5'- I) 3 ~ ~ <br /> <br />WATER ACCT. NO, <br /> <br />DATE 1\-;;)..<1 -c:::c:; <br /> <br />OWNER/ <br />RENTER <br /> <br />Rl..jr'Y"l~ Q~(.2 , <br />, <br /> <br />c. Se e. ('C.rn-r+) <br /> <br />MAILING <br /> <br />SERVICE ADDRESS l....\533 <br />I:. <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTAll METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />I-o-T <br />~~ <br /> <br />~AC::}.sL. {(7":Jnc..h ~y- <br />[iJ./'WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br /> <br />--i- No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BILL <br /> <br />3/y If <br /> <br />~,e.:b::.(... <br /> <br />_ DATE <br /> <br />- MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER :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 & retum to office. <br /> <br />,. ,,\'h <br />,.., <br /> <br />. <br />