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<br />("\ 0 <br />~ <br /> <br />(1 <br /> <br />0 0 0 c c (1 ~ (J <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC, 813-719-8008 FAX 813-719-71119 <br /> <br />5- '7 3 <6- ~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />. <br /> <br />WATER ACCl. NO. <br /> <br />DATE 1I-1...f-o~ <br /> <br />OWNER/ <br />RENTER <br /> <br />~~ ~ ~c.. <br />S e..' I' --"""fJ- <br /> <br />MAILING <br /> <br />...\" tIl: <br /> <br />SERVICE ADDRESS ~?~.r ,4(~~ v:~:W OJ. L.t3 <br /> 0 ~ER <br />SHUT OFF SERVICE <br /> ~ 0 SEWER <br />TURN ON SERVICE <br /> ~ 0 GARBAGE <br />INSTALL METER ~Y <br /> 0 <br />READ METER <br /> 0 0 OUT CITY <br />CHECK METER -L No. OF UNI1S <br />OTHER 0 <br /> _ DEPOSIT AMOUNT <br /> <br />3;:,1 ~~ <br />'-I_W <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Depl. to sign yellow form & return to office. <br /> <br /> <br />{~,-oS' 1(;1- <br />ORDEFLfiIVEN BY <br /> <br />~L(f~ <br />