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<br />. '. <br /> <br />() <br /> <br />( <br /> <br />n <br /> <br />(-, <br /> <br />() <br /> <br />('I <br /> <br />n <br /> <br />E:3 <br /> <br />o <br /> <br />-=- <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71uooa FAX 813-710-711111 <br /> <br />S-1l..(1 ~ <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />OWNER! <br />RENTER <br /> <br />R~mQN-') 0Crr'\~~dt.~ <br /> <br />MAILING <br /> <br />SERVICE ADDRESS (nlq, '3 <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE Iil' <br />INSTALL METER uY' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />~~ Qn - ko_u..:n~ ~ <br />\ <br />B' WATER <br /> <br />o SEWER <br /> <br />~ <br />5a%~ <br /> <br />o GARBAGE <br /> <br />g; IN CITY <br /> <br />o OUT CITY <br /> <br />.. q. <br /> <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />3/4" ~~ <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN ~Y'. <br /> <br />t/ 4 (o~ <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 />