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<br />..Cl <br />~ <br /> <br />r <br /> <br />c- 4 C\ C\ C' .C' r\ 0 <br /> <br />PERFORMAN9E BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7Il18 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />VJ- 0 ~ ~ ? <br /> <br />WATER ACCT. NO. <br /> <br />DATE ~ I d-\ be" <br /> <br />OWNER/ <br />RENTER <br /> <br />~t'".l./Y"'\ <br /> <br />r c ~+- V"" <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />~~3 \J--. ~ ~. <br />o <br />lid"" <br />[iJ./" <br /> <br />~ WATER <br /> <br />SHUT OFF SERVICE <br /> <br />" <br /> <br />TURN ON SERVICE <br /> <br />o SEWER <br /> <br />INSTAU. METER <br /> <br />o GARBAGE <br /> <br />~- <br /> <br />READ METER <br /> <br />o <br /> <br />I3"'IN CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />.- <br /> <br />P~rna:i- 5a~9 <br />\ {j :r~('\ CO. Y"'n~b '"- <br /> <br />_ DEPOsrr AMOUNT <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 Dept, <br />Water Service Dept to sign yellow form & return to office. <br /> <br /> <br />ORDER GIVEN BY <br />