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<br />_w___ ---------~______ ---------..----r-""'- <br /> <br />r <br /> <br />{ <br /> <br />E:3 <br /> <br />(- <br /> <br />(-, <br /> <br />Ii <br /> <br />r <br />\ <br /> <br />(- <br /> <br />(~i <br /> <br />~ <br /> <br />OWNER/ <br />RENTER <br /> <br />i <br />i <br />-I <br />I <br />I <br />i <br />i <br />I <br />I <br />I <br />i <br />! <br />i <br />I <br />I <br /> <br />G.o."j~{+ :St2-C~ !D(e~ ~ g,t::' ~;II <br />) . a~ u::p <br />, ~~r~) R.- I <br />Pll!..~ ~ Qu~ I <br />i <br />i <br />! <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71ll-8OO8 FAX 813-718-79111 <br /> <br />5- 01 t~ <br /> <br />CITY OF ZEPHYRHllLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />MAILING <br /> <br />3(3 \ \ <br /> <br />SERVICE ADDRESS :~ '"""S I \ PI C!..\<e +f~ r'ni , \ <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE if <br />INSTALL METER B"'" <br /> --:Pee 0\:: t- <br />READ METER 0 5 c~Pl'1 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />QJ.Je... <br />13'" WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />g/ IN CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />- AMOUNT LAST BILL <br /> <br />3/y (I W~ ~ <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 atl times. / <br />Send pink & yellow forms to Water Servife pI. <br />Water Service Dept. to sign yellow form f' n turn to office. <br /> <br />I <br /> <br />;, <br /> <br />'. <br />:', <br />