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<br />,,' <br /> <br />"'--- <br /> <br />Jj <br /> <br />.,',.,,< l': <br /> <br />("'\ <br /> <br />(":'\ <br /> <br />(-") <br /> <br />o <br /> <br />o <br /> <br />PERFORMANCE BUSINESS PROQUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />("') <br /> <br />(" <br />~ <br /> <br />o <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHIUS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />OWNER/ \) 1/ - / 5011 ~~ <br />RENTER ~ t-J\C..<'. ( J.....EV1y\ I 0' 2. (s' s+ <br /> <br />MAILING <br /> <br />o <br /> <br />a <br /> <br />o <br /> <br />k- uS ~I <br /> <br />4-iP <br />DATE ..jO{g <br /> <br />bU.f>\~K <br /> <br />SERVICE ADDRESS <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />:5 ~ 4 2- W\.. S-\-i"e..e- i <br />YE.t.f...\ ~.\--J:!: S S l D <br /> <br />TURN ON SERVICE <br /> <br />[iJI" <br />~ <br /> <br />INSTAll. METER <br /> <br />READ METER <br /> <br />o <br /> <br />CHECK METER <br /> <br />o <br /> <br />OTHER <br /> <br />o <br /> <br />sf ,"- W p..\.E~ Nek9- <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />ORDER GIVEN 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 />o;r"" WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />u::r IN CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />_I <br />