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<br />() <br /> <br />o <br />If=L <br /> <br />o <br /> <br />o <br /> <br />o <br /> <br />n <br /> <br />(') <br /> <br />{') <br /> <br />n <br /> <br />() <br /> <br />o <br /> <br />PERFORMANGE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7tl1G <br /> <br />lo..- 05 ~l <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO, <br /> <br />DATE 3/ ~/of.o <br />, . <br /> <br />OWNER/ 0 1/- <br />RENTER ~ ~-("\ , kEv I v\ <br /> <br />/ 5<642.. t~S+ <br /> <br />I <br /> <br />bv..p\~x. <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />:5 <is 4 2- ~'h S-\--re..e- -t <br />?E.t.M.~+.3!: SSlD <br /> <br />[iJI" WATER <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />INSTAll.. METER <br /> <br />[jJ/" <br />~ <br /> <br />o SEWER <br /> <br />,',,, .. <br /> <br />TURN ON SERVICE <br /> <br />o GARBAGE <br /> <br />"'----- <br /> <br />READ METER <br /> <br />o <br /> <br />[d'" IN CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />~ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />sf ,"- W f\-+E(t. Nek~ <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 />s. <br /> <br /> <br />ORDER GIVEN BY <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Dept. to sign yellow form & return to office. <br />