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<br />.. ..... ~ #.. <br /> <br />"-......---- <br /> <br /> <br />~ <br /> <br />(...\ <br /> <br />1\ <br /> <br />o <br /> <br />n <br /> <br />n <br /> <br />II <br /> <br />o <br /> <br />n <br /> <br />PERFORMANCE BUSINESS ,PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />WATER ACCT. NO. <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~ -Q s~ 9 <br /> <br />DATE L\-lo-OCo <br /> <br />OWNER/ <br />RENTER <br /> <br />~~H~~, tEV1~ <br /> <br />MAILING <br /> <br />SERVICE ADDRESS <br /> <br />5<6l1!o <br /> <br />~~~ <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE Gt' <br />INSTALL METER if <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />3/14" LU. vne.k.Y- <br />~rm\ \- 1515\-:> <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />if WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />rn/ IN CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BIU <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY <br /> <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 />