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<br />~ <br /> <br />r- ei Ci Ci C' ~ (') <br /> <br /> <br />PERFORMANCE BUSINESS PROQUCTS. INC. 813-719-8008 FAX 813-719-7G1D <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />l:,_ bS 2:> ~ <br /> <br />WATER ACCT. NO. <br /> <br />DATE L\-lo-OCo <br /> <br />OWNER/ \) V. <br />RENTER ~J"'J\tA.f\ I L6VIf\ <br /> <br />MAILING <br /> <br />~- <br /> <br /> SERVICE ADDRESS ~g~~ <br /> SHUT OFF SERVICE 0 <br />.:\":,.. "; TURN ON SERVICE 0 <br /> INSTALL METER lit' <br /> READ METER 0 <br /> CHECK METER 0 <br /> OTHER 0 <br /> <br />~St. <br /> <br />~ WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />31411 W, ~........ <br />~-551. <br />5 <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 />