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<br />(1 <br /> <br />() <br />~ <br /> <br />(1 <br /> <br />r, <br /> <br />n <br /> <br />() <br /> <br />() <br /> <br />n <br /> <br />() <br /> <br />E3 <br /> <br />'r"j <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-718-8008 FAX 813-719-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~ - 'b ~~ f( <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />0.:;.s-otp <br /> <br />..' \~'" " <br /> <br />~.J:~ \..A'A? ~,~ /U(ffl-v! '- Lw <br /> <br />MAILING ..E,O ~ I n ~. 1(. :) /j ;;] <br />.)>-; ~,(~/'i~i FJ. ~.$::PII <br />SERVICE ADDRESS '/IOs:..O 9 () ,j;'N'~ I 7?J <br /> <br />( 'K(' WATER <br /> <br />JJ'~1:z. <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE ~. <br />INSTALL METER f( <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />';Ji!f IN CITY <br /> <br />o OUT CITY <br />i No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />-17;r ~foM 417-.Ju <br />C 0 <br /> <br />- AMOUNT lAST BILL <br /> <br />_ DATE <br /> <br />-----.... <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 all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Dept. to sign yellow form & return to office. <br /> <br />