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<br />.:-..:.,:. ~ <br /> <br />~- <br /> <br />('\ <br /> <br />o <br />~ <br /> <br />(1 <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919 <br /> <br />(l <br /> <br />WATER ACCT. NO. <br /> <br />{"'\ <br /> <br />('\ <br /> <br />("\ <br /> <br />() <br /> <br />o <br /> <br />(') <br /> <br />(1 <br /> <br />\0 -0 S.5 t <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />DATE 3f3()/6~ <br /> <br />OWNERI <br />RENTER <br /> <br />u....s ~-e. <br /> <br />MAILING <br /> <br />SERVICE ADDRESS C6d.57 rn~ <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE IiY <br />INSTALL METER [9'" <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />0(4/1 Wo.:bJ.-'~ <br />r.e.x-~ - 55~ <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />I-n - h'cde\ a- ~ldS' ' <br />[!Y' WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~IN CITY <br /> <br />o OUT CITY <br /> <br />-i-- 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 />