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<br />;(\ <br /> <br />{'\ <br />-=- <br /> <br />(I <br /> <br />('I <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />WATER ACCT. NO. <br /> <br />('I <br /> <br />o <br /> <br />(I <br /> <br />o <br /> <br />(i <br /> <br />(i <br /> <br />(1 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILlS, FLORIDA <br /> <br />~ -(9 5s 7 <br /> <br />DATE <br /> <br />'3/30/6<0 <br />. <br /> <br />OWNER/ <br />RENTER <br /> <br />LA5~ <br /> <br />MAILING <br /> <br />"" <br />'--- <br /> <br /> SERVICE ADDRESS (oQY3 <br /> SHUT OFF SERVICE 0 <br />.,0..::,.. ~ TURN ON SERVICE ~ <br /> INSTALL METER ~ <br /> READ METER 0 <br /> CHECK METER 0 <br /> OTHER 0 <br /> <br />mode-( <br />yY)()-1. ~ 1-1'\- 10 <br />I9""'~ATER <br /> <br />t3~ <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />G:YI"'N CITY <br /> <br />o OUT CITY <br /> <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3/411 W~ ~ <br />P.e(""~ - S5~%" <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />__ AMOUNT LAST Bill <br /> <br />__ DATE <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY <br /> <br /> <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service <br />Water Service Depl. to sign yellow form & return to office. <br /> <br />.-1 <br />