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<br />c: <br /> <br />r <br />~ <br /> <br />( <br /> <br />( <br /> <br />c <br /> <br />(". <br /> <br />c' <br /> <br />c\ <br /> <br />r <br /> <br />r <br /> <br />(') <br /> <br />PERFORMAN9E BUSINESS PRODUCTS, INC. 813-71ll-8008 FAX 813-719-7918 <br /> <br />\o-Ob~1 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />'1/ ZO !o&, <br /> <br />. <br /> <br />OWNER/ <br />RENTER <br /> <br />'N.o..l.L) mi \ \~nn\aJ L~ <br /> <br />MAILING <br /> <br />1303 N. ~leb~~~Q ~ <br /> <br />\~{:b-J h.- <br /> <br />33<ocy <br /> <br />'" <br /> <br />SERVICE ADDRESS 5~14 \ q-t'h ~ <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE [g'" <br />INSTALL METER I:i]/' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />liJ..."'WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />~- <br /> <br />o OUT CITY <br /> <br />--L- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3/4 ' I W. \'Y\Jz,tt.J... <br />Yec-n-v..X - 5" <0 ~9 <br /> <br />_ AMOUNT lAST BIU <br /> <br />_ DATE <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 Depl. <br />Water Service Depl. to sign yellow form & return to office. <br />