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<br />r~ <br /> <br />o <br /> <br />o <br />~ <br /> <br />(] <br /> <br />() <br /> <br />(1 <br /> <br />(1 <br /> <br />o <br /> <br />(i <br /> <br />.{j <br /> <br />E3 <br /> <br />II <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-71G-8008 FAX 813-71l1-7Il111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />6- j I ') ~ <br /> <br />WATER ACCl. NO. <br /> <br />q /2510<0 <br />;-.JZ';. i <br />DATE " ",!l \( ., <br /> <br />OWNERI <br />RENTER l.A 5 \-tr-/'V'V"""\o ~ <br /> <br />MAILING <br /> <br />;r--......,--_ <br /> <br /> SERVICE ADDRESS 3'7 J:;~'i AA-r~, 'l'"""\ Rc& - t3lriq a - tt:r3 <br /> D [iJ/"WATER <br /> SHUT OFF SERVICE <br /> ~ D SEWER <br />. '\:\.. '-: TURN ON SERVICE <br /> g-- D GARBAGE <br /> INSTALL. METER <br /> D U3'1N CITY <br /> READ METER <br /> D D OUT CITY <br /> CHECK METER <br /> -L No. OF UNITS <br /> OTHER D <br /> _ DEPOSIT AMOUNT <br /> <br />3/4 W. ~ <br /> <br />_ AMOUNT LAST BILL <br /> <br />?~~+ ~9y <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 & retum to office. <br /> <br />