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<br />r0 0 <br />~ <br /> <br />o <br /> <br />(i 0 0 0 '0 (') fQj 0 <br /> <br />PERFORMANCE BUSINESS PROOUCTS. INC, 813-719-8008 FAX 8t3-719,71UII <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS. FLORIDA <br /> <br />10-. )/1 ~ <br /> <br />WATER ACCl. NO. <br /> <br />DATE <br /> <br />~ 1'd--5/Dto <br />~. <br /> <br />OWNER/ <br />RENTER <br /> <br />u...~ ~ <br /> <br />MAILING <br /> <br /> SERVICE ADDRESS 3753<K- <br /> SHUT OFF SERVICE 0 <br /> TURN ON SERVICE GY <br />..\0.>.. ~ <br /> INSTALL METER UV' <br /> READ METER 0 <br /> CHECK METER 0 <br /> OTHER 0 <br /> 3/y II W. ~ <br /> p~ - 6(09<0 <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />A-Ar~n Rd ~\rl5~ - ~5 <br />[J'" WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />IB"'IN CITY <br /> <br />o OUT CITY <br />----1- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <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 Depl. to sign yellow form & return to office. <br />