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<br />(1 <br /> <br />o <br />~ <br /> <br />o <br /> <br />(') <br /> <br />(') <br /> <br />o <br /> <br />o <br /> <br />o <br /> <br />o <br /> <br />o <br /> <br />(l <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-7111-8008 FAX 813-719-7910 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />la.. 3) r'J 5 <br /> <br />WATER ACCT. NO. <br /> <br />~Jdsldo <br />DATE ~/ato <br /> <br />OWNER/ <br />RENTER <br /> <br />\.A.. S ~ <br /> <br />MAIUNG <br /> <br />.:\;:'" ~ <br /> <br />SERVICE ADDRESS -=3,5qt1 <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALl METER GY' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />AAvn L 1\""\ Rd-l3\do Ci - "t~ <br />~ <br />g--' WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />UY'IN CITY <br /> <br />/..............----- <br /> <br />o OUT CITY <br /> <br />----L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3/L(IIW, ~ <br />P...u-~ - 5Co9-, <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 />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 />