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<br />(I 0 <br />~ <br /> <br />o <br /> <br />() 0 (') (") (") (') fQj '0 <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-710-7910 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />OWNER/ <br />RENTER <br /> <br />lA.5. <br /> <br />\-\-(~ <br /> <br />MAILING <br /> <br />~-~/f)~ <br /> <br />'1/ ~/Cio <br />DATE ~J2:6 /ct:.> <br /> <br />APrrn lL.{Y'l Rd- t'O\dS ~ - ~ <br />~ATER <br /> <br /> SERVICE ADDRESS 375'-ka <br /> SHUT OFF SERVICE 0 <br />,.\'"" "'l TURN ON SERVICE [g/' <br /> INSTALL METER G:V <br />~- READ METER 0 <br /> CHECK METER 0 <br /> OTHER 0 <br /> <br />3/y W' ~ <br />p~~ - 5700 <br /> <br />WORK COMPLETED BY <br />& DATE COMPlETED <br /> <br />ORDER TAKEN BY <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <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 />.----- <br />