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<br />-= <br /> <br />PERF0RMANCEBUSlNESS PRODUCTS. INC. 813-71~008 FAX 813-719-711111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />b..'/0q <br /> <br />WATER ACCT. NO. <br /> <br />~ 1;;"5/6/0 <br />J . <br />DATE 4r LO ---r;." ,., <br /> <br />OWNER/ <br />RENTER <br /> <br />lA.s ~~ r-.. <br /> <br />MAIUNG <br /> <br />,<'y:,,' ... <br /> <br />SERVICE ADDRESS 375~~ <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE [Y" <br />INSTAll. METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />AAi'"'"h l^-{ n ~(?~ _ t31citj Q _ ..." ~O <br />[Q-" WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />~- <br /> <br />o OUT CITY <br />-L No. OF UNITS <br /> <br />- DEPOSrr AMOUNT <br /> <br />3ft..{ W. ~ <br />'?~- 5701 <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 [)epl to sign yellow form & return 10 office. <br /> <br />