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<br />10 .-(>~-"D.".C' DC) {10 00 <br />i ~ <br />~--!!!!l. PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-79111 <br /> <br />b- 05 ~ ( <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILlS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />OtI/3 <br />~6<O <br /> <br />DATE <br /> <br />OWNER/ <br />RENTER <br /> <br />\)... g ~ /Y'Y'\ILr."\ <br /> <br />MAILING <br /> <br />.............- <br /> <br />SERVICE ADDRESS ~t:SL:> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE J;;J-' <br />INSTAll METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />(Y) 0. 1 ~UJ.. <br /> <br />:t! &\43 <br />t'3lrt~ ;).s - ~ <br />I:B'"" WATER <br /> <br />Ln - <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />rg---- IN CITY <br /> <br />o OUT CITY <br /> <br />----1- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />01'-1 u.), ~ <br />r~ - 910lf <br /> <br />- AMOUNT lAST BIll <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <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 Dept to sign yellow form & return to office. <br /> <br />01 <br /> <br />.J <br />