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<br />,n <br /> <br />o <br />*== <br /> <br />("\ <br /> <br />n <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71l1-8OO8 FAX 813-719-7919 <br /> <br />WATER ACCT. NO. <br /> <br />'0 <br /> <br />o <br /> <br />.~ <br /> <br />o <br /> <br />(i <br /> <br />o <br /> <br />(1 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />b- ~ I fo <1 <br /> <br />0, 16 <br />DATE ~.)/6L, <br /> <br />OWNERI <br />RENTER <br /> <br />lA.. S l--\ Cf'yy-, Q J"',. <br /> <br />MAlUNG <br /> <br />"'---- <br /> <br /> SERVICE ADDRESS (aa(o'-t <br /> SHUT OFF SERVICE 0 <br />.....::,:. ~ TURN ON SERVICE Ii&'" <br /> INSW..l METER ur' <br /> READ ME1ER 0 <br /> CHECK ME1ER 0 <br /> OTHER 0 <br /> <br />3/y W. ~ <br /> <br />p~~- 5/11 <br /> <br />WORK COMPlETED BY <br />& DAlE COMPlETED <br /> <br />VYln 1 ~;JL Ln - r3\c1~ ri-'5 _ ~~ <br />u;;r-- WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~IN CITY <br /> <br />o OUT CITY <br />I <br />_ 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 while form in office at all times. <br />Send pink & yeJIow forms to Water Service Dept. <br />Water Service Oept to sign yellow form & return to offICe. <br /> <br />J <br />