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<br />n (l <br />~ <br /> <br />o <br /> <br />('l n (i (3 0 0 ~ (") <br /> <br />PERFORMANyE BUSINESS PRODUCTS. INC. 813-71a-aG08 FAX 813-719-71110 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~__ '-{")? C) ? <br /> <br />WATER ACCT. NO. <br /> <br />DATE c{:;- / Io-o~ <br /> <br />OWNER/ ~ <br />RENTER J?/~ <br /> <br />o~~ <br /> <br />MAILING @D. ~ ~ 7ft; <br />,'Z~~~ ~~549-1J?"1L/ <br /> <br />SERVICE ADDRESS ~q >? 6 62 7 71 E/) & ~.. <br />~ WATER <br /> <br />D <br /> <br />SHUT OFF SERVICE <br /> <br />. . \.> ~ " <br /> <br />TURN ON SERVICE 9( <br />INSTAll. METER ~ <br />READ METER D <br />CHECK METER D <br />OTHER D <br /> <br />D SEWER <br /> <br />D GARBAGE <br /> <br />~.........- <br /> <br />~ IN CITY <br /> <br />D OUT CITY <br /> <br />I <br />_ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />~~~ (A)~ <br />~..~ 7Jl~ <br />0&0 <br />/75- <br />~ J~o/Jd. <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 />v'~~~ <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Depl. to sign yellow form & return to office. <br />