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<br />( <br /> <br />( <br /> <br />C1 <br /> <br />r' <br />.....,J <br /> <br />Ii <br /> <br />t:.:J <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-'719-8008 FAX 813-7111-78111 <br /> <br />~.4>':t 3? <br />CITY OF ZEPHYRHILlS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCl. NO. <br /> <br />DATE <br /> <br />~ I (}..s! C/o <br /> <br />OWNER/ <br />RENTER <br /> <br />U5~ <br /> <br />MAILING <br /> <br />SERVICE ADDRESS S '7~O(n <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE [iJ./'" <br />. . ...., ~ ~ <br />INSTALL METER @/' <br />READ METER 0 <br />"' <br />,-- <br />CHECK METER 0 <br />OTHER 0 <br /> <br />AAr'"n-l.t...t n 0\ - 'b\d<] 3- *~t..f <br />Q/WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />EY-iN CITY <br /> <br />o OUT CITY <br />-!..- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3(4 (f W.~ <br />1?~.tJ- 5Dtoto <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 />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 />