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<br />() .0 <br />~ <br /> <br />., <br /> <br />(''\ (") -0 0 C 'C '0 Ci <br /> <br />PERFORMANCE BUSINESs PRODUCTS. INC. 813-719-8008 FAX 813-719-7918 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />OWNER/ <br />RENTER <br /> <br />( ..l.. <S, \..--bv-.n D <br /> <br />MAILING <br /> <br />~~?~ Y t) <br /> <br />DATE q f~5IDf...:, <br /> <br /> SERVICE ADDRESS 3'7(,n~ PrAm lLt Vj ef\ <br /> SHUT OFF SERVICE 0 <br /> TURN ON SERVICE ~ <br />,',.:.>' II': <br /> INSTALL METER ~ <br /> READ METER 0 <br />',,--.- <br /> CHECK METER 0 <br /> OTHER 0 <br /> <br />3{yll W.~ <br /> <br /><p~ - 59CZ7 <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 />il ~'fO BkiS <br />..- d"( <br />S-- WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />IQ/jN CITY <br /> <br />o OUT CITY <br />~ No. OF UNITS <br /> <br />-- DEPOSIT AMOUNT <br /> <br />-- AMOUNT lAST BILL <br /> <br />_ DATE <br /> <br />-_ MISC. CHARGE <br /> <br />BY <br /> <br />J <br />