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<br />1\ <br /> <br />(" <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71D-8008 FAX 813-7111-79111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />0( I d5 fOlD <br /> <br />OWNERI <br />RENTER <br /> <br />LA-s ~ <br /> <br />MAILING <br /> <br />SERVICE ADDRESS 3'7&,oQ ~A'-(\'~f' <br /> <br />(2d <br /> <br />I=!:: <br />~~ l.o - <br />[!}.../"WATER <br /> <br />r3\d~ <br />~'f <br /> <br />.. \.", ~ <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE ~ <br />INSTALL METER [il/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />lB-"IN CITY <br /> <br />~-- <br /> <br />o OUT CITY <br /> <br />--L No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3/ltll W, ~ <br />~(,"(Y1"( + - <br /> <br />_ AMOUNT LAST BILL <br /> <br />~c:L::4. <br />I <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 />