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<br />n <br />"-, <br /> <br />o <br />~ <br /> <br />(1 <br /> <br />o <br /> <br />o <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71ll-8OOl1 FAX 813-719-7019 <br /> <br />o <br /> <br />o <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT, NO. <br /> <br />OWNER/ <br />RENTER <br /> <br />u..5 <br /> <br />~ <br /> <br />MAILING <br /> <br />o <br /> <br />o <br /> <br />E3 <br /> <br />DATE q.J ~ t::5 /6~ <br /> <br />..'"::,,, ;, <br /> <br />SERVICE ADDRESS 3'7(01'7 AAm...~V) &I <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE u:v <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />""-- <br /> <br />3/y{f W. ~ <br />7~- taabS <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <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 />~ <br />~3~" <br />~WATER <br /> <br />r3 \d ~ <br />B-Y <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br />-L 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 />