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<br />.:\;:,~ ~ <br /> <br />~~- <br /> <br />1 <br />I) ! <br /> <br />rJ <br /> <br />o <br />'*== <br /> <br />('i <br /> <br />() <br /> <br />ri <br /> <br />(') <br /> <br />('i <br /> <br />o <br /> <br />(1 <br /> <br />r <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-718-4lOO8 FAX 813-7111-7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE~'" 10<0 <br /> <br />OWNER/ <br />RENTER <br /> <br />?< LI rn~'UJ (lr /V"'\ ~ )~ I' /'V) ~(\ <br />\ <br /> <br />3Co~\~ ~ bL Roa.A 5y. <br /> <br />~p~r+uJQ/)) h_ 305~L <br /> <br />SERVICE ADDRESS J-f(oO ~ $= {'\ c.3lo ~~N1rn 1\ (" - I-.cl. ,~ <br />~ WATER <br /> <br />MAlUNG <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />rn/ <br />UV' <br /> <br />o SEWER <br /> <br />INSTAlL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br />o <br />o <br /> <br />(g'JN CITY <br /> <br />CHECK METER <br /> <br />o OUT CITY <br />-L_ No. OF UNITS <br /> <br />OTHER <br /> <br />-- DEPOSIT AMOUNT <br /> <br />3/4/1 lJj, ~' <br />7~ (00\'1 <br /> <br />-- AMOUNT lAST BILL <br /> <br />__ DATE <br /> <br />__ MISC. CHARGE <br /> <br />V\IORK COMPlETED BY <br />& DATE COMPlETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />Retain while form in office at all times. <br />Send pink & ye/Iow forms to Water Service pt. <br />Water Service Oept to sign yellow form & return to office. <br /> <br />J <br />