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<br />~ <br /> <br />f <br /> <br />lJ <br /> <br />PERFORMANCE BUSINESS PRODUCTS.INC, 813-'71D-3008 FAX 813-'719-79111 <br /> <br />CITY OF ZEPHYRHILlS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />OWNERI <br />RENTER <br /> <br />~~'S. r2. <br /> <br />en Quf' '2 <br /> <br />MAILING <br /> <br />J-tgy-\ II Y'Y1 be;"" <br />~o(J~y-h~ It-s~ <br />Y9YI <br /> <br />~ <br />K_ <br /> <br />SERVICE ADDRESS <br /> <br />DATE <br /> <br />~/71 ()1o <br />, <br /> <br />:33~4-~ <br /> <br />1\ Y'Y\~ W~ , <br />~ATER <br /> <br />...~:,: ~ <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE rsv-- <br />INSTAll.. METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />3/ " ' <br />It.{ "3-rYl~l~ <br />()e('~ - (oQ8--' <br /> <br />~ <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />ORDER GIVEN BY <br /> <br />Retain white form in office at allti , <br />Send pink & yellow forms to Water Service Dept, <br />Water Service Depl. to sign yellow form & return to office, <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />o OUT CITY <br /> <br />-L No. OF UNI1S <br /> <br />- DEPOSIT AMOUNT <br /> <br />- AMOUNT lAST BILL <br /> <br />_ DATE <br /> <br />- MISC. CHARGE <br />