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<br />o <br />~ <br /> <br />(") <br /> <br />0 0 0 0 (') 0 ~ n <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-7111-8008 FAX 813-7111.79111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />OWNER/ <br />RENTER <br /> <br />S lJ'rI ~..lr. -r () I?v t t Q..t{ 0. n .0 <br /> <br />{p/6'/ ~1ax/1 ..f'~ .f't/ <br />2e~/rJ'/ Is ;ZL a "S" </2.. <br /> <br />MAIUNG <br /> <br />SERVICE ADDRESS lo 3 \ 0 (= 0 L ~ I uA <br /> <br />~ <br /> <br /> SHUT OFF SERVICE D <br />.. \~.... .'. TURN ON SERVICE [jJ../ <br /> INSTALL METER [g/ <br /> READ METER D <br /> CHECK METER D <br /> OTHER D <br /> <br />314 II Wc...:bu- ~ <br />P~-~lCOt <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />ORDER GIVEN BY <br /> <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 />DATE Id -11-0 <, <br /> <br />u;;v' WATER <br /> <br />D SEWER <br /> <br />D GARBAGE <br /> <br />'1:iJ.'IN CITY <br /> <br />D OUT CITY <br /> <br />-.L.. No. OF UNIlS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br />