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<br />~ <br />o <br />~ cY/ "'\ '?J <br />\;...:\0// -1; <br />'v ~~, <br />Cb0 <br /> <br />________ I <br /> <br />""'- <br /> <br />.n ;n <br />-== <br /> <br />n n () 0 ('),() ~ (1 <br />i <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71U008 FAX 813-719-79111 <br /> <br />II <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHllLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />OWNER! <br />RENTER . <br /> <br />Lh n-\< V"QY" <br /> <br />MAIUNG <br /> <br />40 '4"2.. \ <br /> <br />Gh(U0('O 111 (2c1 <br />H- <br /> <br />~~Y"h'( \l"S) <br />SERVICE ADDRESS .y b 4 \ ~ O~'nN'l (' 0 It t <br /> <br />DATE~ <br /> <br />SHUT OFF SERVICE g/ <br />...-.<' " <br />TURN ON SERVICE 0 <br />INSTAlL METER [jJ/' <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />3/u." ~~ y,~ <br />~-(o~fo~ <br /> <br />J~, <br /> <br />Rd - Cln',-\- IDCo <br />G::J/"WATER <br /> <br />D SEWER <br /> <br />D GARBAGE <br /> <br />Ii:Y IN 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 />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br /> <br />ORDER GIVEN BY <br /> <br />Sl~~ <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Wa1er Service Dept. <br />Water Service Dept to sign yellow form & return to office. <br /> <br />J <br />