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<br />~, <br /> <br />. ,'..: ~ ~ <br /> <br />~- <br /> <br />.. <br /> <br />I <br />I <br />I <br />I <br />I <br /> <br />~ <br /> <br />r"l <br /> <br />r <br /> <br />Ci <br /> <br />r, <br /> <br />f, <br /> <br />n <br /> <br />n <br /> <br />("') <br /> <br />() <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC, 813-719-8008 FAX 813-7111-711111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA' <br /> <br />WATER ACCT. NO. <br /> <br />DATE --1J 2- Or f c> 7 <br /> <br />OWNERI /' <br />RENTER l..;:>T<:lX"rl <br /> <br />1--\-0<-, '2..CJY")':=> <br /> <br />MAlUNG ,CoLtS C~ 0 ~ SIOp.(L ""Dr. <br /> <br />~-e(l~"~' ~ <br /> <br />SERVICE ADDRESS 3752~ -Cr1V-P 0 1 ko,. ~ A.::,e. - Lc-+ 33Y <br />Q/ WATER <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE B" <br />INSTALl METER g.- <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />13" IN CITY <br /> <br />o OUT CITY <br />--1- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3Jy.' W~ ~ <br />p~ - <.c'-tD5 <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 />Retain white form in office at all limes. <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Depl. to sign yellow form & return to office. <br />