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<br />c; <br /> <br />r' <br /> <br />( <br /> <br />(" <br />" ) <br /> <br />(') <br /> <br />n <br /> <br />o <br /> <br />(; <br /> <br />:() <br /> <br />E:3 <br /> <br />n <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PROOUCTS. INC. 813-719-8008 FAX 813-719-711111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA. <br /> <br />WATER ACCT. NO. <br /> <br />DATE b-iO-07 <br /> <br />,------- , <br /> <br />OWNER/ <br />RENTER <br /> <br />5~e.... <br /> <br />Havn~ <br /> <br />MAILING <br /> <br />311~ <br />~e.ph~ rh; \ \~ <br />SERVICE ADDRESS '0 77~~ 14-+'h <br /> <br />,~ <br /> <br />~ <br />F<- <br /> <br />-S~J5Y2- <br />~e <br /> <br /> SHUT OFF SERVICE D <br /> . ~ "- TURN ON SERVICE ~ <br />-. <br /> INSTALL METER ~ <br />~~- READ METER D <br /> CHECK METER D <br /> OTHER D <br /> <br />~TER <br /> <br />D SEWER <br /> <br />D GARBAGE <br /> <br />~ CITY <br /> <br />D OUT CITY <br />----L- No. OF UNI1S <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3/411 :r~.3~~ m-l2..-kr <br />?erm~..\- lo 10 q (.? <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 />ORDER GIVEN BY <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 /> <br />. ti1 <br />~~ ~\\o\ <br />