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<br />("'1 <br /> <br />in (" <br />~ <br /> <br />(I <br /> <br />(\ <br /> <br />(1 <br /> <br />(1 <br /> <br />(\ <br /> <br />o <br /> <br />- <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-719-8008 FAX 813-719-7919 <br /> <br />S-1'1~41 <br /> <br />I- <br /> <br />CITY OFZEPHYRHILLS <br />ZEPHYRHllLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE~,JO{P <br /> <br />OWNER/ <br />RENTER <br /> <br />R U -rf\?"'t:JV\ <br />\ <br /> <br />(l ..L/Y""\.-C>...\-v- <oJ .-\4. (./YV <br /> <br />MAILING <br /> <br />SERVICE ADDRESS (o<6~3 <br />..-'.:-.,' Ii! <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE IWY <br />INSTALL METER g/ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />rY\orktra Q \J \~ L.v\ <br />~WATER <br /> <br />l-cl- <br />~ <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~N CITY <br /> <br />o OUT CITY <br />-\-- No. OF UNllS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />'"J<~~s~~~2fLJ <br />~eK~.ll<:t- - S3 7 ~ <br /> <br />_ AMOUNT LAST Bill <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />\ <br />I <br />\ <br />\ <br /> <br /> <br /> <br /> <br />1\ 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 />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br /> <br />C'll <br />\ <br />I <br />\ <br />\ <br />\ <br />\ <br /> <br />~ <br />