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<br /> <br />. <br />~ <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-710-6008 FAX 813-711l-7Il10 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATEJL-22-ofo <br /> <br />OWNER/ <br />RENTER <br /> <br />(J.. 6 HC/YY1.tl <br /> <br />MAILING <br /> <br />loDO N. l UO .o+'S.hcY'l.O t3k.lti) _ St-n (rfJa <br /> <br />\&KY"\ra.) R J <br />SERVICE ADDRESS (() 300 \. rn b?("lA ( <br />SHUT OFF SERVICE 0 <br /> <br />l-n - Po 0 l (!7\ b=i> \'Y1 <br />~WATER <br /> <br />TURN ON SERVICE ~ <br />INSTALL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />l3"IN CITY <br /> <br />o OUT CITY <br />-1- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />3{4" l.l.h.-~ ~ <br />P.lL-~ - <.0 'd-tO 3 <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 />#?-~ <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Dept. to sign yellow form & return to office. <br />