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<br />"'l <br /> <br />(') <br />~ <br /> <br />(") <br /> <br />^ <br />, I <br /> <br />n <br /> <br />n <br /> <br />n <br /> <br />~ <br /> <br />o <br /> <br />o <br /> <br />o <br /> <br />PERFORMANCE BUSINESS PROOUCTS. INC. 813-718-a008 FAX 813-719-711111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE '7- 31-0/ <br /> <br />OWNER/ / _ . <br />RENTER ....~t'"'!d\rIO.D^ . O('bl-4-A Q <br /> <br />MAiliNG ~O4- 2-l (In 1l1Y\1' 0 ~ ( (<cO <br /> <br />Cpp~r~~-, ~L. <br /> <br />SERVICE ADDRESS ~41 5 c...Ml"l~ { D t t tQr\ - # I D4- - .3 \ d. S 3 <br />~ATER <br />SHUT OFF SERVICE 0 <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 />~CITY <br /> <br />o OUT CITY <br />----1- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />G-~ tk ~ 3/4 l( <br />r>~~ - La9<=! 4- <br /> <br />J~ r\\~ <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 />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 />