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<br />~I <br /> <br />,............'--- <br /> <br />. '\.." oI!l <br /> <br />(1 <br /> <br />o <br />~ <br /> <br />(i <br /> <br />(i <br /> <br />('I <br /> <br />.-., <br /> <br />E3 <br /> <br />fl <br /> <br />r <br />;. \ <br /> <br />PERFORMANCE BUSINESS PROOUCTS. INC. 813-7111-6008 FAX 813-7111-71110 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHVRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE 10 lZC4 ~I <br />'Y~ 3DICY} <br /> <br />.. <br /> <br />OWNER/ <br />RENTER --r1r'\~ <br /> <br />Q~ <br /> <br />MAILING ~~ 5 i (o-tn Sf. <br />~A2f~rh~ 1\..::;.) K <br />SERVICE ADDRESS ;.; ~5 \ ~-+-h Si- <br /> <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE g" <br />INSTAlL METER ~ <br />READ METER 0 <br />CHECK METER 0 <br />OTHER 0 <br /> <br />lilY WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br />(3'" IN CITY <br /> <br />o OUT CITY <br />----L. No. OF UNITS <br /> <br />- DEPOSIT AMOUNT <br /> <br />J-VY'\ 'JG.-..+t CJ'Y'.. ~ {:r tl~f-~ (tltB8 <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 />-,.(s <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 />