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<br />("'\ <br /> <br />"'" <br />, <br /> <br />..-.. I") () () () n .~ n <br />I <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PROOUCTS. INC. 813-71D-8008 FAX 813-719-79111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE \0/-V.f107 <br /> <br />OWNER/ <br />RENTER <br /> <br />&~ f3LL~ (+ Ccm~4'rc..)cl-t ~ <br /> <br />MAIUNG _PD. (?)~ IO~ <br /> <br />""hph......ty-h..i llo ) ~ 33539 <br /> <br />SERVICE ADDRESS 3%13 t Ke.ll.l..t I\.( n l"\ & - ~'i?' <br />~ATER <br /> <br />D <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />~ <br />~ <br /> <br />D SEWER <br /> <br />INSTALL METER <br /> <br />D GARBAGE <br /> <br />READ METER <br /> <br />D <br />D <br />D <br /> <br />~CITY <br /> <br />CHECK METER <br /> <br />D OUT CITY <br />--l-- No. OF UNIlS <br /> <br />OTHER <br /> <br />?~-ll2.9 <br />3/4 (( :H-'etg~ .~ <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT lAST BIll <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />/O!"'I/1Jf <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 Oept to sign yellow form & return to office. <br /> <br />