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<br />/' <br />\ <br /> <br />,r---\ <br /> <br />f\ <br /> <br />r, <br /> <br />() <br /> <br />n <br /> <br />~ <br /> <br />('\ <br /> <br />*= <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7910 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS. FLORIDA <br /> <br />WATER ACCT. NO. <br /> <br />DATE <br /> <br />2-/2-0 eo <br /> <br />-------......, I <br /> <br />~i:~ ~~b4 ~biUnllb '--L~~ <br />MAILING ~ 2 ~ b3 ~ i(e, k: t l s l4- <br />~~ v€-('"Vl~ c+L 35569 <br />SERVICE ADDRESS 3 B 5 l R r r 5 ~ Iii. -5 <br /> <br />~WATER <br /> <br />o <br /> <br />~ " <br /> <br />SHUT OFF SERVICE <br /> <br />TURN ON SERVICE <br /> <br />aY <br />[JJ./ <br /> <br />o SEWER <br /> <br />READ METER <br /> <br />o <br /> <br />o GARBAGE <br /> <br />~CITY <br /> <br />"'-- <br /> <br />INSTALL METER <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />~ No. OF UNITS <br /> <br />OTHER <br /> <br />o <br /> <br />3[4- \A)Q~ ~r <br />~~ i- ~ 7'1 8f::> <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT lAST BIU <br /> <br />_DATE <br /> <br />_ MISC. CHARGE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br /> <br />Retain while form in office at afllimes. <br />Send pink & yellow forms to Water Service Depl. <br />Water Service Depl. to sign yellow form & return to office. <br />