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<br />r, ( <br />,""....,.i ___ <br /> <br />.._~ <br /> <br />r~' <br />''''-..' <br /> <br />o <br /> <br />o <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS. INC. 813-71G-8008 FAX 813-710-71110 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~-'O~ }S <br /> <br />WATER ACCT. NO. <br /> <br />DATE q - \ (;) - 0(.:. <br /> <br />OWNER! <br />RENTER <br /> <br />A,'\J\V\ ~n C h~ <br />?6,60; Ita 8~ <br />k?\.K"\ cl a 1.-oJ~ <br /> <br />C r fY")....,+ru ch C/YJ <br /> <br />MAIUNG <br /> <br />A 34(" 39 <br /> <br />SERVICE ADDRESS 4Cfa5 \g+h 5+. <br />SHUT OFF SERVICE 0 <br />TURN ON SERVICE u:v <br />. " "'<'~ ~ <br />INSTALL METER [i]/ <br />READ METER 0 <br />"',-- <br />CHECK METER 0 <br />OTHER 0 <br />3/41j W~ ~ <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />Ln+ 5 <br /> <br />~ <br />SqdY <br /> <br />~WATER <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />[i}-JN CITY <br /> <br />o OUT CITY <br /> <br />--t-- No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT lAST Bill <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY <br /> <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 />