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<br />r. <br /> <br />r. <br />\ , <br /> <br />~ <br /> <br />WATER ACCT. NO. <br /> <br />. <br /> <br />OWNER/ <br />RENTER <br /> <br />MAILING <br /> <br />("", <br /> <br /> 1 05763 ~ <br />r'\ n (i 0 n n ''1 <br />\ I <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719.7919 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />~-6CY?1 <br /> <br />DATE <br /> <br />/012;45- <br /> <br />Vi! "y <br /> <br />~ <br /> <br />5~ <br />tf <br />&y <br /> <br />h~~ <br /> <br />SERVICE ADDRESS <br /> <br />h1 <br /> <br />SHUT OFF SERVICE <br /> <br />... <br /> <br />TURN ON SERVICE <br /> <br />INSTALL METER <br /> <br />READ METER <br /> <br />CHECK METER <br /> <br />OTHER <br /> <br />~ II <br />~- <br /> <br />3;5/;(, ~'r,te7T.5 M,'I! <br />~R <br /> <br />o <br /> <br />~ <br />~ <br /> <br />o <br /> <br />o <br /> <br />o <br /> <br />o SEWER <br /> <br />o GARBAGE <br /> <br />~ITY <br /> <br />o OUT CITY <br /> <br />~ No. OF UNITS <br /> <br />_ DEPOSIT AMOUNT <br /> <br />_ AMOUNT LAST BIU <br /> <br />~. <br /> <br />~ <br /> <br />_ DATE <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />)< <br /> <br />Retain white form in office at all times. <br />Send pink & yellow forms to Water Service Dept. <br />Water Service Depl. to sign yellow form & return to office, <br /> <br />_ MISC. CHARGE <br /> <br />ORDER TAKEN BY <br /> <br />/0-1.:2 ~5 K.I <br />ORDER GIVEN BY <br /> <br /> <br />a~~ <br />