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<br />') 0 <br />~ <br /> <br />() <br /> <br />I) n (') (} n 0 ~ 0 <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-71N008 FAX 813-719-71l19 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHJLLS, FLORIDA <br /> <br />WATER ACCT. NO, <br /> <br />DATE i D(Z.4 len <br />- <br /> <br />" <br /> <br />OWNER I <br />RENTER <br /> <br />LPV'\~ ~ ~ <br /> <br />inDO ~, W~h(\<:i.Q 61(~ ~Co~ <br /> <br />\~) ~ "3"?>l46~ <br /> <br />SERVICE ADDREssIo3a'7 me): I')~ Rrt - 1!p^ _ On'i1- \C1lo <br />~WATER <br /> <br />MAIUNG <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />uY <br />[]V" <br /> <br />o SEWER <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br />o <br />o <br /> <br />[g"" IN CITY <br /> <br />CHECK METER <br /> <br />o OUT CITY <br /> <br />OTHER <br /> <br />---1- No. OF UNITS <br /> <br />7~- IlbY. <br />3/4"W,~ <br /> <br />_ DEPOSIT AMOUNT <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 />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 />