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<br />r' <br /> <br />r <br /> <br />r <br /> <br />r <br /> <br />r <br /> <br />(' <br /> <br />t' <br /> <br />f' <br /> <br />~ <br /> <br /><" <br /> <br />~ <br /> <br />PERFORMANCE BUSINESS PRODUCTS, INC. 813-71ll-8OO8 FAX 813-7111-1$111 <br /> <br />CITY OF ZEPHYRHILLS <br />ZEPHYRHILLS, FLORIDA <br /> <br />lo-l{~ Ir <br /> <br />,WATER ACCl. NO. <br /> <br />DATE 'f-{S-o B <br /> <br />::"',J.,':( ~1n....:dQ 'n{~4 iIo/d).s CI;..c- <br /> <br />MAILING 37837 U~/d~fur.. ~ <br />~de G~ :JL 335i<S <br />SERVICE ADDRESS .3 77 ~ I E I '/~ . 131 vb <br />~TER <br /> <br />SHUT OFF SERVICE <br /> <br />o <br /> <br />TURN ON SERVICE <br /> <br />w-/ <br />~ <br /> <br />o SEWER <br /> <br />~~ <br />'----- <br /> <br />INSTALL METER <br /> <br />o GARBAGE <br /> <br />READ METER <br /> <br />o <br /> <br />[;VIN CITY <br /> <br />CHECK METER <br /> <br />o <br /> <br />o OUT CITY <br />-L. No. OF UNIlS <br /> <br />OTHER <br /> <br />o <br /> <br />_ DEPOSIT AMOUNT <br /> <br />) I i r~jJ. ~ M!--k... <br />p~t'+ ~'7l'"5() <br /> <br />_ AMOUNT LAST BILL <br /> <br />_ DATE <br /> <br />_ MISC. CHARGE <br /> <br />> <br /> <br /> <br />I <br /> <br />I <br />, <br />i <br />i <br />I <br /> <br /> <br />i Retain white form in office at all times, <br />I Send pink & yellow forms to Water Service Dept <br />~ Water Service Dept to sign yellow form & return to office, <br /> <br />WORK COMPLETED BY <br />& DATE COMPLETED <br /> <br />ORDER TAKEN BY <br /> <br />