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( k <br /> f <br /> � PERFORMANCE BUSINESS PRODUCTS, INC. 813-719-8008 FAX 813-719-7919 <br /> CITY OF ZEPHYRHILLS �� ��� � <br /> ZEPHYRHILLS, FLORIDA <br /> WATER ACCT. NO. DATE � � �'� � � <br /> OWNER/ � �n G <br /> RENTER ��� �� r � S <br /> MAILING � � V //�I Y' ) I �(�e � � Z � <br /> � ��a- r,t �Gl.�-r �-- 3� �� �S <br /> SERVICE ADDRESS � � � � � j4i' /�} l /� � �� <br /> SHUT OFF SERVICE <br /> � � WATER <br /> TURN ON SERVICE ❑ <br /> ❑ SEWER <br /> INSTALL METER <br /> � ❑ GARBAGE <br /> � � IN CITY <br /> READ METER i <br /> ' CHECK METER <br /> � ❑ OUT CITY <br /> I � No. OF UNITS <br /> OTHER ❑ <br /> DEPOSIT AMOUNT <br /> AMOUNT LAST BILL <br /> 1 X•l � ��— � � � � l � DATE <br /> ` v <br /> _ f � MISC. CHARGE <br /> JI �_`6 <br /> � � <br /> WORK COMPLETED BY RDER TAKEN BY <br /> & DATE COMPLETED <br /> ORD IVEN BY <br /> � Retain white form in ofiice at all times. <br /> � Send pink 8 yelbw forms to Water Service Dept. <br /> � Water Service Dept. to sgn yelbw form & retum to office. <br />