Laserfiche WebLink
\ ' '` .r'� ,r °.� !"� r^� r"" , �� r� r� � �",,! <br /> �l � PERFORMANCE BUSINESS PRODUCTS, INC. 813719-8008 FAX 813-719-791p <br /> � a � Y <<� <br /> � � �- �,� 3� <br /> f � �� • u�� C � zE��Hi E s,HYoRiolA LS <br /> � � �� t� <br /> / ' � t� �,b� <br /> `(�� . WATER ACCT. NO. DATE ""' S l � <br /> RENTER � � ( t�J <br /> S �^�--� <br /> MAILING / �� `� (_ ! l �J � V Qy�.t�' <br /> �`��.� ��- � �.�� 7 <br /> SERVICE ADDRESS _ J/�P Q 1 �Y-ey° /�� S �'� <br /> ' � � WATER <br /> SHUT OFF SERVICE �� <br /> I � ❑ SEWER <br /> � TURN ON SERVICE <br /> � ❑ GARBAGE <br /> INSTALL METER <br /> READ METER ❑ <br /> � iN CITY <br /> � — <br /> � ❑ OUT CITY <br /> CHECK METER ❑ <br /> � No. OF UN175 <br /> OTHER ❑ <br /> DEPOSIT AMOUNT <br /> AMOUNT LAST BILL <br /> � f ���� DATE <br /> t <br /> t � i 1..� I b _� MISC. CHARGE <br /> : 1 �f- <br /> i <br /> � <br /> E <br /> Y <br /> � <br /> � WORK COMPLETED BY ORDER TAKEN BY <br /> . <br /> � & DATE COMPLETED <br /> � <br /> i <br /> q ORD GIVEN BY <br /> � � <br /> � <br /> � Retain white form in office at a�t times. <br /> ` Send pink 8 yellpw forms to Water Service Dept. <br /> � Water Service Dept. to sign yellow form & retum to ottice. <br /> I <br />