HomeMy WebLinkAboutMisc LettersLucie County -= PCIS
6-2017 12;39:32
16688/5046- - - - - - ---
ASEAdRAPELDRRM
PIERCE
4982
it Tendered: 521.25
it Paid: 521.25
ie Due: 0.00
You
ID: MURRAYA
AMOUNT $5Z1,Z5 IOTA
CUSTOMER COPY
4 ST LUCIE COUNTY /UTILITIES P.O. BOX 728, FT. PIERCE, FL 34982
-- - - NAME
- ACCT. #
-
,r SERVICE ADDRESS—
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EE
kLL.
SUBDIVISION 1 �✓ LOT C? 0'7 BLOCK �1
BILLING ADDRESS
PHONE # / ?` J - V2 , MOVE IN/CLOSING DATE
This application hereby request and authorizes the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates,
rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC n _
r
FED ID
SPOUSE SOCIAL.SEC.
r�y OFFICE USE ONLY
DATE. RECEIVED —o(D�t.7 CaV_X141 #' RECEIVED BY�_