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ST LUCIE COUNTY UTILITIES P O BOX 728 FT PIERCE+FL 34982 NAME �r :. Lucie County - PCIS F -18-2017 03:09:49 Acer # as 18851/5282 VICE ADD RESSa Y �. xi) SER5e -+�- GHT, TRACY A. 104 SUNSET BLVDE 57 )RT PIERCE FEE 34982 sUBDIVIsz©N 1 -- LOT BLOCK — . iount Tendered; 519.00 fiTALL BILLINGADDRESS count Paid: 519.00 ' zanse Due: 0.00 J 0xONE# 't ! l(� I MC?VE IN/CLOSING I}ATE / R lank YOU l This application hereby requesE and authorizes the Utility to rendez orate;and/or sewage disposal services ti o the premises described above in accordancewith the Utilities1.present or future rates, rules and regulations which by'refereice aze made apart of this'contract.Applicant agrees to pay: the:Utilitypromptly for such`services in accordance with the estatished rules and re63ations. Ser ID: RODRIGUEZM CUSTOMERS DEPOSITS ARE NON.NEGOTIABLE OR'FRANSFERABLE.: soczAsEci � ` FED ID i SPOUSEOCIAL SEC OFFICE USE ONLY Ff DATE RECEIVED CASH CHK# RECEIVED BY , r r . 2 .. ,. .. t ifs; F t x •_. .. { RECEI`''rU JUL 13 71117 A%