HomeMy WebLinkAboutMisc Letter ST.LUCIE COUNTY UTILITIES-P.O.BOXL.728.IT.PIERCE FL 34982'
- NAME !10A rJ
-METER SZ: M/F L7
ACCT.# � O DU11
IRR
i 17� no SECURITY DEP SERVICE ADDRESS,:i (J r.t MA
SERVICE FEE0. 4C f-
SAME DAY,FEE
SUBDIVISION—:T LOT .BLOCK 25
OVERTIME FEE 77
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BILLING-ADDRESS. x
3�-Y.On METER INSTALL.
• i CFC/WATER
FPUACFC �e,,.� . �?( cCXf
PHONE# (� V MOVE IN/CLOSING DATE
CFC/SEWER
GUAR.REV.' 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,
LATERAL rules and regulations,which-by reference are made a past of this contract.Applicant agrees to pay
the Utility promptly for such seryices in accordance iv th the established rules and regulations.
$ S G Z�L7 TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER ' SED IDL..SE r*:
SIGNATURE. –� C_ &ja L-
R_.
i
NAME OF OUSE POUSE SOCIAL SEC.
44I
. O CE USE ONLY.
ATE RECEIVED 1. CASH V. . CHK# RECEIVED BY