HomeMy WebLinkAboutDrawing ST.LUCIE.COUNT#YUTILITIES P Q.BOXr:728 F.T.PIERCE FL:34982
NAME L!✓ I.C�I U -1`�Q ,.!7 f j
q
St. Lucie:County-= PCIS
11-15-2017 12:33:25
17189 4547
MACCHIA$LLO, ALES SERVICE§ADDBEss ��� f
4905 PALM DR
FORT PIERCE Y`
FL 34982 _ $"
Amount Tendered: 521 .25 �,' LOT BLOCx
$UBDMSION
r
Amount Paid: 521 .25E
Change Due: 0.00
L
BILLINGADD -ESS F
Y
J,
� t S
Thank You
k
f IPHONE
User ID: * MURRAYA (
This aation he
pplicreby request and authorizes the Utility to render water and/or sewage disposal
G serxices to the,piemises described above-m accordance Frith the Utiirties pesent or future rates;
lax Arrtoiit:.. , . U.DO ATERAL Kz
gu y p
rulesand re latrons,which b reference are made a art of this contract Applicant agrees to pay
the Utility promptly for such services in accordance with_We established rules andtregulati9
. SALE,4MOUNT 070.00 TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE
soclA> s /
3 . FEDID
F {
CUSTOMER COPY c SPOUSE SOCIp.L SEC
x OFFICE.USE JONLY
s r �� CASH �° 8 GL., RECEIVED BY__i
(Merchant agreement if CreditVoucher1
z _ _
MARISA ROTH
MERCHANT COPY N O V 15
2017 O17
BY: .......................