HomeMy WebLinkAboutMisc Letters COMM ST.LUCIE COUNTY UTILITIES-P.O.BOX 728,FT.PIERCE,FL 34982
c�AEWER RES NAME
METER SZ. M/Fri
]RR ACCT.# -
$ 9 SECURITY DEP SERVICE ADDRESS
SERVICE FEE \✓L�'�t( (,.Q, �t o
SAME DAY FEE
• SUBDMSION LOT BLOCK
;f OVERTIME FEE'
METER INSTALL.' BILLING ADDRESS `
CFC/WATER
FPUA CFC PHONE# ����(� MOVE IN/CLOSING DATE
CFC/SEWER
GUAR REV. This application hereby request and authorises 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 part of this contract.Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
$ 15191 TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER SOCIAL SEC/
SIGNATURE ! FED ID
NAME OF SPOUSE SPOUSE'SOCIAL SEC. r
OFFICE USE ONLY f
DATE RECEIVED 1 CASH CHK# RECEIVED BY