HomeMy WebLinkAboutMisc Letters ST.LUCIE COUNTY UTILITIES-P.O.BOX 928,FT.PIERCE,FL 34982
NAME Vf —C U i c�
St. Lucie Count - 'CIS
ACCT# —7
01-12-2018 69:17:08
POUND7388/5347 p SERVICE ADDRESS 58a� _�(��4
S, GARRY
5807 SUNSET BLVD
FORT PIERCE
FL 34982 E ,-
Amount Tendered: 519.00 SUBDIVISION LOT BLOCK
E
Amount Paid: 519.00 LL . BILLING ADDRESS-' J�SG 7 J�tr.Use�" lyd
Change Due: 0.00 . P,
Thank You
PHONE#_ MOVE IN/CLOSING DATE
User ID: MURRAYA
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,
LAI hAA, 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.
$ ( � TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER SOCIAL SEC/
SIGNATUREjj. FED ID
NAME OF SPOUSE ��(� 'p, SPOUSE SOCIAL SEC.
OFFICE USE ONLY
DATE RECEIVED /� CASH CHK# / RECEIVED BY44
RECEIVED
JAN 12 2018
ST, Lucaq County, Permitting