HomeMy WebLinkAboutProject Information ST.LUCIE COUNTY UTILITIES-P.O.BOX 728,FT.PIERCE FL 34982
NAME ! ��_,0�
St. Lucie County - PCIS
02-07-2018 10:33:23 ACCT.# 17���
DURS074NI1 3748 HOLAS SERVICE ADDRESS
4907 BUCHANAN DR
FORT PIERCE
FL 34982 fJ
Amount Tendered: 87.25 SUBDMSION i'— t LOT 7J`�'� BLOCK
Amount Paid: 87.25 L BILLING ADDRESS (�r'r n C
Change Due: IA
0.00
Thank You
Jser ID: MURRAYA PHONE ` E)�0 MOVE IN/CLOSING DATE .
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,
SAIFAMOUNT 1S 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.
LL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
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SOCIAL SEC
CUSTOMER COPY FED ID
SPOUSE SOCIAL SEC.
OFFICE USE ONLY
DATE RECEIVED CASH I RECEIVED BY1=�
DATE RECEIVED CASH CHK# T I RECEIVED BY �
RECEIVED
FEB 0 7 : 3118
ST. Lucie County, Permitting