HomeMy WebLinkAboutProject Information ST.LUCIE COUNTY UTILITIES-P.O.BOX 728,FT.PIERCE,FL 34982
ST LUCIE UTILITIES DEP NAME A4 ej wdIj F . C,, rY T—rT
Si 2300 VIRGINA AVE T
0` FORT PIERCE,FL 34962 ACCT.# /-7
03/27112018 14:13;21
DEBIT CARD SERVICEADDRESS t.J[ S2_�-
CL DEBIT SALE
52 Card# )00000XX=6516
FC Network: VISA
FL SUBDIVISION � }� L% —LOT C0101 BLOCK
Chip Card; US DEBIT
Am AID' A0000000980840 L . BILLING ADDRESS � �n Q�� �k�t;5
ATC: 0168
Am ARQC; 49835CD3CEB27EDD
SEQ#; 11
Ch SEQ 855 PHONE#' g��' Ll X3 k' /9MOVE IN/CLOSING DATE
INVOICE 17
Th Approval Code: 011314 This application hereby request and authoriies the Utility to render water and/or sewage disposal
Eno Method: Chip Read services to the premises described above in accordance with the Utilities present or future rates,
rules and regulations,which by reference are made a part of this contract.Applicant agrees to pay
Mode; Issuer PIN Bypassed the Utility promptly for such services in accordance with the established rules and regulations.
Us Tar Amount: $0.00 CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
IAL
SALE AMOUNT $521,25
Y-4—
FED ID SEC/
SPOUSE SOCIAL SEC.
CUSTOMER COPY 1 FICE USE ONLY
[ 1CASH CHK# RECEIVED BY
FRECEIVED
R 2 7 2018
County, Permitti�
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