HomeMy WebLinkAboutProject Information I ST.LUCIE COUNTY UTILITIES-P.O./BOX 728,FT.PIERCE,FL 34982
NAME h� PO ry f G G' 14 0
3t. Lucie County - PL'IS
03-30-2018 01:52:06 ACCT.# /_t _1
17589/5438 ;P SERVICE ADDRESS C�1O C Co
LEITAO, GEORGE P. _,� �,. 3
6109 YUCCA DRU r �' r` «' i�
FORT PIERCE EE
FL 34982 SUBDIVISION LOT BLOCK
EE
Amount Tendered: 519.00 ALL. BILLING ADDRESS
Amount Paid: 519.00
PHONE# ;77 at a7 '2� MOVE IN/CLOSING DATE
Change Due: 0.00
Thank You 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,
rules and regulations,which by reference are made a part of this contract.Applicant agrees to pay
Jser ID: RODRIGUEZM the Utility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/ _
FED ID t`J 6 .) 7
SPOUSE SOCIAL SEC.
4z 21
OFFICE USE ONLYi
DATE RECEIVED CASH CHK# t,1 RECEIVED B (
��- kF-CEIVED
MAR 3 0 20118
ST. Lucie County, Permitting