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HomeMy WebLinkAboutMisc Letters • • r • LT-- , 1 "' IM =. rST`.LUCIE COUNTY UTILITIES P'',,O. OX?28,;FT PIERCE,FL 34982 IS y NAME n ( ,-;,-,„...47/,`. r� FFi,� , "' PCls.7 nr d r..� St. l.uci e County - � �`;"� �p�' 4---' ��� 05-08-2018 02:09:15 ACCT # ' j , ' '..)1.-,- • - t ' ,:i. • ' p SERVICErADDRESS� /Jr� L 17884%4684 , 176 , HAARER, ROBERT J. • ' 5111 PALMETTO DR ` FORT PIERCE SUBDIVISIONa LOT BLOCK FL 34982 3E Amount Tendered: 519.00 uVL BILL'INGADDRESS / '112'1�"" Amount Paid: 519,00 `� O.00 PHONE• # ,DR ' —943_ '' MOVE IN/CLOSING DATE 77,7"--- 1 • • agrees to pay the Utility promptly for such;servicesrin accordance with the established rules and regulations User ID: RODRIGUEZM CUSTOMERS DEPOSITS ARE NON NEGOTIABLE,OR TRANSFERABLE. SOCIAL SEC/` Q FED ID '47-/"° ' , SPOUSE SOCIAL SEC OFFICE USE ONL� / . ' • CHK#�!' RECEIVED Bi°� DATE REGEIVEDn .CASH � s ---� y a .< -.„,,-,..,•;,- t •!b .J''•,,,•1."'''-' +'y ra y._�y ).:r c �;•'-',' .f r� a r1 y ..,-•'-'f-'. y ,•;,,,c;:;':6" t fF1 d air yf••,„•''''•i''''' � '1,,q.-'''''' y .:^;. .�yx.it 4";• ..v } r y : rt 1 ,;'-,-,'i..1.''''' .'�cth.1'A 'b+. ,..x'Y i,$ :.,*.ubiwrmwR a.i. rv, a#+�~-+xf�an' 4 ' 4r fi .. 0 rm e,.'' Q ._... • • • <. COMM ;ST L'UCIE COUNTY:UTILITIES P O OX 728.FT-- P/F: FL,34982 ", �r�SEWER RES /-- �,�'*`" f O METER SZ. ! M/F -ACCT IRR, $- 66 SECURITY DEP '„:.SERVICE ADDRESS Jj://,,0•(�� // f j) i SERVICE FEE SAME DAY FEE SUBDMSION': • �L- r LOT BLOCK /��( V.;. METERIINSTALL.. BILLING ADDRES • CFE/_WATER FPUA CFC 'PHONE"# �� � S. ;MOVE;IN/CLOSING DATE%G.P� -20/ CFC/SEWER GUAR REV This applications hereby ,request and authors es the Utility to render water.and/or sewage disposal servi•ces?to the premises:described Above, accordance with the;Utihhes,present or future rates; LATERAL rules and regulations,which by efe•rence.are made a part,of this contract Applicant agrees to pay the Utility promptly for such services u accordance with the establishedrules and regulations. L5/' .4(;)() TOTAL CUSTOMERS DEPOSITS ARE'1VON NEGOTIABLE OR TRANSFERABLE. CUSTOMER SOCIAL SEC/ SIGNATURE •" C • FED ID .? 4/4/^ .5. 8) NAME OF SPOUSE .A SPOUSE SOCIAL'SEC /� j a r OFFICE USE ONL L DATE RECEIVED ' CASH CHK �l�� RECEIVED B