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STS LUCIE COUNTY UTII,ITIE5i P O BOX 728 FT PIERCE FL 34982
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06-:22-2018 01:59:07 ACCT # r t
17760/4698 SERVICE`ADbRESS �� � � �
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GROOTHOUSE, DENEEN 4
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5309 PALMETTO DR `
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FORT PIERCE
FL 34982 SLJBDMSION i LOTr BLOCK
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Amount. Tendered:
519.00
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Amount Paid:
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Chane DUB*, 0.00 PHONE# f t MOVE IN/CLOSING DATE
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Thank You l lus appiicationrfhereby requesttand authorizesatlie�Utility�to render wateriand/or sewage�d�sposal
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services eta the premtses descnbed,above Jm accordance with the Uttlttteskpresent,or future fates,
rules and re ttlations,which by reference aretmade a part of tins contract FAppl, z agrees to;pay
t1ielUtiltty promptly for sulchc services to accordance wtththe estatittshed rules ndregulations
User RODRIGUEZM
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P',n ` FED IDr .
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{r .f ESPOUSE S}UCI.AL SEC `�
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