HomeMy WebLinkAboutMisc Letters WATER COMM ST.LUCIE COUNTS UTILrMS-P.O.BOX 728 )FT PIERCE FL 34982
SEWER RES NAMEtyjLo6"31''
METER SZ. M/F
ACCT.# a
$ SECURITY DEP SERVICE ADDRESS
SERVICE FEE
SAME DAY PEE
SUgDMSION_,. __. LOT O7 �`�"v� BLOCK l
OVERTIME FEE
METEAINSTALL.' BILLING ADDRESS* 7 7q1 f& 0-4 1:L2
CFC/WATER (34Trc ;, *v
FPUA CFC PHONE'"T 69/ -90 -836 MOVE N cLoSINC3 DATE `/q r b
CFCISEWER
GUAR REV. Tltis application hereby request and authorizes the Utility to render water and/or sewage disposal
services to the premises described above is accordance with the Utilities present or future rates,
LATERAL rules and regulations,which by reference are made a part of this contract.Applicant agrees to pay
$ T AL the Utility promptly for such services in aeeordapcc with the established rules and regulations,
1 - CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFE-IZABLE.
SIG
�CUSTOMER �` FED ID SOCIAL SEX F / T(a (o /!�
NAME OF SPOUSE SPOUSE SOCIAL SEC.
OFVXCI;USE ONLY
"•TE F,.,,....cry iO�l CASK d a s a .. _. .' �� u n o a o n---IVED 1�.. I n
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