HomeMy WebLinkAboutMisc Letters :WATER COMM ST.LUCIE COUNTY`UTILITIES P.O..B0X-728 FT.PIERCE.FL 34982
SEWER RES NAME tr r S .e; ; ,. ,
W r
METER SZ M/F ACCT
$< `5 SECURITY DEP SERVICE,ADDRESS
SERVICE FEE - 'i
SAME DAY FEE i
s SUBDMSION, �;t,�C. LOT BLOCK ,
OVERTIME FEE
METER INSTALL
BILLING ADDRESS
CFCNVATER
FPUA CFCpHONE# `:1 �- �b�� `�� o MOVE IN/CLOSINGDATE
CFC%SEWER
Tlu p o " eby re uest,an
authorizes thetUtih o render water and/or sewa a dis oral
GUAR REV. sap hcah n her q ty
services'to the premYses described abovem accordance with the Uhhhess resent:.or futgre rates
P
LATERAL ivies and regulations,i*-hkh by reference`aresmad'e a part of flus contract Applicant agrees to pay
the Utili promptly tfor such services im'accoidance witfi the established;rules and regulations:,
t3'
;CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE
CUSTOMER t
SQ;CIAL SEC/
c r
SIGNATURE FED ID
NAME OF SP SE=SOCIAL'SEC
SPOU
OFFICE USE�ONLY
DATE;RECEIVED CASH CHK# RECEIVED BY_