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i
city.
ort Pierce .
Utilities
206 S 6th Street
Fort Pierce, FL 349
Ilephone No. 50 i
/13/18 (772) 466-1600
4 r39PM Phone(772)466-1600
:eipt #: 053181213000014 Fax (772)461-1938
1to7mer #:- 242853
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MARY L JOHNS
nent Received: _ {���� E :W_. %_A
ant. Tendered _ 2 690.00 �T �` �
- Credit Card: 2'g fi N' r` BA� ANTR &<I1/L� �iNS . �� �
lorization Number 90.00 �� � y
t x -----
Number
will be posted; 37 PREPARED BY:JOH1 SONCH
iter: . 12-13-2018
CASHIER 51
RD FORT PIERCE FL USA 34947
Thank you - Have.a nice day, ,,,
NEW HOURS M-F 9AM - 5PM
DRIVE T - 5PM ,
www.FPUA,com SERVICE U/G 1 $800.00 $800.00
PROVE CHARGE $0.01 $1,850.00
Budget Bi)1 in E NEW CUST $0.01 $40.00
9 Now Available ***
•$2,690.,00
CUSTOMER COPY
Customers will be assessed wastewater charges the day they connect to the wastewater system or within 365 days from date wastewater
Connection Charge- is paid - whichever is first. The cost of the service line from the point of delivery at the property line to.the
house/building is the responsibility of the customer and is not included in this invoice. State laws require that a permit from the Health
Department must be' obtained prior to!nitiatin4 a septic tank abandonment.Contact the Health Department at (772)873-4931.
Construction cost estimates are based on current labor,equipment and material prices. Actual costs of construction will be determined at
the completion of the project. Should unforeseen circumstances be encountered during construction, including but not limited to adverse
weather conditions:and construction conflicts, the customer will be responsible for increased costs. Additional costs,incurred by the
customer shall not exceed fifteen` (15) percent of the total estimated construction costs shown above. . Estimated costs paid by the
customer that exceed the actual cost of construction will be refunded by Fort.Pi6rce Utilities Authority.All fees are due prior to any
construction.
Note: This is only an estimate. A bill will be provided following acceptance of the Customer Invoice once signed and dated. Please
submit accepted Customer Invoice to Customer Service at 206 South 6th Street, Ft. Pierce, FL 34950 or call (772) 466-1600 to setup an
Customer Signature: Date:
Printed Name: