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` COMMS ST:,>,UCIE:iCOUNTYvUTII;IT�S.-:PO..BOX�728�FT;PIERCE,FL,34982
RES' NAME}
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CFC/WATER
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PUA CFC �rOd� M TE
PHONE# TI� U OVE IN/CLOSING=DA
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GUAR REV
p 1 tion" ereliy wat&,and/or sewage disposal ,(
This a p ica request and authonzes the Utility to render
e,premises above m accordance with f e Utilities present or es
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services to th desgnbed th future rat ,
LATElZAI rules and'reg�ilations,�which by reference are made a part of tlus+contract=Applicant agrees to pay
the Utility pom�tly for such;services m accordance with the:established rules andjregulatiQns
$ TOTAL ` S O rNEG
CUr TONERS REPOSTTS ARE N. N ,OTIABL$OR TRANSFERABLE; s
CUSTOMER-' SOCIAL SEC/r
SIGNA
NAME OF SPOUSE -r 1 ,Q/ SPOUSE SOCIAL SEC: (rte I �D
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OCE USE ONLY
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DATE RECEIVED `CASH ' Cl # RECEIyED BY7�Y v l