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`i �ST�-LUCK =OLINTY�JTILI;u S P O BOIL 2Z8 �T PIERCE FL 34982 w
St. Lucie County - PCIS
AccT # =t�1a {P �t
08-02-2019 10:44:19 ``
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p , SERVICE ADDRESS } = �� ��� 1�/ '•
19046/4156
WILLIAM, ROBERT c
5416 CASSIA DR
FORT PIERCE
SUBDMSION LOT =BLOCK T
FL 34982 E ?¢
L BILLINGADDRESS '.
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Amount Tendered: 519.00 fr '
Amount Paid: 519.00
� - MOVE IN/CLOSING DATE
Change Due: 0.00 .
This application hereby request and autlionzes the Utility to:render water and/or sewage disposal,':
Thank You �seI Vices to the premisesdescribed above in accordance with the Utilities present or future rates;,
rules and regulations,wiueh by reference are made'a part of ttus contract Applicant agrees to pays
the Utility promptly for such servicesfm.accordance with°the established soles and regulations
Jser ID: RODRIGUEZM �, RC1 TSTOMERs DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE ;
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SPOUSE SOCIAL C
OFFICE SE,ONLY
DATE(RECEIVED y-, RECEIVED BY
2-4
<9. ,x•�'-�x.. z'�*. v ;`t ::: _y t - I. .;t�3 r 4 {, -
RECEIVED
AUG 0 2 2019
ST. Lucie County, Permitting