HomeMy WebLinkAboutMisc Letters oe RECEIVED
` _ o DEC 0 6 2019
ST. Lucie County,, Permitting
WATER t/ COMM SX,11CIE COUNTY UTILITIES-P.O.BOX 72$,FT.PXERCE.FL 34982
SEWER RES NAME S O
- METER SZ. , � - MIF
MRACCT.#
$ (� SECURITY DEp SERVICE ADDRESS � v�G I (V u S
SERVICE FEE �� L� , I?"LA CA
SAME DAYFEE,
SUBDIVISION LOT -BLOCK
OVERTAIE FEE
METER INSTALL.' BILLINGADDRESs c�as i i uS fii�:1y �.
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O CFC/WATER \CYrt-e_ , L --;4cl`4
FPUA CFC 7v4uU-4CSMOVEPHONE# 1N/CLOSING DATE f
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CFC/SEWER
1
Dc Q OUAR.RE.V This application hereby request and authorizes the Utility to render water and/or sewage disposal
services to the premises described above in 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 i
05? - �D TOT/!,t the Utility promptly for such services in accordance-with the established rules and regulations.
CUSTOMERS'DEPOSITS ARE NON NEGrOTIABLEORTRANSFM ABLE.
CUSTOMER
SOCIAL SBC/
SIGNATURE FED M c
NAME OF SPOUSE SPOUSE SOCIAL SEC.
OFFICE USE ONLY
DATE RECEIVED/' !� CASTS RECEIVBD.BY `.
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ST LUCIE UTILITIES DEP
2300 VIRGINA AVE
FORT PIERCE,FL 34982
11/01(2019 1108:39
MID;WYXXlO=488 TID:XXXXX501
CREDIT CARD
VISA SALE
Card X}0000(=5520 j
5EQ#: 5
Batch#; 1262
INVOICE 8 �;
Epproval Code; 066910 1
Entry Method; Manual
Mode; Online f
Tax Amount: $0.00 4
Avs Code: NYt
Card Code; M 4
SALE AMOUNT $322,25
1
I agree to pay above total arrant
according to card Rsuer agreement.
(Merchant agreement I Credit Voucher)
3
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MERCHANT COPY
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