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HomeMy WebLinkAboutWater bill receipt .. .. � , +k��'..}� �� ! .+t�`� a f s,� *sik„,� tyi.R}4�t' �.�a „ y�tS°)+P° t� ��ti t�f ,;� f'C�( �t•,�� , •,tt"L �' �prrt .x„i'4 f�f+� TilkYxv.(�,t. ry t trtx�''�fl ht ” ,. ',y� , - , ,Wm ,tFR Y;i 1Fr rrc++Y 1t.1: >.f {, 1.�..rtrlsiri STUUGIE G®UNTY UTII;TIES,-rPO.BOX?28-.Ia'T 'PIERCE,.FL�34982' .+frt'xi �ya,1'k�.1fyCj✓ltilT�,,ia� , �y�� ��A S?,� r 1*:, orf .i r i. i r .;15yy° 7'` i s F �''�'r�` I• + i �' SIM f chit t 5 S �il�tnqOWFhR S�, �, �'; fNAME , �(��� '.. • U�"C���, \'�' x'T {* r �4iME`TERiSZ + "ACC-T. { ; ACCT p SECtfRITY'DBP SERVICE ADDRESS '�✓ SERVICETE ,:. `;'� :,1�' `'P` '• "t ,, �."� �0'�.� ,� SAME DAY FEE SUBDNTSION ! "LOT BLOCK ch 1; OVERTIME FEE +. ( /�~�— r METER INSTALL' BILLINGADDRESS �` N ,,L 1 �P.Gf1.::. 1 , r / CFCIWATER , �U USsr a t FPLTA CFC I'H©NE# ( '"t MOVE INtCLOSING DATE CFC/SEWER Thxs application hereby`request and author�zeslthe,Utility to render water andtor sewage disposal GUAR REV services totthe piemasesQUkkibed alioue in accaPdanbe��with the Utilities present or future rates; l,•� , ;, „LATERAL': '�� +rules and r�gularions,which,byreference,are�made�a„part of this contract Apphc�int agrees to pay - - - the LTtxli ` ram tl` forrsuch''services iri ac`cordarice�with;tii estabiished{rules;and re.'gulatods. 1 5 'S N } 75 5 Ik 1i' r � 'x��e1,w1 ,�':wt 'TOThL{ ' r ;f�CUS;I'OMERS.DEPOSITS;� , a �NOf�ti3NEGOTIA�$LE`OR,TR.?►NSFERABLE .t— _,•a,a � -..v 'ir }'' .�A :,dv„ at, r, s+a ,.amu a r CUSTOMER t 6 i r s SOCIALS`EC/`°x r ll / NAME OF SPOUSE C� �l� � 1 SP,OUSEfSOCTAL`SEC 0VFICUSE ONL t t f f bA�tE RECEIVED � C.�S.H � ,C�IIC# ' 1��' RECEIVED BX'�