HomeMy WebLinkAboutMisc Letters tST LUCIE COUNTX UTILITIES P O BOX 728,FT PIERCE,'FL 34982
NAME -
7-17
i
Lucie County P S Accr #
J-, ,
10-2020. 1 0 kk
CURIO19454/5373 IP SERVICEADDRESS .,(l - Ab
MARINA 0.
7 TANdELO DR ff
7777777777-
T PIERCE
34982
E SUBDIVISIOMe
N_- LOT_ _BLOCK
unt Tendered: 521 .25
unt Paid: 521 .25 L BII,LINGADDRESS
nse Due: 0.00
nk You .
MOVE IN/CLOSING DATE
r ID: MURRAYA
This application hereby request and authorizes the Jtihty to,render water and/or sewage disposal
sefvices to the prerruses desenbedabove m>accodance anth the Utilities present or;future rates,
r ;
regulations,which by refereace are made a part p-this contract Applicant agrees to Y18,
�tle Utility promptly for such services in accordance v�nth the estabished rules and regulations
SALE AMOUNT $521,25 �T^!- -, CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE
'- SOCIAL SEC/ ,
I agree to pay above total amount FED VID
according to card issuer agreement,
(Merchant agreement if Credit Voucher) . SPOUSE SOCIAI.SEC
> OFFICE USE ONLY
CASH RECEIVED BY' ,.
X-__-_-- _ -� -
ANTHONY MERCURIO
MERCHANT COPY