HomeMy WebLinkAboutReceiptSt. Lucie County - PCIS
02-14-2020 02:42:08
15542/7121
ADAMS HOMES OF NOR
5805 TANGELO OR LOT 34
FORT PIERCE
FL 34982
Amount Tendered: 519.00
Amount Paid: 519.00
'hanse Due: 0.00
shank You
Isar ID: WAROD
DATE RECEI
A
t ,y .[ - �'. T J NIT! It
i
I ; M LUCIE COUNTY .UTIIITIES P O. BO) FT PIERCE, FL 34982
NAME - ( .f ,!// � CVQ.I�/ ;- - L-L-
ACCT#
p = SERVICE ADDRESS>' ? I N\
E SUBDIVLSION + iLC LOT J BLOCK
} - 'lJ
E ,.-. _
LL:
BILLING ` DRESS
PHONE # 96 L MOVE IN/CLOSING DATE
Tlus application hereby request and authorizes the Utility to render water and/or sewage disposal.
sernces:to`-the premises deserilied:above ;in accordance with the- Utilities preseot. orfuture;iates, .
roles and:regulations,--which by refe ende iir made apart oftfiis contracA Applicant agrees -to pay.
the Utility,promptly for sueh services in accordance with the established rules and regulations:
CUSTOMERS DEP,OSITS ARE NON NEGOTIABLE OR TRANSFERABLE.,
SEC/
"FED ID
SPOUSE`SOCIAL.SEC.
OFFICE USE ONLY �J
CASH C. #o � RECtIVED�BY�J_
r
RECEIVED
FEB 14 "?�
ST. Lucie County, Permitting