HomeMy WebLinkAboutSLC Utilities ReceiptWATER
SEWER
METER SZ.
WX11•'
jL RES
M/F
IRR
SECURITY DEP
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
METER INSTAL
CFC/WATER
FPUA CFC
CFC/SEWER
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GUAR. REV.
LATERAL
�n5 ``ll
$ 19Vp� , t0 U
TOTAL
CUSTOMER
NAMEOF
ST. LUCIE COUNTY UTILITIES - P.O. BOX 728, FT. PIERCE, FL 34982
NAME 04K/NAT CusTpCrHolnjE,�/ I -Le-
ACCT. # 19yam - pia
SUBDIVISION ����C�,!n jeli k- lhz LOT _ BLOCK
BILLING ADDRESS -/ 0/0 SE
EMAILADDRRESS: L/"l0X(C
PHONE# 12• Al'� / 2
7 &0 IfSoE S-Nggr 3L �9y
MOVE IN/CLOSING DATE
This application hereby request and authorizes the Utility to re
services to the premises described above in accordance with It
rules and regulations, which by reference are made a part oftf,
Utility promptly for such services in accordance with the estabi
I CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRAN5FERAI 02_13uciaOUount10.16CI4
19422/7TOM
i DAKMONT CUSTOM H0M
S7EPHEf 1 �e(f)nX!c ,s�cIALSE /FED ID r 7EE663 jjELICCANN POINTS DR
Q k/%%Gv7 r 641 FLN3 957E
SPOUSE SOCIAL SEC. �— Amount Tendered: 1,932.00
OFFICE USE ONLY Amount Paid; 1,932.00
Change Due; 0.00
DATE RECEIVED ' CASH CHK#�lO RECEIVED E Thank You
User ID: MURRAYA