HomeMy WebLinkAboutUTILITIES RECIEPT-#1288-Hutchingsf WATER COMM
SEWER RES
METER SZ. M/F
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SAME DAY FEE
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NAME"� 1'�vti kA4LC� j T Y1C
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SERVICE ADDRESS `T4 UU
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BILLING ADDRESS ✓ 3yi P6Y-i' 0 t�' LU 0 e2 UI V
EMAIL
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BLOCK %7 C74"
�� MOVE IN/CLOSING DATE ��D - I'Cb �,021
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,
rules and regulations, which by reference are made a part of thi<
Utility promptly for such services in accordance with the establis
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABL
CUSTOMER /In %(, C1 i St. Lucie Count - PCIS
SIGNATURE dUk A �sOp, t�Jia� �o r A OCIALSEC/FED ID 1 �(D J 05-22 2020 2:59:03
GROZA9BUOILDERS IN
4800 SEAGRAPE IiR LOT 1
NAME OF SPOUSE SPOUSE SOCIAL SEC, F L R3 4 982 PIERCE
OFFICE USE ONLY Amount Tendered: 519.00
G�<Amount Paid: 519.00
DATE RECEIVED v CASH CHK # RECEIVED BY, Chan 9 e Due: 0. 00
Thank You
User ID: MURRAYA