HomeMy WebLinkAboutSLC Utilities ReceiptWATER Comm
SEWER ✓ RES
7 1 7S METER SZ. M/F
1 IRR
U D SECURITY DEP
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
METER INSTALL.
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR REV.
rr77 LATERAL
! / o i- TOTAL
CUSTOMER
NAME OF SPOUSE
ST. LUCIE COUNTY UTILITIES - P.O
St. Lucie County - PCIS
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NAME Oj.r(/�S 1��,(.P,{
10-18-2019 02:38:17
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3297
ADAMS HOMES OF NOR
SERVICE ADDRESS G
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8608 AVE
FORT PIERC
FL 34951
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Amount Tendered: 174.00
SUBDIVISION
BILLING ADDRESS(
Amount Paid: 174.00
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Change Due: 0.00
PHONE # �p5 "
Thank You
This application hereby request and authoriz User ID: WARDD
services to the premises described above in
rules and regulations, which by reference are rn"u. a N.. ,,a uus contract. �pr .,,,, agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/
FED ID
SPOUSE SOCIAL
OFFICE USE ONLY _ r
DATE RECEIVE DIf < <� CASH CHK # h r 3) t-)r RECEIVED BY '�Ly' l