HomeMy WebLinkAboutSLC Utilities ReceiptWATER
- COMM
SEWER
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PHONE #V�J j L MOVE IN/CLOSING DATE
This: application hereby request and authorizes the Utility to render waterand/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 apart ofthis. contract. Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations,
CUSTOMERS DEPOSITS ARE NON NEGOTIABLEOR TRANSFERABLE.
CUSTOMER SO_CIAL'SEC/
SIGNATURE c
FED ID _
NAME OF SPOUSE SPOUSE SOCIAL SEC.
DATE RECEIVED[% 23PQ CASH CHK #v /__?' 7