HomeMy WebLinkAboutSLC Utilities ReceiptSt. Lucie County - PCIS
06-16-2020 02:55:58
16065/7293
ARBUCCI, MARIO
4824 WATERSONG WAY
FORT PIERCE
FL 34949
,L. E
Amount Tendered: 1,932.00
Amount Paid: 1,932.00
Change Due: 0.00
Thank You
User ID: RODRIGUEZM
ACCT. #
SERVICE ADDRESS t 4 r� WeA � I r S,)nC)
SUBDIVISION LOT .BLOCK
BILLINGADDRESS
PHONE #// O �% -� I �r MOVE IN/CLOSING DATE
This application hereby request and authorizes the Utility to render water and/or sewage disposal
services to the premises describedabove in accordance with the Utilities present or future rates„
rules and regulations,. which by reference are made a part of this contract. Applicant agrees to pay
the Utility promptly for such services in accordance with the established4ules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/
FED ID
SPOUSE SOCIAL
OFFICE USE ONLY /�
DAf'ERECE1VtU CASH CHK# c/ HD RECEIVED BY