HomeMy WebLinkAboutSLC Utilities Receiptn LUCIE UTILITIES DEP
2300 VIRGINA AVE
FORT PIERCE, FL 34982
U18/2020
14A4:33
CREDIT CARD
VISA SALE
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to Card: VISA CREDIT
!D: A000000D031010
:Q #:
18
Ah #'
1327
(VOICE
18
4xoval Code:
318141
by Method:
Chip Read
ode:
Issuer
ALE AMOUNT %.25
CUSTOMER COPY
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SUBDMSION cr` LOT BLOCK �_..
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PHONE # 1�l (D3� MOVE IN/CLOSING DA1E
This applicahonFhereby request aadfauthonzes Ue UUhty to render water and/or sewage disposal
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services to the premises descnbed.tibove m accordance witN•the Utdihespr&entor fiituierates,.
rules and tegulahons which&reference are made a part of lfiis contract; Apphcant ag ees roTay
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the„Ut�litypromptly for such semces m accordance with the established toles an`diegulahons,r
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR'{'RANSFERABLE }
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