HomeMy WebLinkAboutSLC Utilities Receiptt�
Dana Ward "J Lx \
From:
Kristen Montalto <psipropkr1s10@gmail.com>
Sent
Tuesday, April 07, 2020 11:29 AM
To:
Dana Ward
Subject:
RE: 5004 PINETREE
WATER
COMM
SEWER
�RES
METERSZ.
M/F
IRR
r
SECURITY DEP
$
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
J�
434. 00 METER INSTAL
CFC/WATER
FPUA CFC
CFC/SEWER
GUAR. REV.
LATERAL
$ ,✓ 0 TOTAL
ST. LUCIE COUNTY UTILITIES -P.O. BOX 728, FT. PIERCE,.FL 34
NAME: Port St Lucie Properties INC (Whitiker)
IACCT. # 117016--'71 �
SERVICE ADDRESS: 5004 Pinetree Dr.
(SUBDIVISION: IRE
BILLING ADDRESS: 201 SW Port st Lucie Blvd UNIT:104
EMAIL ADDRESS: psipropkrisl0@gmail.com
(PHONE #:(772)249-0086
ILOT17&3E
(MOVE IN/CLOSING D.
application hereby request and authorizes the Utility to render wate
Ices to the premises described above in accordance with the Utilities
regulations, which by reference are made a part of this contract. Apr
nptly for such services in accordance with the established rules and
lations. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE
CUSTOMER SIGNATURE_E sign. Kristen Montalto
SOCIAL SEC/FED
NAME OF SPOUSE SPOUSE SOCIAL SEC.
Cat / 27/_,�?, 9,D (i/1S6L) 4��' ""OFFICE USE ONLY
i
ST LUCIE UTILITIES DEP
2300 VIRGINA AVE
FORT PIERCE, FL 34982
D4�D7j2020
11,412`2
MID; XX%XXXXXXXXX4�8 TID:
XXXXX501
CREDIT CARD
VISA SALE
Card 0001%%f 5994
SEQ 0;
20
Batch g;
1362
INVOICE
32
Approval Code;
004322
Entry Method:
Manual
Mode;
Onlhe
Tax Amount;
$0,00
Avs Code;
NNN
Card Code;
M
SALE AMOUNT �21,25
I arjee to pay above total amocnt
according to card issuer agreement.
(Wdmt agreement if Credit Voucher)
MERCHANT COPY
CD
0
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D
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E3
CL
0