HomeMy WebLinkAboutSLC Utilities ReceiptWATER
COMM
SEWER
RES
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5/ �, METER SZ.
M/F
$ !J 3 (J I
IRR
SECURITY DEP
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
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METER INSTALL. '
CFCIWATER
FPUA CFC
CFC/SEWER
GUAR. REV.
/
LATERAL
TOTAL
;USTOMER %
NAME
ACCT. #
SERVICE ADDRESS
( UTILITIES - P.O. BOX 728, FT.
CA 61,
SUBDIVISIOI�I�j JCj I_(J& Est LOT 'BLOCK
BILLING ADDRESS 1 •sV 'r� ((� .(� 1_5 (( 7 (J
PHONE.#9/ f ' MOVE IN/CLOSING DATE
This application hereby request'and authorizes the Utility to render water and/or sewage disposal
services to .the premises describe&above in accordance with the Utilities present or future rates,
riles 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 established rules and 'regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/ j
FED ID
NAME OF SPOUSE SPOUSE SOCIAL SEC.
OFFICE USE .ONLY ! -'
DATE RECEIVED CASH CHK #f .l! RECEIVED BY •fit M
St. Lucie County - PCIS
02-20-2019 10:09:36
17055/6472
RYAN HOME/
5227 OAKLAND LAKE CIR LOT 49
I
FLR34951RCE
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
User 10: MURRAYA