HomeMy WebLinkAboutSLC Utilities Receipt!_WATER
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This application hereby request and authorizes the Utility to render water and/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 of this contract. Applicant agrees to pay
the Utility promptly for such services in accordance ivith the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER
SIGNAT
NAME OF SPOUSE
SOCIAL SEG � �� `/ FED
FED ID 9 `( % !
SPOUSE SOCIAL SEC.
OFFICE USE ONLY