HomeMy WebLinkAboutSLC Utilities ReceiptW
WATERComm
SEWER RES
METER Sz. M/F
IRR
SECURrIYDEP
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
190_METER INSTALL.
CFCIWATER
FPUA CFC
CFCISEWER
GUAR, REV.
LATERAL
TOTAL
CUSTOMER
SIGNATURE o'
NAME OF SPOUSE
ACCT.
N
Sul
LOT
MOVE IN/CLOSING DATE
This application hereby request and authariies the Utility to render water and/or sewage disposal
Iservices to the premises described above 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 established rules and regulations.
;CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/
FED M
SPOUSE SOCIAL SEC.
OFFICE USE ONLY