HomeMy WebLinkAboutSLC Sewer ReceiptSt. Lucie County - PCIS
10-27-2020 10:13:46
WATER 20233/7401
95633 SIOCEAN DRORA
SEWER JENSEN BEACH
FL 34957
METER
Amount Tendered: 1,932.00
Amount Paid;
g Change Due;
Thank You
User ID; MURRAYA
1,932.00
0.00
METER INSTALL,
CFC/WATER
FPUA CFC on
��� y�L�� CFCISEWER
GUAR. REV.
LATERAL
TOTAL
CUSTOMER
SIGNATURE C"
NAME OF SPb{]SE-'`1{�� l
CIE COUNTY UTILITIES - F.O. ]BOX 728 FT. PIERCE FL 34982
E ADDRESS _�j "I �) U(,C(4 L) ` h` 1 1S 0 heach PL'5gg6'7
VISION LOT BLOCK
BILLING ADDRESS \ P
MOVE INicLaS NG DAT -�
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This application hereby request and authorizes the Utility to rendet water aid/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 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/
FED ID L1-'-\`
SPOUSE SOCIAL SEC.
DATE RECEIVED �`� / ` D CASH OFFICIE USE ONLY
CHK # � RECEIVED BY A,