HomeMy WebLinkAboutMisc Letters WATER .A ST LUCIE COUNTY UTILITIES-P.O. 728 FT.PIERCE FL 34982
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SEWER RES NAME F
METER SZ. M/F
ACCT.#
J�f od SECURI IRR TYDEP SERVICE ADDRESS �J `eS
SERVICE FEE ('fi lie i CSZ R
SAME DAY FEE
SUBDMSION C;JL.�Cx LOT �� BLOCK
OVERTIME FEE f r,Z t'� * _
• BILLING SS 1 ,JI�J /oLJ
METER INSTALL.
CFC/WATER baq
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FPUA CFC PHONE# MOVE IN/CLOSING DATE
CFC/SEWER
GUAR REV. 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,
LATERAL 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.
$ + TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER �.--' SOCIAL SEC/ -7
SIGNATURE FED ID `
NAME OF SPOUSE SPOUSE SOCIAL SEC.
OFFICE USE ONLY
DATE RECEIVED CASH CHK# RECEIVED BY
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St. Lucie Count;, FL