HomeMy WebLinkAboutUtility Receipt ST.LUCIE COUNTY UTILITIES-P.O.j-uX 728 FT.PIERCE FL 34982
NAME VD
St' Lucie County - PCIS n l
05-19-2017 03:47:57 ACCT.#
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6787 6136 SERVICE ADDRESS 5 r �S
D.R. HORT
8537 COBBLESTONE DR
FORT PIERCE �y ��,, j� '
SUBDIVISION I:J PS— LOT_ BLOCK
EL 3494E
BILLING D SS ! ►dam/ '
Amount Tendered: 174.00bag
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Amount Paid:
174.00 W-i
Chance Due: 0.00 j PHONE# MOVE IN/CLOSING DATE
Thank You This application hereby request and authorises 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 a part of this contract.Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
User ID: RODRIGUEZM CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/ - a o b9 FED ID
]' SPOUSE SOCIAL SEC.
OFFICE USE ONLY
DATE RECEIVED CASH CHK# RECEIVED BY