HomeMy WebLinkAboutUtilitiy Receipt ST LUCIE COUNTY UTILITIES P U.BOX 728,FT.PIERCE FL 34982
NAME , �SSr�C'� �= N
St. Lucie County - PCIS €
04-18-2017 01 :23:32
16671/6121
-SEkNf RESS
ASSOCIATED HOMES z
P ADD ,
5317 PALMETTO DR
FORT PIERCE 7
FL 34982
Amount Tendered: 519.00 E
SUBDIVISION LOT BLOCK
Amount Paid: 519.004.
Chanee Due: 0.00 L-L
BILLINGADDRESS �L U`. 5� . _�c�t ;SI. 1,�k' \�`Uc�J
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Thank You
User ID: MURRAYA rxoNE# `90 MOVE IN/CLOSING DATE
-This application hereby request andrauthorizes the Utility_to renderwater and/or sewage disposal
aervices_to the premises described above.in accordance with the Utilities present or'fu6ie rates,
LATERAL ules and regulations,which by reference.are made,a partof this contract.Applicant agrees to paj�
the Utility promptly for d regulahion�ss
e such services in accordance with the established rules an
$
J ./ TOTAL= CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE
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CUSTOMER � g SOCIAL SEC/ J
SIGNATURE FED ID
NAME OF SPOUSE SPOUSE SOCIAL SEC �i ;c iJl
OFFICE"USE ONLY
DATE RECEIVED CASH CHK#s� RECENED.&Y
_EL D
APR 1 2017
PERMITTi'\;G
St. Lucie County, FL