HomeMy WebLinkAboutSLC Utilities ReceiptWATERF
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SIGNATURE ,
NAME OF SPOUSE
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SERVICE ADDRESS3 C¢
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BILLING
This a lice "" ..n "n-s�Ep /g - —r + 7
GUAR. REV, Pp � tionhereby request and authorizes the Utiltty to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates,
LATERAL Hiles and regulations, which by reference are made a part of this contrack Applicant agrees to pay
the Utility promptly for such services in accordance with the t bti
TOTAL
CUSTOMERS DEPOSITS ARENONNEGoTIABLE OR es a shed rules and regulations,
TRANSFERABLE,
SOCIAL SEC/ CC��
FED ID - ✓9 SPOUSE SOCIAL SOCIAL SEC. / 1<-
OFFICE USE Ony