HomeMy WebLinkAboutUTILITIES RECEIPT W JC COMM ST.LIUCIE COUNTYUTILITUS P.O.tox 723i'Fr-PIERCE-h'L 34982.
'SEWEA RES
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DATE
GUAR.REV:
This application herefy request and authorizes the Utility to render rrator sewage disposal
services to the premises described:above in accordance with the Utilities present or futrue rates,
LATBRAL stiles and regulations,'which by reference are made a part of tlus.contract.Applicant.agrees to pay
the Utility promptly for� such services in accordance iuith the established rules and regulations.
LA
_ ' 'OTAO.� CUSTCDMEI DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOIVM S SECI I J
SIGNATURE ]�EI3ID s .
r*`' IPOUSE SPOUSE SOW L SEC:
OFFICE USE ONLY
,DATE RECBIVEO_ .. CASH C81C# RECENED By ..