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ST LUCIE UTILITIES DEP
2300 VIRGINA AVE
FORT PIERCE, FL 34982
1112021
WIA4
41 D xxxxxxx XXIO(488 TIC:
=X501
CREDIT CARD
VISA SALE
Card # XXXXXXXXXXXI(5545
SEQ H:
2
Batch 0:
1769
INVOICE
2
tpproval Code:
03434G
ft itry Method:
Manual
Mrde:
Onlhe
X knout:
$0,00
Avs Code:
NY2
Gird Code:
M
SALE AMOUNT $1040I
X
I ayree to pay ahnue total amount
according to card issuer agreement.
(Merchant aeement If Credit Voucher)
MERCHANT COPY