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HomeMy WebLinkAboutMisc LettersX Comm +�u:: SERES SZ. M/F y� IRR S . lJ C� SECURITY DEP SERVICE FEE SAME DAY FEE OVERTIME FEE METER INSTALL. CFC/WATER FPUA CFC CFC/SEWER GUAR REV. LATERAL V TOTAL CUSTOMER SIGNATURE LUCIE COUNTY UTILITIES - P.O. BOX 728. FT. PIERCE. FL ACCT. # I� Cal — (/1 9 © S SERVICE ADDRESS VaQOA G� 2 c SUBDIVISION \jk�,S,kB -� LOT BLOCK PHONE # 1,u_-�) " 7) �Sl yA MOVE IN/CLOSING DATE This application hereby request and authorizes 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. CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE. SOCIAL SEC/ cJl_ FED ID I NAME OF SPOUSE SPOUSE SOCIAL SEC. OFFICE USE ONLY I DATE RECEIVED`' /'-22'ZZ) CASH CHK # ;M_•,, CEIVED BY�LUL�/ —