HomeMy WebLinkAboutUTILITIESSt. Lucie County - PCIS
08-18-2017 08:57:56
6787/6178
D.R. HORTON
8516 COBBLESTONE OR LOT 105
FORT PIERCE
FL 34945
Amount Tendered: 176.25
Amount Paid: 176.25
Change Due: 0.00
Thank You
User ID: RODRIGUEZM
St. Lucie County
- PCIS
08-18-2017 08:58:32
6787/6191
D.R. HORTON
3105 YELLOWSTONE
CIR LOT 119
FORT PIERCE
FL 34945
Amount Tendered:
774.00
Amount Paid:
174.00
Change Due:
0.00
Thank You
User ID: RODRIGUEZM
DATE RECEIVED is�j�if .l
NTY UTILITIES - P.O. BOX 728. FT. PIERCE. FL 34982
NAME *1/ • lc-- • %i 1 ti r V
ACCT. # rjr // — / / !,/
BILLINGAPPRESSID
n
PHONE # 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/
FED ID
NAME �-'-
ACCT. #
SERVICE ADDRESS/r '� 1% t:� •`�' i -'Z
BILLINGAsDp,RESS �" !
i
PHONE # MOVE IN/CLOSING DATE
`* 4
Thi' ,,application hereby request and authorizes the Utility to render water and/or seAge disposal
services to the premises described above in accordance with the Utilities presenrd ii
future rates, .
pules and regulations, which by reference are made a part of this contract Applicant agrees to pay
&rYJtility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE..,
.e.
SOCIAL SEC/
FED ID
SPOUSE SOCIAL SEC.
OFFICE USE ONLY p
CASH GHK-V (Vt C- RECEIVED BY dC�