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14ST. UCIR COUNTY UTIL TIES...,P.O D.,�'728 FTsIPIEItCE .FL 349
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Lucie County - PCIS NAME
19-2018 12 :55 :32
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6787/6219 11
HORTON� v Gf Ep SERVICE ADDRESS I
8 TIDEWATER CIR LOT 10 22
34945RCE � �.. T.
unt Tendered: 174.00 EE )
SUBDIVISION A LQT IQ BLOCK,
unt Paid: 174.00 FEEk s.
n9e Due: 0.00 �AI,L BILLING ADDRESS
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r ID : MURRAYA i, PHONE # 33 Z MOVE IN/CLOSING DATE
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This appticahon liereby request and authorizes the Uhhty to render water andCor sewage disposal
;, .0 ._. - �}. •_ services to thisesdecnbem sentouure rates,epreme
`' " LATERAL rules and regulations, which by}reference are made a part of this contract Appltcant'agrees to pay,°
r� the Uhhty promptly for\`such services m accordance with the e'stabhshed rules and regulations
u TOTAL CUSTOMERS DEPiOSITS ARE NONNEGOTIABLE OR TRANSFERABhE
CUSTOMER=- 4 SOCIAL'SEC/
SIGNATURE, � � G� FED, 3
NAME OF SPOUSE SPOUSE SOCIAL SEC
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'J ' OFFICE USE ONLY '
,: ;. ., , ,DATE RECEIVED •�� lj�:_ CASH - .. ,° ; . ,#. (,V�-Ca._._ ,RECEIVED BY..� ..J-.
RECEIVED
0 C T 15 2018
ST. Wde County, Permitting