HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESt
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SCANNED
BY
St Lucie County
IMM ST LUCIE COUNTY UTILITIES - P.O. BOX 728, FT. PIERCE, FL.34982
S NAME.
St. Lucie County - PCIS
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05-03-2018 02:36:46
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16671 /6399
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ASSOCIATED HOMES
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5105 PALMETTO OR
FORT PIERCE
EE SUBDIVISION LOT BLOCK'
FL 34982
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Tendered: 519.00
Amount Ten
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Ck BILLINGADDRESS Jim J
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Amount Paid: 519.00
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PHONE #! �j. _ . — 03"MOVE IN/CLOSING DATE
Change Due:
Thank You
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 apart of this contract. Applicant agrees to pay
RODRIGUEZM
the Utility promptly for such services in accordance with the established rules -and regulations.
User ID:
CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/ ,r
FED ID
SPOUSE SOCIAL SEC.
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44 OFFICE USE ONLY
RECEIVED BY
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DATE RECEIVED.
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