HomeMy WebLinkAboutUTILITIESF
SCANNED
BY
St Lucie County
St. Lucie Count 04-19-2018 6- PCIS
3:39:21
YANIHOME56368
j345 OAKLAND LAKE CIR
-ORT PIERCE
-L 34951
amount Tendered: 608.00
amount Paid: 608.00
,hangs Due: 0.00
'hank You
Iser ID: MURRAYA
LATEPJ
TOTAL
CUSTOMER
SIGNATURE
NAME OF SPOUSE
RECEIVED
MAY 01 2018
ST. Lucie County, Permitting
NAMEi
FT.
ACCT.#
SERVICE ADDRESS
SUBDIVISION D L—E LOT BLOCK
BILLINGADDRESS VJJ� 1.(�J?1, �)�� {D
PHONE # lA e rl(A1J' I (c�O MOVE IN/CLOSING DATE
I ------
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 NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/ � FED ID r
� L 1 39,14
_1 14
SPOUSE SOCIAL SEC.
DATE RECEIVED It I;, CASH OFFICE USECHK #YP0, ?
D RECEIVED BY