HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESSt. Lucie. County - PCIS
05-25-2018 02:25:31
17055/6401
RYAN HOMES
5317 OAKLAND LAKE CIR
FORT PIERCE
FL 34951
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
User ID: SMITHL
DATE RECEIVED
SCAMP
WAXINZA
ACCT. #
SERVICEADDRESS .
RECEIVED
JUN 15 2018
ST. Lucie County, Permitting
- l
S e
SUBDIVISIONY�j `'� AOT BLOCK
BILLING ADDRESS.;
L/o
PHONE # / 1 '�;�M VE IN/CLOSING DATE
This application hereby request and authorises the.Utility to rendei 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
( SPOUSE SOCIAL SEC.
i
OFFICE, USE ONLY
CASH CHK # RECEIVED BY