HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESSt. Lucie County = PCIS
.06=12-2018' 01:04:21
17055/6438
RYAN HOMES
5348 OAKLAND.LAKE CIR
FORT PIERCE
FL 34951
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
User ID: RODRIGUEZM
COUNTY UTILITIES - RO. 'BOX 728. FT. PIERCE. FL 34982
NAME
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ACCT. # I �'�
SERVICJADDRESS % Y, r A
SUBDIVISION_r LOT �"BLOCK
L.. BILLINGDRESS- cr�hi>
PHONE # (r�) 1 cX .J i4IOVE IN/CLOSING DATE
This application hereby request and anthoriies 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
the Utility promptly for such services in accordance with the established rules and regulations.l
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
�. SOCIAL SEC/
FED ID
F SPOUSE SOCIAL SEC.
OFFICE USE ONLY /
CASH CHK # -C�� �l RECEIVED BY