HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESL
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St.'Lucie County - PCIS
06-12-2018 01:03:09
17055/6437
RYAN HOMES
5270.OAKLAND LAKE CIR
FORT PIERCE
FL 34951
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
User ID: RODRIGUEZM
NAME t,.\ rA A,-" V\FTY1R(S�
ACCT. #
SERVICE ADDRESS 70 '✓ Gl 1Ci. (1 �—�c
SUBDIVISION V G ,LOT BLOCK_
BILLINGADDRESS
44.
. ,
PHONE # `� D ' r / MOVE IN/CLOSING DATE
'This application hereby request and authorizes the Utility to render water and/or sewage disp
services to the premises described above in accordance with the Utilities present or future r
rules and,regulations, which by reference are made a part of this contract. Applicant agrees to
the Utility promptly for such services in accordance with the established rules and regulati
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/
FED ID
I' SPOUSE SOCIAL SEC.
OFFICE USE ONLY)
DATE RECEIVED CASH CHK # RECEIVED.