HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESit
C SCANNED
i BY
St. Lucie County
�j
I
�I
�I
St. Lucie County - PCIS
06-22,2018 12:18:13
17055�6442
RY" NOM
53641OAK_ AND LAKE CIR LOT 8
FOR3FL 495ERCE
1
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
I
G User ID: MURRAYA
S�F
LATERAL
TOTAL
CUSTOMERn >
SIGNAL`=/ 1 %`�`(] .X
Pi
NAME OF SPOUSE
DATE RECEIVED I
SERVICE ADDRESS 53 b ( J17 j( jqt1,-1 / . & (jr* 2s
SUBDMSION LOT BLOCK
BILLING ADDRESS
PHONE # MOVE IN/CLOSING DATE
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
SPOUSE SOCIAL SEC.
OFFICE USE ONLY
CASH CHK# RECEIVED
A
m