HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESSCANNED'
BY
t. Lucie County
II
3t. LucieCoutY n- PCIS
D6-22-2018 12:16:18
17055/6441
RYAN HOMES
6262 OAKLAND �AKE CIR LOT 30
FORT PIERCE
FL 34951
Amount Tendered' 608.00
Amount Paid:; 608.00
Change Due: 0.00
Thank You
User ID: MU,RAYP
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CUSTOMER�A
SIGNATURE
NAME OF SOU
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ST.1,UCIE COUNTY UTILITIES - P.O,:'BOX 728, FT. PIERCE, FL 34982
NAME
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ACCT. #
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ADDRESS
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SUBDIVISION
LOT BLOCK
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BILLINGADDRESS:�
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,
LATERAL 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.
TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
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SE 'SPOUSE SOCIAL SEC.
_ OFFICE USE ONLY ,
DATE RECEIVED U/ ��_ CASH CHK # RECEIVED BY %�