HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESi
SCANNED
BY
Lucia QW0
St. Lucie CbuntY - PCIS
06-22-201811 12:17:54
17055//6443
RYAN HOME511
5356 OAKLAND LAKE CIR LOT 10
FORT PIERCE
FL 34951 II
Amount Tendered:' 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank Youi'
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ST. LUCIE COUNTY UTILITIES - P.O. BOX 728 FT. PIERCE 'FL 34982
NAME '7
ACCT. #
SERVICE ADDRESS
SUBDIVISION LOT BLOCK
BILLING ADDRESS
User ID: MURRAYA PHONE # - MOVE,IN/CLOSING DATE'
This application hereby request and authorizes the Utility to render water and/or sewage disposal
.: u_ 1��•�,, �l'' ,�. s ,, _ . , ,,,� ,, :; 'services to, the premises described above in accordance with the'Utilities present or future rates,
rN 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.
CUSTOMER� /�
SIGNATURF/.1,i A ! kcl �G A' 11 r P FED ID SEC/
NAME OF SPOUSE.,
SPOUSE SOCIAL SEC.
r _
p' OFFICE USE ONLY
DATE RECEIVED �(J CASH. CHK # RECEIVED BC�J�
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