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ST LUCIE COUNTY UTILITIES
SCANNED BY . St. Lucie County 3 St. LUCIE COUNTY UTILITIES - P.O. BOX 728, FT. PIERCE, FL 34982 NAME d�'til�Gtl� ��Z'lJ�'d� . St. Lucie County -.PCIS 06-22-2b18 12:17 :33 ACCT. # C' /. �„ DQ 17055/6444l RYAN HOMES SERVICE -ADD 5316 OAKLAND-LAKE CIR LOT 19 FORT PIERCE FL 34951 Amount j endered: 608.00 E �. SUBDIVISION LOT BLOCK Amount Paid: 608.00 EE �� J C, L . BILLINGADDRESS. Change Due: 0.00 U Thank You _ 1 PHONE # MOVE IN/CLOSING DATE I User ID: MURRAYA This application,hereby requesi and authorizes the Utility,to render water and/or sewage dispos: services to the premises described above in accordance' with the Utilities present or future rate f.JJ.f>_J VfJf1j�'/•J.�V.wMA.V.nMlNMMAww.UnAI.AA/J•AF++nMAtilJ�r1MJ LATERAL rules and.regulations, which by reference are made a part of this -contract. Applicant agrees to pa the •Utility promptly for such, services ,in accordance•with thq.esiablished ,rules and regulation ' ' TOTAL CUSTOMERS DEPOSITS ARENON NEGOTIABLE O_ RT•RANSFERABLE: CUSTOMER • SOCIAL `SEC/ ` A �A) FED ID SIGNAT i\� NAME OF SPOUSE SPOUSE SOCIAL SEC. OFFICE USE Y �� DATE RECEIVED U/! %�© CASH CH'K # RECEIVED BY �t