HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESM
ST. LUCIE CU%UNT•Y UTILITIES -.P.O. BOX 728 FT. PIERCE FL 34982
NAME
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St. Lucie�ICounty
06-22-2018
- PCIS
12 :16 :45
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ACCT. # / OS y
1.705 16441
HOMES
.
J
sERVicE �c9 I JCS- � %
5�AN14 OAK
LAKE CIR LOT 1 - P
�,DDREss, . �
FORT PIERCE
FL 34951
Amount Tendered:
608.00
SUBDIVISION LOT BLOCK
Amount P�id:
608.00 E
BILLING ADDRESS
Change DI
0.00
Thank Yo
User ID
MURRAYA
PHONE # MOVE IN/CLOSING DATE ..
This application hereby request and authorizes, the Utility to render water and/or sewage disposal
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LATERAL
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 ivith'the established rules 'and regulations.,
TOTAL
CUSTOMERS. DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER � , SOCIAL SEC/
SIGNAT JRE1, vV� . • �} ;n L_Pko Vcn FED ID
NAME:OF SPOUSE SPOUSE SOCIAL SEC.
OFFICE USE ONLY
�+ 'DATE RECEIVED r' CASH CHK # RECEIVED
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