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SIGNATURE
NAME OF SP fus]
0
FORT PIERCE, FL 34982
WAIi2018
12:43:42
CARD
MC SALE
Card #XXXXXX70lXX11X1414
1Z
SEQ
Batch #:
929
r
INVOICE
11
Approval Code:
Entry Method:
019824
Manual
Mode:
Online
Tax Amount:
Cust Code:
Ays Code:
$0.00
NNN
Card Code:
M
SALE AMOUNT
�t y t z y""`a aF3 * •..�' 3 Sa � ;. �- k 'F'k`'
Y UTILITIES P O BOX 728 FT PIERCE FL 34982 v
49
h
/ r
BLOCK r
J , T
CUSTOMER COPY uses descnbecl`alrvan acbordancgiei es3pre et`3orlfiitf'ire rates,
s, whicuhi byfirefefence are mad�ea g� o s confr�ct Aphcant agrees to :pay
� forts ,ch sery ces �� accordance s rth'El�e establ�5hed rules and regulations
'OBITS ARE �)+�EGOTIAI�LE OR�1T,JSFERABLE
--SEC/
SPOUSE SOCIAL SEC`
3t
OFFICE USE ONLY
'.. .,.RECEIVED'BY...3
SA
BY
St. Lucie C®u*
REC IVED
JAN 0 4 G]1'9
ST. Lucie County, Permitting