HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESSCANNED
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3UBDIVI 30N LOT •:: BLOCK .:
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BILLING ADDRESSiE/
METER INSTALL
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.GUAR REV.. This application hereby request and authorizes the Utility to render water and/or sewage disposal
services,to,the premises•desciibed above m accordance with`the. Utilities present or future rates,
LATERAL rules and regulations,"which by reference are made apart of this contract Aglicanf agrees to pay
I the Utility promptly for such services .in accordance with the `established• rules and regulations.
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�'TG'i'AL CUSTOMERS: DEPOSITS ARE :NONNEGOTIABLE
ORTRANSFERABE
IFOMER SOCIAL SEC)
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S1tiiNATURE' . � G � �vC c4 -� fil
NAME OF.SPOV P SP,OiJSE SOCIAL SEC.
.OFFICE USE ONLY / �
DATE RECEIVED�`•CASH `CHK #.' / RECEIVED BY