HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESSt Lucie Count PCIS
02,07-2017 63.51:12
PHOENIX R &TIyN HOM
EVERE CT
121 QUEEN
FORT 'PIERCE
FL3 494
Amount Tendered: 6,039.00
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Amount Paid: 16,039-00
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Change Due: 0.00
Thank You
User ID: HURRAYA
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TOTAL
CUSTOMER
SIGNATURE
I
SUBDIVISION LOT BLOCK
BILLINGADDRESS
PHONE —5 9,0,6 MOVE IN/CLOSING DATE
This application hereby request and authoriz"es the Utility to render. water and/or sewage disposal
.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 with the established rules and regulations.
ICUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE.'
� SOCIAL SEC/
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OFFICE USE ONLY
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RECEIVED -13Y