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WATER
SEWER
-=.L1� METER SZ.
07-26u2018�0Unt1 -
5pCIS
10:35:30
:30
//
D.R.ORTDNZ61
8732
COBBLESTONE DR LOT 51
FORT
PIERCE
FL 34945
' Amount Tendered: . d176.25
Amount Paid:
Change DUe; 176.25
Thank You 0.00
1m I
User ID: MURRAYA
LU 0
TOTAL
CUSTOMERN
R' ":;. CUSTOMERSI
SIGNATURE
NAME OF;SPOUSE, . G
DATE OFFICE 1
RECEIVED _. �I CASH
I goy-o771
1TILITIES = P.0 BUX 728'Fq;
PIERCE FL 34982 W5
LOT
BLOCK
MOVE IN/CLOSING DATE
�:quest and`authorizes the Utility. to render water and/ sew
esch6ed above in accordance with the Utilities present, or age disposal
1h by reference are made a part of this contract. Applicant agrees r tes,
� , k� such services in accordance. whit. re rotes,
'OSITS ARE NON.NEG - the established rules and regulations. IABLE OR TRANSFERABLE, gulations.
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FED ID
SPOUSE SOCIAL SEC.
9 ONLY y
GW ` fi//( '
RECEIVED BY