HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESV
WATER
SEWER
METER!
St. Lucie county - PCIS
07-26-2018 10:35:07
678765254
D.R. HORT N
8749 COBBLESTONE DR LOT 44
FORT PIERCE
FL 34945
Amount Tendered: 176.25
Amount Paid: 176.25
Change Due:
0.00
Thank You
User ID: MURPIW
$
CUSTOMER
SIGNATURE
NAME OF SPOUSE
Z >
�(-MQU
MOVE IN/CLOSING DATE
)y request and authoriies the Utility to render water and/or sewage disposal
es -described above- in accordance with the Utilities present or future rates,
which by reference are made a part of this contract. Applicant agrees to pay
or such services in
n accordance with the established rules and regulations.
SITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/
175
FED ID
SPOUSE SOCIAL SEC.
OFFICE USE ONLY
CASH
DATE RECEIVED GW"# RECEIVED BY