HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESW,
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_ M1 St. Lucie County- PCIS
07-26-2018 10:38:37
6787/6268
$ /, D.R. HORTON
8704 COBBLESTONE DR LOT 58
FORT PIERCE
FL 34945
Amount Tendered: 176.25
- Amount Paid: 176.25
Change Due: 0.00
Thank You
User ID: MURRAYA
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ION �1-�t�( �( �_- LOT
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MOVE IN/CLOSING DATE
.pplication hereby request and authorizes the Utility to render water and/or sewage disposal
.vices to the premises described above in accordance with the Utilities present or future rates,
LATERAL rules and regulations, which by reference are made a part of this contract. Applicant agrees to pay
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the Utility promptly for such services in accordance with the established rules and regulations.
$ ! { / . l�� TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER i.1 SOCIAL SEC/ f
SIGNATURE - - / FED ID
NAME OF SPOUSE SPOUSE SOCIAL SEC.
I OFFICE USE ONLY
DATE RECEIVED r I =' �' CASH _ CHI fit-,' RECEIVED BY
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RECEIVED
LIAR 18 MIP
Permitting Deparuii--in
St. Lucie r^Urhr