HomeMy WebLinkAboutST LUCIE COUNTY UTILITIESY WATER
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/St. Lucie County - PCIS
Q 6 07-26-2018 10:34:41
$ 6787 ff 53
D.R. HORTON
8745 COBBLESTONE DR LOT 43
FORT PIERCE
FL 34945
Amount Tendered: 176.2b
Amount Paid: 16.25
Change Due: 0.00
Thank You
User ID: MURRAYA
$ l j % ( TOTAL
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VICE ADDRESS UW5 r—obbks4w— 1 h
IVISION OtW(, } % C LOT BLOCK
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3 20 %
IN/CLOSING DATE
pplication hereby request and authorizes the Utility to render water and/or sewage disposal
es to the premises described above in accordance with the Utilities present or future rates,
;nd 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.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER SOCIAL SEC/
SIGNATURE FED ID
NAME .OF SPOUSE SPOUSE SOCIAL SEC.
., OFFICE USE ONLY
DATE RECEIV,EDCASH C-•HK-# �C.1 RECEIV"�B�Y-- _ t