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Home My WebLink AboutST LUCIE COUNTY UTILITIES)X 728, FT. PIERCE, FL 34982 RES TER SZ. M/F i $ I p SECURITY DEP SERVICE FEE SAME DAY FEE I OVERTIME FEE METER INSTALL.' CFC/WATER FPUA CFC CFC/SEWER GUAR. REV. nn LATERAL $ I U TOTAL NAME ACCT. # SERVICE ADDRESS 40 T SUBDMSION �` LOTIq BLOCK BILLING ADDRESS / T�� PHONE MOVE IN/CLOSING DATE This application hereby request and authorises 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. CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE. CUSTOMS � SOCIAL SEC/ ✓�� SCI�o� SIGNA / FED ID NAME .OF SPOUSE SPOUSE SOCIAL SEC. X DATE RECEIVED 7 / lyRECEIVED BY OFFICE USE ONLY CASH O 14le— /Jr/ OWW�lj(/1 ..•+ vJzv kurl: 81494 ------------ This information is believed to be correct at this time but it is subject to change and is not warranted. © Copyright 2018 Saint Lucie County Property Appraiser. All rights reserved. SCANNED I0- �r/( By Duds 0, d6$) 5 tps:/, pasle.org/RECard/ 7/11 Ian i R