HomeMy WebLinkAboutST LUCIE COUNTY UTILITIES=i St. Lucie County - PCIS
07-31-2018
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ST: LUCIF�,COUNTYUTiIL TIES 'P O BOX" i FT' FL, 34282
-PIERCE
D.R. HDRTDN
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3142 TIDEWATER CIR LOT 11
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FORT PIERCE
ACCT. #
FL 34945
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SERVICE ADDRESS',:I
Amount Tendered: 176.25
Amount Paid: 176.25
SUBDIVISION . I LOT�BLOCK
Change Due: 0.00
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3ILLINGADDRESS [� ;
Thank You
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User ID: RODRIGUEZM
PxoNET# �/�, r _ ...MOVEJkCLOSING DATE
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This apphcahon hereby request and authorizes tli&Utihty'to render!water and/or sewage disposal
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servicestto thelpremises,desceibed above in accordance with the'Ut�hties present:or future rates,
rules Arid Yegulatoris, whici hyreferenoe are madea part of this contract Applicantagrees to pay '
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.'the�Uthty promptly for such service's m;aceordance est with4the ablished; rules and..regulations.
CUS �QMERS ,DEPOSITS AR,NON NEGOTIABLE OR:TRANSFERABLE:'
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CUSTOIvI�ER� ' SOIAL SEC/
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SIGNATURE
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NAME OF SPOUSE L A�/
" SPOUSE SOCIAL SEC
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f, DATE,RECENED' CASH CH RECEIVEDB�
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