HomeMy WebLinkAboutSLC UTILITIES RECEIPTi
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WATER
COMM
ST LUCIE COUNTY UTILITIES-` P.O. BOX 728, FM FILRUE, N'L 34y8Z
' SEWER
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NAME � �l4G-j 1 41) SCA•
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DEPSERVICE
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SERVICE FEE
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SUBDIVISIOTf�40`7C1 r t� 1 ^ LOT (JJ r1 BLOCK
SAME DAY FEE
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OVERTIME FEE
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CFCNVATER
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CFC/SEWER
GUAR REV.
This application hereby request and authorizes the Utility to render water and/or sewage disp
services to the premises described above in accordance with the Utilities present or future n
LATERAL
rules and regulations, which by reference are made apart of this contract. Applicant agrees to
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the Utility promptly for such services in accordance with the established rules and regulati
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TOTAL
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER � ,� �
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SOCIAL SEC/ �,
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SIGNATURE i Y( 1
1,�
FED ID
NAME OF; SPOUSE
SPOUSE SOCIAL SEC.
OFFICE USE ONLY
DATE RECEIVED"/11' r �? CASH CHK RECEIVED BY
St. Lucie Count
09-- 14-2018
yy - PCIS
01: 31: 31
RYANIHOMES6458
5321 OAKLAND LAKE
FORT PIERCE,
CIR.LOT 67
FL 34951
Amount Tendered:
608.00
Amount Paid:
608,00
Change Due;
0.00
Thank You
User ID: MURRAYA
RECEIVE
OCT 1.6 2018
ST. Lucie CouMY, pQrry