HomeMy WebLinkAboutSLC UTILITIES RECEIPTWATER
COMM
�. SEWER
RES
C� METER SZ.
M/F
Q ;b d
IRR
$ �J
SECURITY DEP
SERVICE FEE
SAME DAY FEE.
OVERTIME.FEE
j�
! �'✓
METERINSTALL.
CFC/WATER
r
FPUA CFC
-
CFC/SEWER
GUAR REV.
-LATERAL
$ �UU 0� TOTAL
ST. LUC]
NAME
ACCT. #
SERVICE ADDRESS
LJi1L,i A JJVJ7-r.We DMA /,40, 1` 1.&'AJPJNLJV,'
1905504'63
3,>� fps ld . �a
fluid J( =ons-1-
SUBDMSIOJ�r, ll �W; J Ld. ' L_t �
LOT 1 VJ BLOCK
BILLINGADDRESS
PHONE #� MOVE IN/CLOSING DATE
This application hereby request and authorizes 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.
CUSTOMER; f �i � ,n J �, SOCIAL SEC/
SIGNATURE ( { _ (� l ({� FED 'ID
NAME OF SPOUSE SPOUSE SOCIAL SEC.
nn f I OFFICE USE ONLY �j
DATE RECEIVED"r_/ `t ' � � CASH CHK #00s 0 0 RECEIVED BY / lY/
r
St. Lucie Count - PCIS
09-14-2018 611:29:05
17055/6453
RYAN HOMES
5332 OAKLAND LAKE CIR LOT 16
FORT PIERCE
FL 34951
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
User ID: MURRAYA
BY
St Lucie County
RECEIVED
OCT 16 2018
$i. I��i� �cn Permitting