HomeMy WebLinkAboutSLC UTILITIES RECEIPTWATER,�
Com.,
ST. LUCIE COUNTY UTILITIES - P.O. -BOX'128, FT. PIERCE, FL 34982
tSE11WER
T
-RES
NAME
METER SZ.
M/F.
ACCT. #
$
IRR
SECURITY DEP
SERVICE ADDRESS L"I &/ tit
SERVICE FEE
-(-7o
0
_114-r -4.
SAME DAY FEE
-SUBDIVISION% LOT BLOCK
(0
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OVERTIME FEE
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BILLINGADDRESS skt
METER INSTALL.'
CFC/WATER
7
FPUA CFC
-6 PHONE —MOVE IN/CLOSING DATE
CFC/.SEWER
GUAR_ . REV.
This application hereby request and authorize's the Utility to render water and/or sewage disposal
services to the.premises described above in accordance with the Utilities present or future rates,
LATERAL
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.
$
TOTAL
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
NAME OF SPOUSE
DATE
SOCIAL SEC/
1 9) /1 /: � 1 9 V_
FED ID
SPOUSE SOCIAL SEC.
OFFICE USE ONLY
1,% %
CASH CHK #r-'y6V NY RECEIVED BY I
St. Lucie County - pCIS
10-09-2018 03:55:04
17055/6450
RVA4 HOMES
5309 OAKLAND LAKE CIR LOT 64
FORT PIERCE
'FL 34951
Amount Tendered: 608.00
Amount Paid": 608.06.
Change Due.. 0.00
Thank You
User ID':-' RODRIGUEZM