HomeMy WebLinkAboutSLC UTILITIES RECEIPTK
WATER
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ST. LUCIE COUNTY UTILITIjE (S �- P.O. BOX
NAME.
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SERVICE ADDRESS ff
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SUBDIVISIOJ1k101 q W4 1 LOT BLOCK
BILLINGADDRESS 1450 'Lei'llrG, -PkJd _. 311J(' -e Sf+ a
:LOPS-1 prim EEC,►"? ,,-N .355 M 1 .
PHONE #...91)1 — 1190 - _1_?�% MOVE IN/CLOSING DATE
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 r.
LATERAL rules and regulations, which by reference are made a part of this contract. Applicant agrees to
Idll the Utility promptly for such services in accordance with the established rules and regulati
l c / 1 ! TOTAL. • CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER` \ r SOCIAL SEC/
SIGNATURE 1 `,(,Jl�\ �a ' TC-' 0I C� FED ID 0�!
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NAME OF SPOUSE SPOUSE-SO'IAL'SEC. ✓ z
f DATE RECEIVED ! .a h 1 DASH OFFICE USE
i CHK #✓ d 3 3 (� RECEIVED
RECEIVE®
NOV 2 01019
06h' ltt"19 nepartment
St. County
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St. Lucie County - PCIS
10-09-2018 03:53:10
17055/6495
RYAN HOMES
527E OAKLAND LAKE CIR LOT 26
FORT PIERCE
FL 34951
Amount Tendered: 608.00
Amount Paid: 606.00
Change Due: 0.00
Thank You
User ID: RODRIGUEZM