HomeMy WebLinkAboutSLC -UTILITIES - RECEIPTd
- ECEIVED
UNOV
SCANNE® 2 9 2018
BY e County, Permitting
County
St Lucie
,ST LUCYE'.CO1UNTY.�UTILI�S_-P.O..�BOX728 FT. PIERCE FL34982
St. Lucie County - PCIS
NAME
1'7055 - 1��'/
11-26-2018 09:46:16
ACCT. # C �77
ADDRESs�.rT !0 "O(lIt
•SERVICE ✓
17055/6457
RYAN HOMES
�' I
tlO OAKLAND LAKE CIR LOT 2
FORT PIERCE
%�.��/ "�
E ' N Ly\I�l11L1 �lL�(e CGS �" ;LGT RTOCK
FL 34951
SUEDIVIS6 r L r/ a
i4, "ert� �'-e(�r,A.1�-
Amount Tendered: 606.00
BIILINGADDRES3,
LL.
1 si ,(�_ 1 h 3-Sy
lry
Amount Paid: 608.00
� t
. / b r �� _ MOVE IN/CLOSING. DATE
'change Due: 0.00
(hank YOU
PHONE#
This application hereby request and,authorizes,the Utility to,render water: and/orsewage disposal .
described above in accordance with the Utilities presento afreesetrates.
services to the, premises pay
rules and regulations,�which by reference are;made a part of this contract: ApplicantB P Y
for such services in accordance with the established rules and regulations:
Iser ID: RODRIGUEZM
the Utility promptly
CUSTOMERS DEPOSITS ARE NON NBGOTTABLEARTRANSFERABLE.
I 1. . SOCIAL SEC/ • L / ?p_ ,{..
FED ID
i SPOUSE'SOCIAL PC' V ^
CASH CHK# RECEIVED'Byf
DATE RECEIVE : .
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