HomeMy WebLinkAboutSLC UTILITIES RECEIPTS1.)WATER
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SIGNATURE /d 4��:dXU�11 l
—NAMEOFSPOUSE
DATE
PHONE# S1o%— JD — I2�S / MOVEIN/CLOSING
This application hereby request and authoriies the. Utility to render water and/or sewage disp
services to the premises described above. in accordance with the Utilities present or future c
rules and regulations, which by reference are made a part of this contract. Applicant agrees to
the Utility promptly for such services in accordance with the established rules and regulati
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE ORTRANSFERABLE.
St. Lucie County - PCIS
11-26-2018 09:44:45
17055/6436
RYAN HOMES
5283 OAKLAND LAKE BLVD
FORT PIERCE
FL 34951
FED ID
SPOUSE SOCIAL
CHK#CJ-`I 71 11 RECEIVED BY / / _ =....I
!/
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
User
User ID: RODRIGUEZM
SCANNED
BY
St. Lucie County
RECEIVED
DEC 03 2018
ST. Lucie county, Permitting
SCANNED
BY
St: Lurie naiurvko
ST. LUCIE COUNTY UTILITIES P.O: BOX 728 FT. PIERCE, FL 34982 `
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NAMEA
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St. Lucie County - PCIS
11-26-2018 09:44:46
ACCT:
17055/6436
SERVICEADDRESs
RYAN HOMES
5283 OAKLAND LAKE OLVD
FORT PIERCE
FL 34951
sviiipw, ION. �—C `
LOT �3, Bi.ocK
n-.
BILL/NGADDRESS' �
Amount Tendered: 608.00
, _,
Amount Paid: 608.00
;.
�
PHONE".# -w.--7ao.- Q)S/-/' MOVErIN/CLOSING'DATE . ,
Change Due: 0.00
Thank You
This application hereby request and authorizes the Utility to render,water`arid/ocsewage disposal
services to the•premiserdescribed,abpve in accordance with ttieUtilitiespresent•or future rates,
rules and regulations, which by referenceare. made a part of this contract. Applicant: agrees to pay
the Utility piomptly for such services in accordance with the established rules and regulations.)
User ID: RODRIGUEZM
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
„ .• .. SOCIAL SEC/
FED ID
' SPOUSE-SOCIAL.SEC:. ham;
n.0 CEtUSE ONL
'iff
...................,....,.........Y.,..,..�...,,<...,.� *''CASH
DATE RECEIVEDN �F 1
CHK #�, RECEIVEDBY.