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This application hereby'request and authorizes the Utility to tender water and/or sewage dh
services to thepremises described above in accordance with the Utilities presentor future
rules and regulations, which by reference are made apart of this contract. Applicant agrees I
the Utility promptly for such services in accordance with the established, rules and regula
CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/' -, t ` I � 4 ; (0 L
FED ID ��+'i
SPOUSE SOCIAL
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DATERECEIVED, --/L(-/'i CASH CHK# DO O RECEIVEDBY /W
SCANNED
BY
St. Lucie County
St. Lucie County - PCIS
09-14-2018 01:25:22
17055/6492
RYAN HOMES
527T11 pOIKLAN LAKE CIR LOT 60
ERCE
FL 34P51
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
User ID; MURRAYA