HomeMy WebLinkAboutRECEIPT[. Lucie County - PCIS
5-01-2019 10:15:55
_17647/6769
MR ENTERPRISES L
B09 SPRUCE DR
ORT PIERCE
L 34982
mount Tendered: 519.00
mount Paid: 519.00
;hanse Due: 0.00
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iser ID: RODRIGUEZM
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ST. LUCIE COUNTY UTILITIES - P.O. BOXIi8. FT. PIERCE. FL 34982
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NAME
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SERVICE ADDRESS s� �U
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SUBDIVISION �LOT__ BLyO'CKj ?�
BILLINGADDRESS �O )0 J� t-G L -=F •� 7�.f1LYP
PHONE # �`J cV V"" MOVE IN/CLOSING DATE
This application hereby request and authoriies the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates,
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.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/
FED ID
SPOUSE SOCIAL
OFFICE USE ONLY
DATE RECEIVED 1 CASH cHK # I IT) i RECEIVED
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