HomeMy WebLinkAboutSLC UTILITIES RECEIPTSt. Lucie County - PCIS
04-25-2019 01:59:59
18719/6761
SYNERGY HOMES LLC
5117 PALMETTO DR
FORT PIERCE
FL 34982
Amount Tendered: 521.00
Amount Paid: 521.00
Change Due: 0.00
Thank You
User ID: RODRIGUEZM
ST. LUCIE COUNTY UTILITIES - (P.O. BOX 728 FT. PIERCE FL 34982 NAME UPL{ LC�
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SERVICE ADDRESS L� YY4- D
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PHONE' #_J 6 L O by ) 6 MOVE IN/CLOSING DATE
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This application hereby request and authorizes 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 _ -I D— I (�C') D I b
SPOUSE SOCIAL SEC.
OFFICE USE ONLY
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