HomeMy WebLinkAboutSLC UTILITIES RECEIPT�r
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St. Lucie County - PCIS
10-09-2018 03:54:11
17055/6451
RYAN HOMES
5312 OAKLAND LAKE CIR LOT 20
FORT PIERCE
FL 34951
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
User ID: RODRIGUEZM
DATE
RECEIVED
pkvR 0 7 A
S' Lucie County, Permitting
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NAME
ACCT. #. 19 G55 -
SERVICE ADDRESS ✓✓l.� r
SUBDIVISION \V1.J L&''
BILLINGADDRESS 1 —15D l_
PHONE #- I t otD 3S / 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 NONNEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/ � �n (�
I` FED ID —1
SPOUSE SOCIAL SEC.
J OFFICE USE ONLY z
CASH CHIC 3l RECEIVED B
SCANNED
BY
St. Lucie County