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WATER COMM
X SEWER _ RES
d METER SZ. tyvp
Gt) IRR
$ SECURITYDEP
SERVICE FEE
SAME DAY FEE
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l� OVERTIME FEE ' 0U METER INSTALL.
CFC/WATER.
FPUA CFC
CFC/SEWER
GUAR. REV.
LATERAL
TOTAL
CUSTOMER
SIGNATURE;
NAME OF SPOUSE
NAME
ACCT. # I I CrJ�J S if 't /O
SERVICE ADDRESS Jr✓"lJ,.� P'Mku lam(
✓ISION- �1CU �[/ L{1F l S! L/OT �rJ
GADDRESS I45D
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6
This application hereby request and authorises the Utility to render water and/or sewage dispos
services to the premises described above in accordancewith the Utilities present or future rate
rules, and regulations, which by reference are made a part of this contract. Applicant agrees to pa
the Utility promptly for such services in with the established rules and regulation.
CUSTOMERS! DEPOSITS APE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/ 5- / _ /� , / n -
FEDID°--� y U
SPOUSE SOCIAL SEC.
SCANNED
BY
St. Lucie County EIVED
I APR 1 0 2019
Sr. LOrJe County, Permltting
St. Lucie Count - PCIS
03-29-2019 �19;33.42
1705%6466
RYAN HOME
5255 OAKLAVP LAKE CIR LOT 56
FORT PIERC
FL 34951 608.00
Amount Tendered: 606 00
Amount Paid:
Chaney Due:
0.00
Thank You
User ID: MURRAYA