HomeMy WebLinkAboutSLC UTILITIES RECEIPT/•\ /
�� WATER
: "' SEWER
Y COMM
RES
METER SZ. MIF
�9 °j mR
SECURITY DEP
- SERVICE. FEE
- SAME DAY FEE
.OVERTIME FEE
METER INSTALL.'
- CFC/WATER
FPUA CFC
CFC/SEWER
GUAR. REV.
LATERAL
TOTAL
OF SPOUSE
.. A
ST. LUCIE COTATY UTILITIES -//P.(/
NAME Y u ,/7 /�
ADDRESS
SCANNED
BLOCK
Alltld
PHONE #a/' PD - /35Z MOVE IN/CLOSING DATE
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/ �, / J
FED E) LJi' y
SPOUSE SOCIAL SEC.
DATE RECEIVED 3 2- /--j CASH UI''FICE USE ONLY
CHIC # 6 I ' O RECEIVED BYZW
'RECEIVED
AuR 12 "719
ST. Lucie County, Permitting
St. Lucie Countyy - PCIS
03-29-201//9 09:32:47
RYANIHOMES6474
5231 OAKLAND LAKE CIR LOT 50
FLR34951RCE
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
User ID: MURRAYA
'e