HomeMy WebLinkAboutSLC UTILITIES RECEIPTST LMEUCIE`COUNTY UTILITIES . BOX 728 'FT. PIERCE ° FL
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St. Luce Count - PCIS /53� 5-
05-15-2b199 44 �2:45:16 ACCT. # 9
y PHOENIX6REALTY HOM b��oce l
RR EE SERVICE ADDRESS
3929 PIERCEID DR LOT 3
FL 34949 \d nn JJ ''�� � r'
Amount Tendered: 175.00 SUBDIVISION IW`?���Lr(J LOT BLOCK
Amount Paid: 175.00 BILLINGADDRESS I / V / )CI.
Chanas Due: 0.00 i .I' I��,+
Thank You W (j q C /
PHONE MOVE.IN/CLOSING DATE
' User ID: MURRAYA
This applieahon hezeby request and authonzes the Uhlity to'render Water and/or sewage disp,
services;to fhe'premises: descnbed above in accordance with the Uiilities,present,or future rx
t LATERdI. ,;:H. 'rules and.regulations, whidh byreference are made apart ofahis contract. Applicant agrees to
the Uuhty' ~promptly foc,su6 services in accordance with the established rules and regulati
TOTAL i ,CUSTOMERS DEPOSITS ARE NON NEGOTIr1BL QR TRAi fSFBRABLE.
OCTAL SEC/
CUSTOMER C s-
SIGNATURE'�'`'r 'ID
.'FH�.
SPOUSE SOCIAL SEC,
NAME OF SPOUSE
O$FICE USEONLY '
DATE RECEIVED CASH CHK # iaURECEIVEDBY
SCANNED
St. Lucie Cou*