HomeMy WebLinkAboutSLC UTILITIES RECEIPTSt. Lucie County - PCIS
05-13-2019 03:21:34 SCANNED
BY
17055/6481 St. Lucie Cow
RYAN HOMES
5246 OAKLAND LAKE CIR LOT 34
FORT PIERCE
FL 34951
Amount Tendered: 608.00
Amount Paid: 608.00
Chan.9s Due: 0.00
Thank You
User ID: RODRIGUEZM
ACCT. # P7055 - &1�9/
SERVIC� ADDRESS
IL16Z -
PHONE8,5W— 7CX 35'1 MOVE INICLOSING DATE
This application hereby request and authoriies the Utility to render water and/or sewage dispo"sal
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 �vith the established,ral6dand regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRkNSFERAB�P.
SOCIAL SEC'
FED ID
SPOU�E SOC IAL SEC.
t5 IqCASH OFFICE USE ONLYN
DATE RECEIVED CHK #ZA RECEIVED
2