HomeMy WebLinkAboutSLC UTILITIES RECEIPT0
St. Lucia County - PCIS
07-18-2019 10:53:58
15542 3335
ADAMS HOM S OF NOR
8516 WATERSTONE BLVD
FORT PIERCE
FL 34951
Amount Tendered:
Amount Paid:
Chance Due:
Thank You
User ID: MURRAYA
NAME OF SPOUSE
11
174.00
174.00
0.00
EP
EE
EE
ALL.
LAr. Cr(t•r.
SCANNED
BY
St. Lucie County
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SERVICE ADDRESS Oa 6"f t,�.t'+'-f }'i ��}/�''
LOT BLOCK ,x
PHONE # 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/
FED ID
SPOUSE SOCIAL SEC
i OFFICE USE ONLY