HomeMy WebLinkAboutSLC UTILITIES RECEIPTN p
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07-18 2019Count10:54 27 a
1558 (333F6F RR
FORiSPIE RSTO BLVD
FL 34951
Amount Tendered: 174.00
Amount Paid: 174.00
Change Due: 0.00
Thank You
User ID: MURRAYA
LATERAL
NAME OF SPOUSE
ACC E #
SERVICE ADDRESS
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BILLINGADDRESS
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BY
St. Lucie C
PHONE # / �t %UMOVE INICLOSING 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 byreference;are made a part of this contract. Applicant agrees to pay
the Utility promtly, fponsuch.services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE ANON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/ '
FED ID
SPOUSE SOCIAL SEC.
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