HomeMy WebLinkAboutSLC UTILITIES RECEIPTSt. Luc' PCIS
07-18-2�1//9 0:53:30
FFADAMSSAHAONMEEES 0� NNOR
FLR3495ERCENE EiTO PL LOT 4
Amount Tendered: 174.00
Amount Paid: 174.00
[ ` Due: 0.00
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User ID: MURRAYA
NAME OF SPOUSE
.,DATE RE
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ST LUCIE COUNTYSUTIIdT S'- P.O. BOX T28 FT. PIERCE FL 34982 S�. LUC12
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p SERVI'VADDRESS ' ✓ �l.�✓ v �' ` -
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3�9` J57
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SUBDIVISION' l LOT; T BLOCK'
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PHONE # MOVE IN/CLOSING DATE
iThis application hereby request and authorises 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 znd regulations, whiich by`seference are made a pad of this contract. Applicantagrees to pay
the'Ut.ility pr'omptlyffor'`such services in accordance with the established tales and regulations.
CUSTOMEILS DEPOSITS AR$ NON NEGOTIABLE OR TRANSFERABLE..
SOCIAL SEC/
FED ID
" - SPOUSE'. SOCIAL SSEC.
L .11 1 ,USC #YI7 �-f RECEIVED,BY : .