HomeMy WebLinkAboutSLC UTILITIES RECEIPTSCANNED
4. Lucie County
ST.LUCI E,COUNTY. - S P O: BOX.728 FT. PIER ` FL 34982 ,
07-18 2019Count10:52i 50
04
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accr #
15542/6065
ADAMS
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sERVICEaDn'REss ��[ �.G/ C7¢�l ��
MDMES OF NOR
FOR SIN 6ENEDETTO PL LOT 6
FORTT PIERCE
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/ :, Q� f 7 9�`
5c 'T
FL 34951
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Amount Tendered: 174.00
SUBDIVISION ti��7U/1•e% LOT BLOCK
Amount Paid: 174.00
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BILLINGADDRESS
Change Due: 0.00
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Thank You
PHONE # MO\?H IN/CLOSING DATE
User ID: MDRRAYA
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This appltcahon heretiy request aril authorizes the Utility to render water and/or sewage disposal,
services to the premises described above iri accordance with the UtiEpes present orfuwit rates,
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rules an 1: ,-lahons„which by,r pf rence are made a part of this contract `Applicant agrees to pay
the Utility prompt1' ..for such,ser iges in,accordance:with the established rules`and regulations::'
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CUSTOMERS,DEFOSITSARE-NON NEGOTIABLEORTRANSFERAELE.
CUSTO-
SIGNA ID::
NAME OF SPOUSE SPOUSE SOCIAL. SEC. -
,
' DATE RECEIYEDi'
OFFICE USE ONLY
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CASH CHK # i%Mt+� '.. ` : RECEIVED.H .;
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