HomeMy WebLinkAboutSLC UTILITIES RECEIPTSt. Lucie County - PCIS
J6-03-2019 09:45:72
17055/6489
CYAN HOMES
263 OAKLAND LAKE CIR LOT 58
'ORT PIERCE
'L 34951
mount Tendered: 608.00
mount Paid: 608.00
range Due:. 0.00
lank You
;er ID: RODRIGUEZM
DATE
ACCT.,#
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PHONE '##'— /ice �{ /1 MOVE IN/CLOSING DATE
This applicationhereby request andauthorizes the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or futurerates,
rules and regulations, which by,reference are made a part of this contract. Applicant: agreesto pay
the Utility promptly for such services in accordancewith the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
.SOCIAL SEC/ _ L:q_ , `7VS
FED ID 7
SPOUSE SOCIAL SEC.
'OFFICE USE ONLY r _ _ 4 E ()
SR CFIIC S _Ut 1. FF!`FiVFTI
=RECEIVED
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