HomeMy WebLinkAboutSLC UTILITIES RECEIPTRECEIVED
AUG 0 5 2020
St. Lucie County - pC�ern fitting Dgpartment
07-26-201//9 11:59:26 St. Lucie County
TRH CONSIRUCTION M
TORT PIERCESTATES DR
L 34949
Daunt Tendered:
176.25
fount Paid:
ange Due: 176.25
ink you 0.00
r I0: MURRAYA
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CUSTOMER COPY
FAME OF SPOUSE -
'DATER
NAME
.ACCT.
i
4 PHONE # MOVE IN/CLOSING DATE
This -application hereby request and authorizes the Utility to render water and/or sewage disposal
service's to the premises described above in. accordance with the Utilities present or future fates,
Hiles and regulations, which by referenceare made Apart of this contract. Applicant agrees to pay
the Utility.'promptly for such'seivices in accordance with the established rules and regulations:
CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/
FED ID
?�
• SPOUSE SOCIAL SEC.
OFFICE USE ONLY
Z CASH U��� RECEIVEDBI_AM