HomeMy WebLinkAboutSLC UTILITIES RECEIPTSt. Lucie County - PCIS SCANNED
07-09-2019 11:41:59 BY
17055/6477 StudeCoanty p
WAR -HOMES
5238 OAKLAND LAKE CIR LOT 36
FORT PIERCE p
FL 34951
Amount Tendered: 608.00
Amount Paid: 608.00
Change Due: 0.00
Thank You
User ID: RODRIGUEZM
DATE RECEIVED
COUNTY UTILIT
NAME
ACCT.
SERVICE ADDRESS 5a
ano - r.ai. nu
55-- &l
39 &
9, FL 34982
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PHONE # SbI' r/QQ "��� �/ MOVE IN/CLOSING DATE
This 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 and regulations, which by reference are made a part of thisicontract. Applicant agrees to pay
the Utility promptly for such services in accordance "with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE.OR TRANSFERABLE.
SOCIALSEC/�j�-
FED ID
SPOUSE SOCIAL SEC.
CASH _ CHK #V` U V RECEIVEDBY