HomeMy WebLinkAboutSLC UTILITIES RECEIPTSt. Lucie County - PCIS
07-09-2019 11:40:56
17055/6469
RYAN HOMES
5219 OAKLAND LAKE CIR LOT 47
FORT PIERCE
FL 34951
Amount -Tendered: 606.00
Amount Paid: 606.00
Change Due: 0.00
Thank You
User ID: RODRIGUEZM
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SERVICEADDRESS J(�l I —] _d\ICI;' d W(e. �u
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BILLING ADIWESS 45n Cyn4riM10L I-')IVA 5k—
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This application hereby request and authoriies the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates,
riles and regulations, which by reference are made a part of this contract. Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE.
SOCIALSEG_
FED ID
SPOUSE SOCIAL SEC.
OFFICE USE ONLY (�
DATE RECEIVED IGI I�M CASH CHK t 5 -A RECEIVED
=RECEIVED
MANNED
BY
St. Lucie Comb.
12