HomeMy WebLinkAboutSLC UTILITIES RECEIPT'ST LCOUN1' C U ITIES 'BOX 728 FT;PIERCE EL 34982,
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St. Lucie County - PCIS
06-24-2019 02:26:57
15542/6946
P SERVICH ADDRESS e
ADAMS HOMES OF NOR
5913 BALSAM DR LOT 23
FORT PIERCE
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FL 34982
i SUBAYVISION : LOT t OCK r7
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BH, G'1 0,-;
Amount Tendered: 519.00
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Amount Paid: 519.00-�1G���Q
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Change Due: 0.00
MOVE IN/CLOSING DATE
Thank You
i Tlvs apphcahon heieby request and authonzes the UUhty to render water and/or sewage dvsposaLj
.; servtces to•the preauses descnbed,�above m accordance with the Utilities present or'futun: nates,-�
rules and rbgulahons which by reference are made a of tivs
part contractGApphcant agrees to paytF�
the Uiti�ty'=promptly for such services m accordance vntli7the estabhslied rules and;iegulations
User ID: WARDD
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CUSTO�RSDEPOSITS`ARENONNEGOTIABLEOR;TRAN LE -;A' (�`"��,
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SPOUSE SOCIAL SEC...
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r^ OFFICE USE ONLY
'DATE RECEIVED /'-/] F CASH -RECEIVED BY
R ECLIVC�____.
AUG 14 Zplg
ST. 'Lucie County, permitting