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C0
St. Lucie Count03'19CIS
43
10-25-2019
15542/7074
ADAMS HOMES OF NOR
5810 TANGELO DR LOT 17
FORT PIERCE
34982
Amount Tendered: 519.00
Amount Paid: 519.00
Change Due: 0.00
Thank You
User ID: ROORIGUEZM
SERVICE ADDRESS
'F .
ses described above in accordance with the Utilities present or future rates;
which by reference.aresnade a part'of.this contract. Applicant agrees to,pay
for such services in accordance with: the established rulesand: regulations.
)SITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/
FED ID
SPOUSE SOCIALSEC:_
OFFICE USE ONLY ,---
DATE RECEIVED 1 CASH CHK # RECEIVED BY
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