HomeMy WebLinkAboutUTILITIESFort Pierce Utilities Authority
• 206 S16th Street
1 Fort'Pierce, FL 34950
Receipt Number: PYMT00005929961
Receipt Date: 8/15/2018
Customer ID: 205575
Location ID: 10007551
On Behalf of: I Re Service Address:
MISSIONARY FLIGHTS AND SERVICE
3170 AIRMANS DR ' 3163 HAMMOND RD
FORT PIERCE FL 34946-9131 FORT PIERCE FL 34946
USA I USA
Total Amount�Received by Check
MISSIONARY FLIGHTS INTERNATIONAL
�I
I
I
I
$15,154.30
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WAS nd nee Q ems.
WATER _k COMM
SEWER RES
METER SZ. M/F
99. on
ERR
$
SECURITY DEP
,32 O U
SERVICE FEE
SAME DAY FEE
OVERTIME FEE
METERINSTALL.
CFC/WATER
FPUA CFC
,, R' /_ �/
N�6 5 L ZQ
R!/J
CFC/SEWER
N4s�-�7 •y U
GUAR REV.
LATERAL
TOTAL
O
CUSTOMER
SIGNATURE
NAME OF
NAME
ACCT. #
SERVICEADDRESS
Ao.12-
3Y
SUBDIVISION LOT BLOCK
BILLING
PHONE # MOVE IN/CLOSING
This application hereby request and authorizes 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 riles and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
SOCIAL SEC/ R a�
FED ID
SPOUSE SOCIAL
DATE RECEIVED_�0 CASH OFFICE USE
CHK# GiSJO RECEIVED BY A��GL
Respectfully,
E IN RING DESIGN &CONSTRUCTION, INC.
Patricia Sesta
Planner
3^EWPSLLRgci Fleslt&12B-ACvsiowry FLaru�Fnc ett,�meN54etlu5VOt6Q!•1J v_semotws5on.n�ontaJwmmnenlFa trner 16t294m
10250 SW Village Parkway, Suite 201
Port St. Lucie, FL 34967
772-462-2455
1/14/2018 09:46 am St Lucie County Utilities Page: 1 of,1
, ledger Detail and Balance forAccount: 7747-6447 From: 7/1/2018 To:.8M4/201ti
nRyip61:r_u9i jedger - - 3163 HAMMOND Rib -FORT PIERCE FL 34946 -
Bill Date Trans Date
Description
07/18/2018
Payment CHK
07/17/2018
SEWER GUAR REV
07/17/2018
SEWER CONN FEES
07/17/2018
SEWER DEPOSIT
07/17/2018
SERVICE FEE
Trans Amt
Pymnt Date Amt Applied
7,514.00
538.00
07/18/2018 $538.00
6,850.00
07/18/2018 $6,850.00
89.00
07/18/2018 $89.00
37.00
07/18/2018 $37.00
Payment Balance: $0.00 Open Balance: $0.00