HomeMy WebLinkAboutUITLITIESFort Pien _ Utilities Authorit3'
"Committed to Quality"
Key Accounts
206 S. 6th Street SCANNED
P.O. Box 3191 BY
Fort Pierce, Florida 34948-3191 St. Lucie Countv
Job Location 6310 OLEANDER AVE
Account Name GREGORY CHILDRESS
Contact Name GREGORYCHILDRESS
Billing Address 3496 SW HALE ST
Telephone
Invoice Number KA-21-11
Fax
PCN
FEI#
PORT ST LUCIE
Mobile
Phone (772) 466-1600
Fax (772) 465-6984
FL 34953-
Accounting Codes
# Size
Description ,
Fees
06-3-06043701-0000
1 0
Water Meter and/or Service Installation
785.00
06-2-000-23500-0000
Cost. Type
Commercial
O Residential
Water Security Deposit
60.00
06-3-06048800-0000
Water Initiation of Service
40.00
06-3-06043702-0000
Water Capital Improvement Charge
Water ERCs
1
$1,841.00
06-3-06049525-0000
*Water Accrued Guaranteed Revenue Charge
$438.50
Meter Verification Fees
0.00
06-3.06043701-0000
City Limits
O Inside
� Outside
DDC
0.00
08-2-000-23500-0000
Wastewater Security Deposit
0.00
08-3-08048800-0000
Wastewater Initiation of Service
0.00
08-3-08043702-0000
Wastewater Capital Improvement
Wastewater ERCs
0
0.00
08-3-08049525-0000
*Wastewater Accrued Guaranteed Revenue Charge
$0.00
06-3-06043701-0000
Lien Fees
$0.00
Accounting Codes
Construction Cost Estimates
Fees
0.00
0.00
*Water and Wastewater AGRC fees are good until the end of the month. If not received by the end of Down Payment 0.00
the month, new fees will apply. Please contact our office for updated fees. Invoice Total 3,164.50
Description for Service Order INSTALL 5/8 X 3/4" WATER METER AND SERVICE - NO SEWER
Total Paid Date Paid Check Number
Customers will be assessed wastewater charges the day they connect to the wastewater system or within 365 days from date wastewater Connection Charge is paid -
whichever is first. The cost of the service line from the point of delivery at the property line to the house/building is the responsibility of the customer and is not included in
this invoice. State laws require that a permit from the Health Department must be obtained prior to initiating a septic tank abandonment. Contact the Healh Department at
(772)8734931.
Construction cost estimates are based on current labor, equipment and material prices. Actual costs of construction will be determined at the completion of the project.
Should unforeseen circumstances be encountered during construction, including but not limited to adverse weather conditions and construction conflicts, the customer will
be responsible for increased costs. Additional costs incurred by the customer shall not exceed fifteen (15) percent of the total estimated construction costs shown above.
Estimated costs paid by the customer that exceed the actual cost of construction will be refunded by Fort Pierce Utilities Authority.
Key Accounts Rep.
Customer's Signature
Printed Name
Date 3/2/2011
Date
Fort Pierce 'tilities Authority
206 S 6th 3ux-eet
Fort Pierce, FL 34950
On Behalf of:
GREGORY A CHILDRESS
3496 HALE ST
PORT SAINT LUCIE FL 34953-3827
USA
Receipt Number:
Receipt Date:
Customer ID:
Location ID:
Re Service Address:
PYMT00002657682
3/2/2011
213331
10005432
6310 OLEANDER AVE
FORT PIERCE FL 34982
USA
Total Amount Received by Check $3,104.50
Fort Pierce:; tilities Authority
206 S 6th Sc=eet
Fort Pierce, FL 34950
On Behalf of:
GREGORY A CHILDRESS
3496 HALE ST
PORT SAINT LUCIE FL 34953-3827
USA
Total Amount Received by
Deposit Receivable
Receipt Number:
Receipt Date:
Customer ID:
Location ID:
Re Service Address:
PYMT00002657671
3/2/2011
213331
10005432
6310 OLEANDER AVE
FORT PIERCE FL 34982
USA
Check
$60.00