HomeMy WebLinkAboutMisc Letters ST LUCIE COUNTY UTILITIES-P.O.BOX 728;FT.PIERCE;FL 34982
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St. Lucie Count - PCIS
` 06-04-2015 04:30:59 IACCT
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8258 4545 ISERUIE ADDRESs
GARCI H�RNAN
4903 PALM DR
FLR34982RCE
Amount Tendered: 519.00 iStfbDIVISION "(t L T, BLOCK
Amount Paid: L .
519.00 BILLING,ADDRESS : L .> `( ( �
Change Due: ' 0.00
� Thank You
_ PHONE#: �" �- te OVE IN/CLOSING DA'Z'E
is User ID: WARDD
This application hereby request and authorizes the Utility to render water and/or sewage disposal
{ jservices.to the premises described above in accordance with.the Utilities present or future rates,
LATERAL rules and regulations,which by reference are mad apart of this contract.Applicant.agrees to pay
{ ;the Utility promptly for such services in accorda, cc with the established rules and regulations.
TOTAL jCUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
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.,CUSTOMER-. SOCIAL SEC/
SIGGN2rx✓-� C'r�i FED ID
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NAME OF SPOUSE SPOUSE SOCIAL SEC. z
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I O FIU
SE ONLY.
CASC4K RE�II
EIDATE RECEIVED VD
BY
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