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" WATER COMM ST L.UCIE:COUNTY UTILITIES P O BOX 728 FT.PIERCE FI,34982'
" SEWER
RES NAIVTE' Ci '_ 1
METER SZ. " MJF
IRR ACCT,# /
SECURITY DEP' SERVICE:ADDRESS �✓.�� , / '
--- SER, .
VICE.FEE
SAME DAY FEE' ..
°SUBDIVISION LOT/0 BLOCK
OVERTIME,FEE
( BILI:ING.,DDRESS
-'MI ETER INSTALL.
CPC/WATER
FPUA CFC <PHONE#-,7 7 "
2VIOVE IN/CLOSING DATE
CFC/SEWER
GUAR REV. This application hereby request and authorizes_the Utility to.render water and/or sewage disposal
'services'to the premises describedabove inaccordance with the Utilities present or future rates;
LATERAL rules and regulations,which by reference are made a part of this contract.Applicant agrees to pay
G the Utility promptly for such services in accordance with the established rules and regulations.
$ �TUTAt». .;
t. .., CUSTOMERS'DEPOSITS ARE N6N NEGOTIA,13MOR TRANSFERABLE.
. .
`CUSTOMER SOCIA',
..
SIGNATURFr..-' .r3 ,,° .� t,� .�%��' / ,��'-�i�)����..- FED •7
NAME OFSPOUSE SPOUSE SOCIAL SEC. '-
f OFFICE USE ONLY,
DATE RECEIVEDt ate 0 f ,� CASH CHK# �5)` ` . RECEIVED BY r
p
St. Lucie County ='PCIS. -
08-29-2015 10;56;04
IF EROS I1'VALER
51 C SSIA DR-
.FORT P ERCE
FG 34982
Amount,Tendered.: 519:00
Amount Paid: 519.00
Change Due.: 0.00 )
Thank You
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