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ST )LUCIE COUNTI'UTI)LITI]ES=`>P.O.FBOX 728 SFT PIERCE,FL 34982
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NAME 7 C�LGA] cr2 Gt ' IE? k
St. Lucie County - PCIS
07-24-2015 12:46:02. 0
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JOSEPH D4EUNEL
902 BRADLEY ST d:
FORT PIERCE /U�µ � ���
FL 3498 r —, 711 el
Amount Tendered: 519.00 SUBDIVISIONM LOTs -$ ocx �
Amount Paid: 519.00
BIL ANG ADDRESS C�'Ll S
Change Due: 0.00
Thank You
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User ID WARDDPHONE# �t�J MOV$;IN/CIrOSING DATE
This application hereby`request and authorizeshe Utility to render water and/orsewage;disposal`
", services to the premises described above m accordancewrth the Utilities present or future rates,`r:>,
LATERAL' ` 'Hiles and regulations,which by;reference are made apart of this contract Applicant agrees to pay:.`
promptly for such sernces m accordance with the established rules_and regulations.'
CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE y
CUSTOM SOCIAL SEC/
` SIGNATURE -�
NAMHOF SPOUSE :, SPOUSE=;SOCIAL SEC
f .` CSI E ONLY
u DATE RECEIVED CASH CHK# RECENED BY Gam" l