HomeMy WebLinkAboutProject Information I ST.LUCIE COUNTY UTILITIES 'P:O.BOX 728 F.T.PIERCE FL 34982
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St. Lucie CountyVT'11-j%'c0 AUG 04-2015
OB-04-2015 12 ACCT# U J
15825/4615
SERVICE ADDRESS;
BLEDSOE, TIMOTHY
5710 PALM DR
FORT PIERCE
FL 34982 SUBDLVISION ,LOT : BLOCK
Amount Tendered: 600.00
BILLINGADDRESS
Amount Paid: 519.00
PHONE MOVE IN/CLOSING DATE
Change Due: 81 .00
Thank YOU This_application hereby request and authorizes the Utility to render,water and/or sewage disposa,
'services to the'preniises described above m accordance with the Utilities:present:or future rates,
rules and regulations,which by reference are made a part of this contract.Applicant agrees'to.pa3
the-Utilitypromptly:for such services.'in accordance with the established rules and regulations;
User ID: RODRIGUEZM CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE!.
SOCIAL SECT
y� FED Ill �0 4 0 Co
SPOUSE SOCIAL SEC:
DT
tt'' OF USE ONLY
DATE RECEIVE �� CASH CHK# RECEIVED BY