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WATER COMM ST.LUCIE COUNTY UTILITIES P.O.BOX 728,FT.PIERCE,FL 34982 '
SEWER RESNAME
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METER SZ.
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SECURITY DEP SERVICE ADDRESS ��I// L
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SERVICE FEE Y'(; Ii� T iX_%14
SAME!DAY FEE
SUBDIVISIONOT BLOCK
l OVERTIME FEE f
METER INSTALL. BILLING ADDRESS L In I A be 4 r-P�
CFC/WATER r; 1"'f '�J i�i`�G� 4q
FPUA CFC PHONE#_7 r7;'� ,'i��rJ —`^� v MOVE 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 described above in accordance 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
the Utility promptly for such services in accordance with the established rules and regulations.
0 Q TOTAL �IJ � CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMERit ? I I `��V SOCIAL SEC/ � i
SIGNATURE u��f '�1%ir' ! ;'t FED ID ? V
l
NAME OF SPOUSE SPOUSE SOCIAL SEC.
/1 OFFICE USE ONLY c
DATE RECEIVED/ �r�/. CASH CHK# ,jRECEIVED BY �