HomeMy WebLinkAboutMisc Letters WATER COMM ST.LUCIE COUNTY UTILITIES-P.O.BOX 728,FT.PIERCE,F1 34982
SEWER RES
NAME - T-A VV61TVC, L t
METER SZ. MIF ACCT.# 19 - -- �7
IRR
SECURITY DEP SERVICE ADDRESS 0 Z 1c c 14 e),/-j
SERVICE FEE L
SAME DAY FEE
SUBDIVISIONI-Vl4tK OT .3n.—.— BLOCK—k
OVERTIME FEE
0 METER INSTALL.
BILLINGADDRESS 4
I �JE did& C'
10
CFC/WATER fD t LKL t",e-
FPUA CFC PHONE# MOVE IN/CLOSING DATE '40
CFC/SEWER
GUAR.REV. This application hereby request and authoriies the Utility to render water and/or sewage disposal
services to the premises described above in accordance with the Utilities present or future rates,
-71 nbLATERAL rules and regulations,which by reference are made a part of this contract.Applicant agrees to pay
TOTAL the Utility promptly for such services in accordopce with the established rules and regulations.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE,
CUSTOMER SOCIAL SEC/
SIGNATURE_ >t _� a . FED ID
NAME OF SPOUSE SPOUSE SOCIAL SEC.'
-,0
RECEIVED
C OFFICE USE ONLY
DATE RECEI _7h_ ASH CHK RECEIVED B'
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