HomeMy WebLinkAboutMisc Letters Amount Tendered: 521.25
Amount Paid: 521 .25
Change Due: 0.00
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Thank You °`
User ID: WARDDrI ST.LUCIE COUNTY.UTILITIES-P.O.BOX 728 FT.PIERCE FL 34982
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.......... NAME !
METER SZ. MiF ACCT# L'�
IRR
I $
.' 0 c) SECURITY DEP SERVICE ADDRESS
SERVICE FEE Ls Ftil C( Jv
> �
SAME DAY FEE
5UBDIVISIO.N f, LOT.3 VU BLOCK `P10
'
' OVERTIME FEE
+ < D 0 METER INSTALL. BILLING ADDRESS' -' 11"5 1 � S
} CFC/WATER
FPUA CFC PHONE# lS D f MOVE IN/CLOSING DATE
CFC/SEWER
i This application hereby request and authorizes the Utility to render water and/or sewage disposal
i GUAR.REV. services to the premises described above in accordance with the Utilities present or future',rates,
rules and regulations,which b reference are made a art of this contract.Applicant agrees to a
LATERAL 8u . Y P PP g pay
the Utility promptly for such services in accordance with the established rules and regulations.
$ ' TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER;:..,. SOCIAL SEC/ l
SIGNATURE` �1 -�1 (td,t FED ID
fNAME OF SPOUSE SPOUSE SOCIAL SEC.
� OFFICE USE ONLY
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DATE RECEIVED / j CASH �GI>'!C { fa-- RECEIVED BY