HomeMy WebLinkAboutMisc Letters ! 1 ST.LUCIE COUNTY UTILITIES-P.O.BOX-
72&FT.PIERCE,FL 34982
St. Lucie County - PCIS NAME
i' 12-28-2015 03:07:22
ACCT.# C)
1602015221 f
UELOSA,
'LAIRINDA SERVICE ADDRESS o o C?'s' S�Dy:e-ir
6005 SPRUCE DR
FORT PIERCE '
IFL 34982 SUBDIVISION LOT BLOCK
k Amount Tendered: 519.00 �+
BILLING ADDRESS -777777
J !v c fZ
Amount Paid: 519.009
! Change Due: 0.00 PHONE#' `7-72-- Z03-1714a
1MOVE IN/CLOSING DATE
4 Thank You Tlo application hereby,request and authorises the Utility to render water and/or sewage disposal
sefvices to the remises described above in accordance with the Utilities present or.future
p
rules and regulations,which by referenceare shade apart of this contract.Applicant agrees to
User ID: RODR15UEZM the.Utility promptly pay
E ompty for such services in accoidance with the established rules and.
CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
J SOCIAL SEC/ o22- - Y,7— --1�- /
--" FED ID;
SPOUSE SOCIAL SEC.
f OFFICE USE ONLY , r
DATE RECEIVED 12 ! ) CASH CHK# �' �� RECEIVED BY f'��