HomeMy WebLinkAboutProject Information -.z..r-..,-nar a;.�nr.aa 5ri4:u.:,.7 •';'h�srsrir ei:fiC::'+�;",47"`L:S".0 •c;.c;;)k.r1..'�,.z�,y j`t� Wr-m't tx'7- 'fiY,�^
i a v
1 i r
$T LUCIE UTILITIES CFE ST LUCIE COiTNTY iJTII lhg P O BOX 728,F"r:PIERCE,FL 34982
2300 WRGINA AVE
FART PIERCE F34982
01/1112016 , L
CREDIT 12;31;00
CARD ,f
VISA SALE PSERVICE ADDRESS (17Q � v Gca� l�
Card# i
SEQ#: X6313 i
Batch#;
IIVVO 310 SUBDIVISION.` LQT jBLOCK �
ICE
Approval Code; 028875 L. BILLINCr ADDREss tDO � �� �t
!± Entry Meftd. 1 i�
Mode; Swiped 1
. Online
J11LEmO'jIIT MOVE INICLOSING DATE
t+lYl $521.25 F
This application hereby request and authorizes#tie,Uttlity to render water and/or sewage disposal
servicesta the premises described above in accordance with the Utilities present or,:future rates,
CUSTOMER COPY rules and" ' '' "'ons,which by reference`are made a part of this contract Applicant agrees to pay
J the Utality promptly for such services:in accordance with'ihe estib shed':rules and regulations
CUSTOMERS DEPOSITS ARE NON:NEGOTIA$LE.OR TRANSFERABZ E
SOCIAL SEC
FED ID C l'tX.
SPOUSE SOCIAL SEC
(SW*. CE USE ONLY
DATE RECEIVED �. �� CASH /a CHK# RECEIVED'BY