HomeMy WebLinkAboutProject Information ST.LUCIE COUNTY UTILI/TIES:=P.O.'BOX 728 ET:PIERCE,FL 34982
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MCH U RI
Rt PEI SERV
16034ICE ADDRESS ` •! I 1 e
'dE
OAK DR
134982
mount Tendered: 519.00 suaDzvlsTcsIv � oT:fib /, sLocx
mount Paid: a r'
519.00BILILING ADDRESS'>
ian9e Due:
0 �L
.00 �
lank You
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i PHONE# MOVE IN/CLOSING DATE
er ID: WARDD a
I
This application hereby request and authorises the'L Utility to render water and/or sewage disposal
services to'the premises described above in accordance with fhe Utilities present or future rates,
LA:t EWk!7,; rules and regulations;which by Yeference are made a part of this contract Applicant agrees to pay
Ltilpromices
.in accordance-with the established rules.and regulations.
TQTALk CUSTOMERS:DEPOSITS ARE NOIR NEGOTIABLE,E OR TRANSFERABLE.
CUSS OhfER r SOCTAL.SEGI
NAME OF SPOUSE SPOUSE SOCIAL SBC.
DATE RECEIVED/ �jt . .� . CASH OFFICE USECHK# RECEIVED BY G/LGL'I f