HomeMy WebLinkAboutProject Information ST LONE UTILITIES DEP ST LUCIE,COUNTY UTILI•TIES-'P O BOX 728'FT PI R E EL 34982.'
2300 VIRGINA AVE r
FORT PIERCE,FL 34982 "NAME
12,51;52 7
03/0112016 ACCT #, 3 ;
CREDIT CARD
VISA SALE SERVICE ADDRESS`.
Card# X)OOIX10XX0000(6317� � ,+ l
SE,Q#; ;
Batch#; 344
SUBDIVISION LOT BLOCK°
INVOICE 19
Approval Code. 04559C BILIINGADDRESS:
Entry Method; Swiped
Mode;
Online
{, PHONE#` �V� Ir10VE IN/CLOSINGDATE
SALE AMOUNT $521,25 r
Th,s apphcahon hereby request and authonzes the Utility to render*at ei and/or'sewage disposal
services to the premises described above m:accordance with the Utilities resent.-r.future rates,
CUSTOMER COPY rules'and regulations,which by-reference are made a part of this contract:Applicant agrees to`pay.
e:Utility pro•'mptlytfor suchserv�ces"in accordance with the.,establisHed rales and regulations:
CIAL
CUSTOMERS,DEPOSITS ARE NON NEG,OTIABI:E.OR TRANSFERABLE -
j
FED D`SEC/
'SPOUSE SOCIAL SEC
F USEONLY'
DATE RECEIVED CASH CHK# RECEIVED BY
s, ,
_,o
RD
MAR 0120
PERMITTING
St. Lucie county, FL