HomeMy WebLinkAboutMisc Letters c -r 3 a o � zo � cwr+
I
En
d W taJ—I cn r- C) r
s _
_ 'c m om+ (D Co rn 1 c
C313 H C � N C 7
• O O O -D —1 N �SCO � m
c mw m rn
- a a mDoo 0
ED .. m z L W
m
C3- C:)� 7
N -P
O H
W Cq
Ul U1
O CO
O O O _
a.
WATER COMM ST.LUCIE COUNTY UTILITIES-P.O.BOX 728,FT.PIERCE,FL 3498'2 ,
- f
i. SEWER RES a
NAME.'
i METER SZ. M/F
j ACCT.#
IRR
i $ F
f UC� SECURITY DEP SERVICE'ADDRESS �f � O � �,�(�J Q%,7.�i�.
SERVICE FEEMiX
SAME DAY FEE
SUBDIVISION26LOT –BLOCK-
OVERTIME
LOCK OVERTIME FEE
a y13 Y/ on ' METER INSTALL.' BILLING ADDRESS Oa_ ,tie C
CFCIWATER
I
FPUA CFC PHONE# 77.2 YO—, - -2#1-6 MOVE IN/CL.OSING DATE
CFC/SEWER
GUAR.REV.. This application hereby request and authorizes the Utility to render water and/or sewage disposal
j services to the premises described above in accordance with the Utilities present or future rates,
LATERAL rules and regulations,which by reference are made a part of this contract.Applicant agrees to pay
the Utility promptly for such services in accordance with the established rules and regulations.
i $ t ���TOTAL CUSTOMERS DEPOSITS ARE NONNEGOTIABLE OR TRANSFERABLE.
CUSTOMERS SOCIAL SEC/ /
SIGNATURE < ' 1- ./ FED:ID
fNAME OF SPOUSE SPOUSE SOCIAL SEC.
OFFICE USE ONLY I,,
I DATE RECEIVED.`). 1 1W CASH CHIC# �V/ RECEIVED BY s'`