HomeMy WebLinkAboutMisc Letters i
k
i
j
COMM ST LUCIE COUNTY UTILITIES- iP.,O.BOX 728,FT.PIERCE,FL-34982
RES NAME
8R SZ. M/F '(�, 6 1 17
-. . IRR ACCT.#
� (, 0 SERVICEADDRESS 1� tC> I t.je.r=3�'7f}r, Pro
SECURITY DEP ,
SERVICE FEE '
SAME DAY FEE
SUBDIVISION G� —LOT—BLOCK
f OVERTIME FEEDRE � t
METER INSTALL. BILLING ADSS
.0 G1 CFC/WATER
FPUA CFC PHONE#"'7'7 -` MOVE IN/CLOSING DATE
CFC/SEWER
�
This application hereby request and authorizes the Utility to render water and/or sewage disposal.
GUAR.REV. 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
j the Utility promptly for such services in accordance with the established rules and regulations.
TOTAL CUSTOMERS DEPOSITS ARE NON NEGOTIABLE OR TRANSFERABLE.
CUSTOMER SOCIAL SEC/
SIGNATURE —D ' 1.7'5 . C' FED ID
t
NAME OF SPOUSE - - SPOUSE SOCIAL SEC.
FFI E'USE ONLY y'
BY
DATE RECEIVED I CASH CHK#. RECEIVED t � c