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Fo rt Pi e rce Ut i 1 i t i es !
'206 S 6th Street ty ,
Fort Pierce, FL 34950
Telephone No, (772) 466-1600
06(10/16 10:22AM
Receipt '#; 04616061-0006002 _ — '
Customer #: 246641 Phone(772)466-1600
Location #: .10006936 i Fax (772)461-1938
For:. RICHARD L .GARDNER
Payment Received; 290.00 � � >>
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Amount. Tendered - Check: 290.00
Check Number . Z944h # 4 ► ,R» � �
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Payment will be posted: 06-10-2016c
Register: CASHIER 131 PREPARED BY:WARE
Thank you - Have a nice day....
'ORT PIERCE FL USA 34982-7656
NEW HOURS M-F. 9AM - 5PM
DRIVE THRU.BAM - 5PM -
www.FPUA.comw
!G 1 $260.00 $250.00
** Budget Billing Now Available MCUST
$0.01 $40.00
N CUST i
$0.01 $60.00
CUSTOMER COPY $350.00
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Customers will be assessed wastewater charges the day they connect to the wastewater!system orj within, 365 days from date wastewater
Connection Charge is paid - whichever is first . The cost of the service line from the point! of delivery at the property line to the
house 1 building is the responsibility of the customer and is not Included in this invoice.! State laws require that a permit from the Health
Department must be obtained odor to initiating a septic tank abandonment.Contact the Health Department at''(772)873-4931.
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Construction cast estimates are based on current labor, equipment and material prices. Actual casts of construction will be determined at
the kmplaQn,of the project ' ,Should unforeseen circumstances be encountered during, construction, including but not limited to adverse
j weather conditions and construction conflicts , the customer will be responsible for increased costs . Additional costs incurred by the
custorr�er shall not exceed fifteen ( 15 ) percent of the total estimated construction costs show'' above . Estimated costs paid by the
customer that exceed the actual cost of construction will be refunded by Fort Pierce! Utilities Authority .All fees are due prior to any
construction.
Note: This Is only an estimate. A bill will be provided following acceptance of the Customer;Invoice once signed and dated. Please
submit accepted Customer Invoice to CustomerService at 206 South 6th Street,Ft.Pierce,Ft_34950 or call(772)466-1600 to setup an
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Customer Signature: I Date:
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Printed Name:
PAGE 1 OF 1 ' l PRINTED ON: 05/22/2016 AT 03:32 PM
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