HomeMy WebLinkAboutMisc Letters Forti e r.ce Ut i 1 i t i es
! 6 S lith Street
E Fort fierce, FL 34950
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Telephone No. (772) 466-1600 ,
06/17/16 2:25PM
Phone(772)466-160(
Receipt #: 052160617000014 Fax (772)461-193E
Customer #: 246977
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Location #: 10006975 MER tN1l010Ef ESTIMATEC>I L
For: --ANNE-T'.HALL = ..
Payment Received: 290.00 OR ANNE T H LL PARKLAN► S '
Amount Tendered - Check: 290.00
STALL.N�1Nx5/8:x 3/ WATE- � �N®SEWER'
Check Number 5937
Payment will be posted: 06-17-2016 PREPARED BY:WARE
i Register: CASHIER 29 !
RT PIERCE FL USA 34982-764
Thank you - Have a nice day....
NEW HOURS M-.F 9AM - 5PM
DRIVE THRU 8AM - 5PM * 4= K ., co, I+rr,• ,. ultimo Cosy" cHARGE
www.FPUA.com 1 $250.00 $250.0(
CUST j $0.01 $40.0(
* Budget Billing Now Available * 'CUST I'� $0.01 $60.oc
i $0.00 $o.oc
CUSTOMER COPY .
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Customers will be assessed wastewater charges the day they connect to the wastewater system or 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/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 prior to initiating a septic tank abandonment. Contact the Health Department at (772)873-4931.
Construction cost estimates are based on current labor, equipment and material prices.; Actual,costs.of construction will be determined at
the completion of the project. Should unforeseen circumstances be encountered during construction, including but not limited to adverse
weather conditions and construction conflicts, the customer will be responsible for increased costs. Additional costs incurred by the
customer shall not exceed fifteen (15) percent of the total estimated construction costs shown 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
i submit accepted Customer Invoice to Customer Service at 206 South 6th Street, Ft. Pierce,FL34950 or call (772) 466-1600•to setup an
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Customer Signature: Date:
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Printed Name:
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PAGE 1 OF 1 PRINTED ON: 06/17/2016 AT 02:09 PP
above-named persons: Driver's Licenses;and that an oath was not taken. i
RUBBER STAMP NOTARY SEAL Witness my hand and official Seal in the County and State last