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ort Pierce Utilities
206 S 6th Street
Fort Pierce, FL 34950
772 466-1600
7/13/16 10:15AM
Phone(772)466-1600
eceipt #: 016160713000024 Fax (772)461-1938
ustomer #: 246973 v
I -ocat i on #: 10006971 8 aNV010E f f M. ONLY 1 ;,`
For:
DEBRA 14 GARRISON
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Payment Received: 60.00
FEBRA GARRISON r F�ARKkAND MSBt'1- � �` �` z
Amount Tendered - Check: 60.00
Check Number : 1687 -�-NEW`5la x 3/41lVATR ITR ONLY NO SEWER
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Payment will be posted: 07-13-2016 PREPARED BY:WARE
Register: CASHIER16
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Thank you - Have a nice day. ... ,RCE FL USA.34982-7624
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NEW HOURS M-F 9AM - 5PM
DRIVE THRU SAM - 5PM
.. � , COUNT . . . -_= ...:= ..UNIT
A www.FPUA.com 1 $250.00 $250.00
A T $0.01 $40.00
* Budget Billing Now Available * iT $0.01 $60.00
N $0.00
$0.00
r4 CUSTOMER COPY $350.00
ustomers will be assessed wastewater charges the day they connect to the wastewater system or within 365 days from date wastewater
Dnnection Charge is paid - whichever is first. The cost of the service line from the point of delivery at the property line to the
)use/building is the responsibility of the customer and is not included in this invoice. State laws require that a permit from the Health
apartment must be obtained prior to initiating a septic tank abandonment. Contact the Health Department at (772)873-4931.
Dnstruction cost estimates are based on current labor, equipment and material prices. Actual costs of construction will be determined at
e completion of the project. Shouldwunforeseen circumstances be encountered during construction, including but not limited to adverse
eather conditions and construction conflicts, the customer will be responsible for increased costs. Additional costs incurred by the
istomer shall not exceed fifteen (15) percent of the total estimated construction costs shown above. Estimated costs paid by the
istomer that exceed the actual cost of construction will be refunded by Fort Pierce Utilities Authority.All fees are due prior to any
)nstruction.
Dte: This is only an estimate. A bill will be provided following acceptance of the Customer Invoice once signed and dated. Please
ibmit accepted Customer Invoice Customer is at 206 South 6th Street, Ft. Pierce, FL 34950 or call (772)466-1600 to setup an
:ustomer Signature: Date:
'rinted Name: oc�A
'GE 1 OF 1 PRINTED ON: 07/13/2016 AT 10:09 AM