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:ort rce Utilities
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206 S,.6th Street i
Fort 'Pierce, FL 34950 r
:lephone No. (7.72) 466-1600
I/09/.16 4:18PM
sc-eipt 4: 031160909000008 I Phone(772)466-1600
ist ome r #: 247147.. Fax (772)461-1938
kation #: 10006990 k -
RLES.T, BLAZER t MER INVOICE4'(ESTIMATE ONLY) �41'�s F z �� .
CHA Y
ayment Received 290.00
14 C ,,eLK 11;t I ER PARIQ'AND'MSBU.
count Tendered Check: 290 00 G � ,n 3 ,
Teck;Number` 1038 . i STALL�NEW /13�xt3l4�V1fATER'MTR ONLY 4 SEWER
iyinent W111;"be, posted: 09-09-2016 PREPARED BY:WARE
.g-ster CASHIER31,
`thi nk you - Have a nice day.... ZT PIERCE FL USA 34982-76,e
`'NEW HOURS M-F' 90 2 5PM"
DRIVE THRU BAM - 5PM
www.FPUA.COm ,> .._ 3 W 000NT N" .3 �d v '� 4._1,0UNIT DOST = CHARGES f
1 $250.00 515i100
;UST $0.01 S t
** Budget Billing Now Available *** ZusT
CUSTOMER COPY :shoo
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 fine to the
housebuilding.is the responsibility of_the customer and is not included in this invoice. State laws require that a permit from the HeaVi
Department must be obtained prior to initiating a septic tank abandonment.Contact the Health Department at (772)8734931-
Construction cost estimates are based on current labor, equipment and material prices. Actual costs of conshix:ion,&qI1 t e S
the completion of the project. Should unforeseen circumstances be encountered during construc im. i eag txx uttit>Ie�!x�;
weather conditions and construction conflicts, the customer will be responsible for increased costs, ii: .` � f�
customer shall not exceed fifteen (15) percent of the total estimated � - 611111,00 00-
customer that exceed the actual cost of consUuction-will be.reiiirt 'by:Fort Pkm*UdWm Ai !Mt�i.�LIII• �+1 :
construction.
Note: This is only an estimate. A bill will be provided following acceptance of the Customer Invoice once signed-and dated. Pkv
submit accepted Customer Invoice toCustom7Se 'ceat 206 South 6t Street, Ft. Pierce, FL 34950 or call (772)466-1600 to sem ail
G�
Customer Signature: Date:
Printed Name:
PRINTFr)r)N• nq/n9/7n1fi AT nd'id PM