HomeMy WebLinkAboutMisc Letters ST.-L COUNTY-UT-
11 S_-P.O.BOX 728 FT.PIERCE FL 34982
1 1 �
1 NAME CCa 1� 1'p i t
Count - PCIS _
66:22:39
ACCT #
5276 I
HARD jgp SERVICE k- DRESS`
T BLVD
s
g
dared; 521 .25 SEE
SUBDIVISION ! LOT _ BLOCK
d; 521 .25
SEE
0.00 ALL
BILLING
ADDRESS° � y(L
-
gURRAYA PHONE# MOVE IN/CI OSING,DATE
1 This application hereby request and authorizes the Utility to render water and/or sewage disposal
JUIV I �JL1LJ "'= services to the premises described above m accordance with the Utiles present or futare rates,
TERA rules and regulations,which by reference are made a part of this contract Applicant agrees to pay.
the Utility piomptly for such services m acc01r ance with the,established rule's`and regulations..
ITAL CUSTOMERS D -ORT
EP LE
FEkAB
CUSTOMER COPY soclAL sEc/ / �J
w =FED ID
SPOUSI; SPOUSE SOCIAL SEC:-
�(�� OFFICE USE`ONLY - - •"
' J J
DATE RECEIVED CASH /S ii
G RECEIVED