HomeMy WebLinkAboutMisc Letters M ST LUCIE COUNTY UTILITIES P:O BOX 728,FT PIERCE,FL 34982
St. Lucie County - PCIS , r
11-02-2016 11 :54:28 ACCT.,# '�
16438/5288 Ep SERVICE ADDRESS ��/ ��'� C�
YATES, PATRICIA r r"
5111 SUNSET BLVD '7 �'
FORT PIERCE
FL 34982 EE SUBDIVISION LOT BLOCK
EE -
Amount Tendered: 519.00 BILLINGADDREss
ALL. -
Amount Paid: 519.00
Chance Due: 0.00
-PHONE.-#., l" T�`� 1VIOVE IN/CLOSING DATE
Thank YOU This application hereby requesi and authorizes the Utility`to rendes water and/or sewage disposal
cervices-ao the premises described above;;m accordance with.tlie•Utihties present'oc future rates;
rules and regulations,which by reference are made a part of this contract Applicant agrees.to pay.
User ID: RODRIGUEZM the Utility promptly for such services in-accordance with the established rules and regulations
r. .CUSTOMER$DEPOSITS ARENON-NEGOTIABLE OR TRANSFERABLE
FED ID
r
I . SPOUSE SOCIAL:SEC
E
` OFFICE US ONLY
DATE RECEIVED �°t: �• CASH CHK# 4i �_. RECEIVED,BY
71 .