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Report 127 ') 5ku xI S tea- purk, o2 Oo ) l f INVOICE DATE NUMBER 04/05/2022 1:21 pm 1-540094 Page 1 of 1 �--" - I IIIIII IIII IIIIII 11111 11111 11111 11111 11111 liii lII1 Tualatin-S&H Landscape 20200 SW Stafford Road Tualatin,OR,97062 Tel.503.638.1011 Fax:503.638.0754 S Alpha Environmental Services, Inc s Alpha Environmental Services, Inc O H L 11080 SW Allen Blvd Suite 100 I 11080 SW Allen Blvd Suite 100 D Beaverton, Oregon P Beaverton, Oregon 97005 97005 T T 0 Tel: azhou@alphaenvironmental.net 0 Cashier Customer I.D. PO Number Due Date Anna 1-19605 Code Descriiptio` �<.,; Qty Taxable Price Ext Price SH1204 3/4"MINUS 5 C F $38.00 $190.00 CHARGED TO: REF# 04/05/2022 A/R = 200.43 TOTAL OWING ON THIS INVOICE AS OF 04/05/2022 : $200.43 Terms of Sale: • Sales Amount: $190.00 A/R Balance as of 04/05/2022 $826.63 Taxes CAT Fee: $1.88 Thanks for shopping at our store! Fuel Surch: $8.55 I agree to pay AR N/A: Have a nice day! Misc: Total: $200.43 Tendered: Change Due: Honest Drain Solutions LLC CCB#-214203 4.0 .� HDS "Septic Pumping" DEQ#-39093 WORK ORDER No. 4471 23325 S Ward Ct. L.j _ 5-_ 77 41 ` ''k 011 •.-- —• Oregon City, OR 97045 DATE Info©honestdrainsolutions.com BILLING DRAIN SPECIALIST 1•� G 503-312-1285 (Cell) • 503-266-6633 NAME CUSTOMER ADDRESS NAME A I "y `(. CITY STATE ZIP CODE ADDRESS / P -7 C 6-) .. .6(., ':-1,4=4 -S /1 v r=- PHONE EMAIL CITY �_ 4 v d c STATE Gj e ZIP CODE �7 PHONE .' , G?� /�.. EMAIL , TIME IN TIME OUT OVERTIME/TRAVEL $ COURTESY INSPECTION OY ® ACCESSED VIA CAUSE OF STOPPAGE AFTER 5:00 PM ❑ DRAIN ❑ CLEAN OUT ❑ ROOTS ❑GREASE X ❑ VENT ❑ OTHER ❑UNKNOWN EMERGENCY SERVICE FD(TURE OK IsIET $ AUIH. DESCRIPTION / REMARKS ADD'L HOSE_/FT MAIN UNE )(f k 1 ? 0 V `w D yr-e ti '-` ( `." ov. ✓" EXPOSE LID TOILET 7s ✓ / 1 .1— .c ,-( 71 Cf (1"7/ /4 P ( C2 1 C'`5 9 Cy/ LABOR PULL&RESET 7 GL I-, lc-- lj b c+ C_ 4'_- I Le- SEPTIC LABOR BATHTUB CABLE SHOWER HYDRO JETTER/HR BATH SINK VIDEO INSPECTION KITCHEN SINK LOCATE LINE/TANK l DISPOSAL PUMPING os LAUNDRY EXCAVATION ,. FLOOR DRAIN PARTS OUTSIDE SVC/PERMIT HYDROJEITING QTY. PART NO. DESCRIPTION PRICE TOTAL 6 7 j 0 INSTALL RISER DOWN PAYMENT _ 1 TANK INSPECTION TOTAL DUE 1 r t ' TANK WASHDOWN PAYMENT RECEIVED SEPTIC PUMPING BALANCE DUE I hereby authorize the above described work to be performed by Honest Drain Solutions LLC and agree to all of the terms and conditions set forth above and on the reverse side CASH CHG IllbHK# hereof. I recognize that aged deteriorated plumbing fixtures or piping, settled, broken or off-set sewer lines may no longer be serviceable and further agree to hold Honest Drain Solutions LLC harmless for any damage or destruction thereto or arising therefrom.I agree to pay for all work,goods and services received in accordance with the terms stated herein. _CREDIT CARD APPROV, # TERMS.Due upon receipt.An account maintenance fee of 1 1!2%of the outstanding balance per month(18%annual percentage rate)will be added to amounts not paid within 30 days of invoice date.A$25.00 charge is added for all returned checks. 9, X C,C,# �( �J X ADDITIONAL TERMS AND CONDITIONS CONTAINED ON THE REVERSE SIDE HEREOF. .r �/ ' ,r AUTHORIZED SIGNATURE SIGNATURE ACKNOWLEDGEMENT COMPLETION One Stop Printers 800-406-0982#P1067-35788 Rev.10/20 f/ Conditions and Exclusions Honest Drain Solutions LLC shall not be liable for(1) Incidental or consequential damages; (2) Water, sewage, utilities, or other damages; (3) Plumbing not up to current codes; (4) Loss of use; (5) septic tanks floating or collapsing: or (6) Loss of anticipated benefits or profits, any of which result from the furnishing of services or products, even if Honest Drain Solutions LLC knew of the likelihood of such damages. Services not Covered: Honest Drain Solutions LLC will not be perform any other work or trade than which is specified herein, included but not limited to carpentry, plaster/wall work, electrical work, tile work, landscaping, masonry flooring, roofing, paving, etc., even if that work is necessary to restore the premises after the repair is made. Consent and Release Requirement: The undersigned hereby releases and absolves Honest Drain Solutions LLC from liability for any claims for damage to the plumbing-sewer-drain system on the above said premises as a result of labor or services furnished by Honest drain Solutions LLC. This Consent and Release is sought and given due to the questionable conditions of plumbing-sewer- drain system on said premises. Honest Drain Solutions LLC will not be responsible for reoccurring blockages caused by sanitary products, paper towels, plumbing not up to current codes, foreign objects or city sewer backups. Customer will be responsible for the cost of damaged cable or hoses caused by questionable or extraordinary conditions in the line. Note: Honest Drain Solutions LLC will not be responsible for the removal of lodged cables or hoses. A $75 service charge can be incurred if nothing is found to be wrong on a recall visit. Honest Drain Solutions LLC will not be held responsible for consequential damages while performing labor or services on your job premises. Honest Drain Solutions LLC will not be responsible for any damages caused by septic pump trucks, work trucks in the process of pumping or installation of septic tanks, or in conducting any services on the premises; this includes driveways, concrete walks, paved gravel, lawns, landscaping, pavers, etc. By signing this invoice, you are agreeing to all terms set forth.