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Service Ticket ( J .' C i /3
• Decommision & Install 360-254-0853 •Waste Removal
•Video and Camera Vancouver, WA
• Plumbing Services • Septic Tank Cleaning
•
• Catch Basin Maintenance • Excavation Cleaning
• Locating & Uncovering
Site Information
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Po#
Type
Service Locate & Dig
Service Inspection
Service Septic Service
Service Septic Overage
Service Service Technician
Service Pump/Repair
Service Jetting
Service Camera Work
Service Environmental Health Services Fee
Service Other
Tax Total Charges
Affordable Septic Service is in no way responsible for damage to any vehicles,personal or real property.
Terms:Net 10 days. 1.5%per month will be charged on past due accounts(18%per annum).
Terms and Conditions The Right to Lien
The customer agrees to pay all invoices arising out of services,and any other special services herein within 10 days.
The customer agrees to pay such extra and overtime charges as may be invoiced from time to time for services rendered,over and above the normal servicing schedule,on behalf of
the customer.
The customer agrees to assume responsibility damage to customer's real or personal property arising from services which take place on customer's premises,where the drivers and
vehicles of Affordable Septic Service have been instructed to enter.
This includes,but is not limited to driveways,trees,power lines or poles and building structures.
If Affordable Septic Service finds it necessary to add liquid to the tank on jobsite,customer will be charged for the additional gallonage resulting from these conditions.
Customer agrees to reimburse Affordable Septic Service for all reasonable attorney's fees,court costs and other expense incurred by said company to enforce collection or to serve
their rights under this agreement.
If this work order is not contested in writing within 10 days the full amount is considered due and payable.
Customer agrees to the above conditions. A fax on the work order is considered an original. Redeemable in ClarkCounty.
Check# Visa MC Amex Card # Exp Date Vcode
Work Authorized by Date / /
Service Tech #1 Service Tech #2 Date / / Time