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Report PLm - 00 C0 3 UI' Sttn.kg HNVOECE Envtr i ntenlai Service COMPLETE SEPTIC SERVICE Date: 19631 S. Kolar Dr. Name: Oregon City,OR 97045 www.lilstinky.com Phone: Molalla:(503)829-8458 Email: Portland:(503)658-0518 Fax:(503)722-7186 Buyer/Seller/Agent: r .. `. DATE CHARGES AND CREDITS BALANCE 4 � TOTAL [I PAYMENT INFORMATION Name: Buyer: Seller: Agent: Credit Card: Exp: CVC:"- Address: Phone: Email: Check# By signing this,customer agrees that all work has been performed to satisfactory completion. _.� SIGNATURE X Ot Terms:All sales are considered final with payment due at time of service rendered.Credit/debit card transactions are limited to$5000,and any refunds will be charged a 3/fee of the total amount processed. 1/5%interest may be assessed on any unpaid amounts after 10 days of final inspection.Customer understands that construction activity for on-site sewage work may cause damage to property,including but not limited to;lawn,flowers,shrubs,trees,walks,walls,driveways and other concrete structures, sprinkler system,water line,satellite dishes,pipes,lines,and/or cables underground.While caution shall Thank `''•,be exercised to minimize damage;the Contractor will not be held liable for damage caused by construction activities.Location of system components is limited to what can be reasonably observed and may be based on County records or information provided onsite.Any documentation related to system r operation at time of service is not a guarantee of future system performance.