Report COD 1111!11 11$11111111(hil l I Ili pc. aoo 9 -00.
Date 08/22/09
Scheduled 08/22/09 SePtiC C.O.D.
River City Environmental, Inc. Work Order # W097819
503- 252 -6144 Complete Industrial
P.O. Box 30087 Salem 503 - 363 -2464 Vancouver 360 -896 -5256 Waste Removal
Septic Tank Cleaning
Portland, OR 97294 v w.rivercityusa.com Sump Line Cleaning
OR CCB# 147355 WA CCB# RIVERCR981BT
Site Information
Troy Peck Troy Peck
9340 SW Mountain View Lane SW Mountain View Ln, 9380 Tigard, 97224
Tigard, OR 97224
Contact: 503 -314 -8773
503 -314 -8773 --
PO#
Type Description of Work Units and Price
Septic Service
Septage Overage
Notes 1476621/97819 - COD to driver. Needs pumping only @ three different siites. Troy wil meet
you on site. c "w 0) `
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11,1 %[ .l
c1, Total Charges . Cz_; J
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River City Environmental, Inc. 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 arid vehicles of River City Environmental have been instructed to enter.
rhis includes. but is not limited to driveways, trees, power lines or poles and building structures
If River City Environmental, Inc. finds it necessary to add liquid to the tank on jobsite, customer will be charged for the additional gallonage resulting from these condidtions.
Customer agrees to reimburse River City Environmental, Inc 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 consiaered due and payable.
Customer agrees to the above conditions. A fax on the work order is considered an original. Redeemable in Multnomah County
Check # Visa MC Amex Card # Exp Date Vcode
Work Autho ized ' print • ) ` Date / /
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Signature 4
Service TecF L1 E �� Service Tech #2 Date `�, Z 4 / 7 Time
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' Date
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Time On Job :
[ 0 Hourly Service Hrs.
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r 14 Single Load Service 0 Soil
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r MATERIAL
E Quantity : Description - , PitMUrntiar
6 t Ft ' • Rnd
5 g\ .....$6 Crsh •‘,
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l. Yrds Rnd
Tns Crsh
TOTAL
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Job Description: - r0v6)11 . r I k
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I SOME OR ALL OF TODAY'S MATERIAL WAS:
r: 4E Loaded on site
Picked upon customer account. - SOURCE:
L DAcI4T. \ 50 c.c. 0 CASH 0 CHECK
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i CONDITIONS OF THIS SALE ARE USTED ONSACK
1: PLEASE READ AND UNDERSTAND BEFORE SIONINGI :
t•-
r I UNDERSTAND AND AGREE TO THE CONDITIONS LISTED ON THE BACK
F OF THIS TICKET"' I HEREBY A ORIZE FULL PAYMENT FOR PRODUCTS
[.. , AND'SERVICES -LIVED ABO .'
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