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ACT ..p 11111 111 IIIIII III till * , e \ Date 12/02/09 Scheduled 12/02/09 Septic Service Wo Order# W0102167 [Riven City {ELnKironm ntall,, Inc,.. 503 - 252 -6144 f omplete Industrial P.O. Box 30087 Salem 503 - 363 -2464 Vancouver 360-896-5256 , ' Waste Removal S eptic Tank Cleaning Portland, OR 97294 www.rivercityusa.com Sump Line Cleaning OR CCB# 147355 WA CCB# RIVERCR981BT fLMaoo 9-D0/6? Site Information _Kiewit Pacific -eom' an -WA .P p Y /f EW � �� Coy 5� Kiewi t"Pac�fic Corrrpa - `re- - ��EG✓�� (.� �� j f" P. 0. ox 1'769"`° -7 See -Work- Orders 4 — G ' °�tancou 98668 p �U)C Z 2 4_ ) % /r -riC �,J� ) I (Sdvo / Oi Contact: Scott CJ 971- 246 -0501 36©= 669S-1 _ 7/ Z. J1 � ql l- Z46 - DS PO #��,z ice. C��S I CJGJ�IP, (� Type _ : '' , Description of Work • Units and :Price __ Septic Service ()() n f _u__ @ Septage Overage U @ C Environmental Fee i !,. @ Notes Ordered by Scott. Call when on your way. Pumping for decommission. . RECEIVED DEC 0 2 2009 CITY OF TIGARD • BUILDING DIVISION Total Charges • 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 and vehicles of River City Environmental have been instructed to enter. This 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 considered 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 Oil . 11 Exp Date Vcode Work Authoriz p lease print) -° `' - e / Date )Z / 2-/ "Q g =+�'�/ • Si ■ Signature Service Tech #( •'/ t 1 fl ' 6 t t/ ( /d Service Tech #2 Date / 2 / Z / U J Time /7 5C) „, ,,A-:::„v,q, '- g . . TI li•i a 45, r u £' * 2 , , ` ” ,.i j-+ ` ' ;,,