Permit �a A65_ a sae
11055 S.W. Clay • Sherwood, OR 97140
Telephone: (503) 682 -0233
Date � ) Q - L2
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Service for 1 � �' ,-,
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Address /6 9 35 S 4'(4' dt�
City . 'ti'�`�� 2�u� i. s�iy�. Phone- 9 v i�
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For Cleaning Septic Tank 2.
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For Cleaning Drain Line
For Cleaning Grease Trap •.
For Extra Labor
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, TOTAL ( . r y (../ i •
Amount Paid • . Balance Due c --
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Due Date •
Signature .
Please make check out to present driver
Three percent per month interest charged on bills if not paid in 30 days.
Not responsible for septic tank, drain field, curbing or driveway damage.