Report RUP /olq-e'--'ero
ACT 111111 II�I iIliI1111l�1
Septic Date 01/09/15
Scheduled 01/12/15 S p��C �@rVICe Work Order# W0212453
River City Environmentalp Inc,
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 Sump Line Cleaning
Ezpita
.ctitifigati-ie444 4,,N
Duke Construction ( �f//�� Duke Construction
17860 SE Foster 13950 SW Alpine Crest Way, Tigard
Damascus, OR 9708•
Contact:John 503-519-5987
503-492-0530 FO#
Septic Service p )2.5(3 CAL1_O-'
Septage Overage
Notes Called in by John need to pump tank maybe 1000 gallon
need 150 feet of hose
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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,Inc.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 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 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.
Oregon CCB#147355 Washington CCB#RIVERCE981 BT
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 Authorized by (please print) Date / /
Signature ""
Service Tech#1 `73 & 1,J Service Tech#2 2--A(1 "i Date i )2 / ) $ Time
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