Report -
ACT 0 irivitiotioli
III' Date 06/03/15
Schede d 06l ii8115 Septic Service 0 Inc.
�` � �� . ., m Work Order# W0225196
503-252-6144 Complete Industrial
P.O. Box 30087 Salem 503-363-2464 Vancouver 360-896-5256 Waste Removal
Portland, OR 97294 Septic Tank Cleaning
Sump Line Cleaning
IIIIIII
Team Titan Team Titan Site
PO Box 1803 11905 SW 69th Ave, Tigard, 97223
Clackamas, OR 97015
Contact:Paul Hardman 971-266-7801
971-266-7801
PO#
SEptiCSePaunric a MQ i 1 Od AU 5 _- ;¢ # 1
Notes Ordered by l Hardman 979-265-7801 (on site contact)Need to decommission se tic,
hooking to sewer. Please call Paul for further details pertaining fo this job if needed. Jonathan,
S job 503-849-0701. JS/BR
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Total Chore es 2 00
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 customers real or personal property arising from services which take place
on customers 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 attorneys 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#RIVERCE981BT
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 Authorize. ,y please printX Cit s-IS St'-va'+a,'y► Date / 1
Signature X( }
Service Tech , ' (.1,Na , Service Tech#2 Date 'O /t- /b Time