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Report i1N�� N ,� COD |N1MU �� ' '~ �~* uc-- .i. 4' ��" �� fw��~��ow�� Date 08/22/09 SChedU}ed ��'�� "��°��° --�---- , m VVnrkOrder# W097819 City Eny 0 nc, 503-252-6144 Complete Industrial P.A. Box 30087 Salem 503-363-2464 �antaRemova| Portland, [l� Q708 -- - - � Vancouver - ~ SephoT�nkC|eaning vwv�r ivencityusaoom °.,^,�^, � Sump LineCleaning OR CCB# 147355 VVACCO#R/VERCR081BT 1 Site information Troy Peck Troy Peck 9340 SW Mountain View Lane SW Mountain Vic-.)w Ln, 9380 Tigard, OR 97224 Contact: 503-314-8773 503'314-8773 Type Description of Work Units and Prk�e Septic Service @,'.,,.::, ��i�}.` Septage Overage �� '�'� `~ Notes 1476021/97819 - COD to driver. Needs pumping only © three oYffenmntsiltes. Troy MI meet you on site. ` � '` /� � L&J. -�_- _ ��-�, � __ ' ' - ' ' , _ . 4...3 k��J i_' �� (~� ��\�_'�r-' ^��- _� �� e / �� _� �� `� ��^� . ~, � � ' � ~ ' .�� ` ' ''Li\!/� / � ! // � \ \�� / /` [ � � a �^' �k- ' .'� c L ,�� <�harge0� [�' | / L1 `� ~� � 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 inc customer agrees to pay alt mvoicos arising out of services, and any other special services herei within 10 days 'Pie customer agi ees 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. lire customer agreas to assume responibiiity damage to customer's real or personai nmvenvo nil customers premises, where the drivers and vehcies of River City Environmental have been instructed to enter. I Iris includes, hut is not limited to driveways, trees, power knes 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 conthitions. Customer agrees to reimburse River City Environmentai, inc. for att reasonable attorney's tees court costs and other expense incurred by said cornoany to enforce collection or to servo their rights under this agreement If this work order is not contested in writing within 10 days the full arnount is considered due and payable. Customer agrees to the above conditions fax on the work order is considered an original, Redeemable in MLiltnoinah County Check # Visa MC Amex Card # _______ Exp Date Voode . '` |�.� ^ ' _ - _'_-_-_-- '___ VVorkAuth / .'i� '� Date Signohu , "��-�~ �-------- SemicnTeo^ 4 S Tech #2 Date Timo __�~ - ' l i[ -' / �4 | U�^ v , . ONE , : A.ILO . DELIVERY RECEIPT • Date ' ,2 1 4 - c✓ 9 sofa To 1J . e' Company Rep. • ; ICJ • F r• • J o b �C 3 •'• City 7 Jam _� �� tJ(f.0 • OFFICE CODE? 2. 3 4 5 6 7 8 • 9 .10 11 12 13 • Office Code Time On Job . ,J 0 . Hourly,Service • Hrs. 1 • V Single Load Service Ell Soil j • 0 Multi -Load Service Loads Yrds Tns . MATERIAL Quantity Description..:.,; .: Pi r ;' j • Yrds Rnd • Tns Crsh . f Other TOTAL { . .3 •-- `i 1 Job Description: �(� NIL 1 } 1 t < I `"1 ! J SOME'OR ALL OF TODAY'S MATERIAL WAS: ' 'El Loaded on site . 0 Picked tip on c ustomer account. - SOURCE: ' EIACNT. 14 C.C. El CASH El CHECK 0 . i • CONDITIONS OF THIS - SALE ARE LISTED ON PLEASE`READ' AND'UNDERSTAND'BEFORE SIGNINGI ' I UNDERSTAND AND AGREE TO THE CONDITIONS LISTED ON THE BACK OF THISTICKET." I HEREBY A ORIZE FULL PAYMENT FOR`PRODUCTS - ' , AND SERyCES ttED'ABOV . / ` ' f / • / • Signature - , v4 /' , 1 ,i ; z ;: • . ..