Report ..v. 12/mho/y-ao/ate
Nj\ G 9(1 7s 5 / A77-6 n 2 s T
P• L FISHER ----' JOB INVO ICE
git BYER'S SEPTIC ' , `v E,INC.
P.O.BOX 549 PHONE
OREGON CITY,OREGON 97045 DATE ORDERED r
(503)656-3326
byersseptic @gmaiLcom OJAKE eY" DAr"° s° OA.M.
—2/-It I QP M
BILL TO 5C._
ADDRESS
I CITY
108 NAME AND LOCATION 1 CY.) (�w 5 -�}i.t./
Alio J, AMOUNT
TANK MATERIAL -_________ �—
-- 0 METAL O CONCRETE D PLASTIC
HOLDING TANK PUMPING---
SEPTIC TANK PUMPING--- .ff A —
TANK LOCATING AND DIGGING'
ARE THERE ANY SAFETY CONCERNS — —
WITH THIS SEPTIC SYSTEM
--- O YES ONO
IS THE SYSTEM WORKING PROPERLY
'" AT THIS TIME
❑YES ONO —
—_____
hereby acknowledge the satisfactory —
completion of the above described work. ,__ �-----
^__—..--- DM".COMPUTED TOTAL
SIGNATURE ^�
PAID BY: O CASH O CREDIT CARD Li CHECK