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11189694
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11189694
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Last modified
8/18/2022 1:46:22 PM
Creation date
8/11/2022 11:14:18 AM
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Template:
Permits
Permit Address
3495 BERGMAN PL SE
Permit City
Salem
Permit Number
555-21-010192-PRMT
Parcel Number
082W30 00500
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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r <br /> RI SEPTIC um-IER I n vo i ce <br /> SERVICE SEPTIC SERVICE <br /> P.O. Box 444 <br /> Albany, OR 97321 <br /> Invoice# 51937 <br /> Date: 4/30/2021 <br /> *IP [%1 ' -i10% Terms: Net 30 <br /> MIKE & HEIDI WISE 61. • Due Date: 5/30/2021 <br /> 3495 BERGMAN PL SE <br /> SALEM OR 97317 <br /> 3495 BERGMAN PL SE <br /> Service Address: SALEM,OR 97301 <br /> Units Description Rate Serviced Amount <br /> 1 EXCAVATED OUTLET LINE. 275.00 4/29/2021 275.00 <br /> PERFORMED LINE CLEAN. <br /> DETERMINED THAT LINES ARE NOT <br /> CONNECTED. FLAGGED AREAS OF <br /> CONCERN. RECOMMENDED <br /> INSTALLER DUE TO DRIVEWAY. <br /> W/O#33588 <br /> Invoice Total $930.00 <br /> Thank you for choosing us, we appreciate your business. <br /> If paying by Credit Card please circle which card type and <br /> write your card number in the space below or call our office. <br /> 1-866-927-1156. <br /> You can also pay online by going to our website: <br /> aandbseptic.com <br /> REMITTANCE ADVICE- PLEASE RETURN WITH YOUR PAYMENT <br /> Service Address: 3495 BERGMAN PL SE, SALEM <br /> Invoice# 51937 <br /> A & B Septic Service Date: 4/30/2021 <br /> Terms: Net 30 <br /> P.O. Box 444 <br /> Albany, OR 97321 Card Type: (Please Circle Below) <br /> Visa / Mastercard CW# <br /> 1-866-927-1156 Card No: Exp: <br /> Signature: <br /> Total: $930.00 Amount Enclosed: <br /> Page 2 <br />
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