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12014500
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12014500
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Last modified
3/25/2024 10:53:21 AM
Creation date
1/18/2024 1:47:41 PM
Metadata
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Template:
Permits
Permit Address
33682 RAILROAD AVE SE
Permit City
Gates
Permit Number
555-21-003362-AUTH
Parcel Number
093E25DC03600
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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SEPTIC <br /> SERVICE n vo i ce <br /> P.O. Box 444 <br /> Albany, OR 97321 Invoice# 51552 <br /> Date: 3/26/2021 <br /> Terms: Net 30 <br /> NW CUSTOM CONSTRUCTION Due Date: 4/25/2021 <br /> PO BOX 3049 <br /> ALBANY, OR 97321 <br /> 33682 RAILROAD AVE SE <br /> Service Address: GATES,OR 97346 <br /> Units Description Rate Serviced Amount <br /> 1,500 PUMPED 1,500 GALLONS FROM 0.45 3/3/2021 675.00 <br /> SEPTIC TANK. BAFFLES IN PLACE. <br /> 1 EXISTING SYSTEM EVALUATION 425.00 3/18/2021 425.00 <br /> 1 GENERATOR 150.00 3/18/2021 150.00 <br /> 1 MISCELLANEOUS PARTS- REPAIRED 30.00 3/18/2021 30.00 <br /> BROKEN LINE <br /> 1 SENIOR DISCOUNT -25.00 3/18/2021 -25.00 <br /> W/O#33159 <br /> Invoice Total $1,255.00 <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 /> REMITTANCE ADVICE - PLEASE RETURN WITH YOUR PAYMENT <br /> Service Address: 33682 RAILROAD AVE, GATES <br /> Invoice# 51552 <br /> A & B Septic Service Date: 3/26/2021 <br /> Terms: Net 30 <br /> P.O. Box 444 <br /> Albany, OR 97321 Card Type: (Please Circle Below) <br /> Visa / Mastercard <br /> 1-866-927-1156 Card No: Exp: <br /> Signature: <br /> Total: $1,255.00 Amount Enclosed: <br />
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