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Offitt3SEPTIC SERVICE TALI M( i 9 - 00301a- ficJTI1 <br /> invoice <br /> P.O. Box 444 <br /> Albany, OR 97321 <br /> D Cm�E Invoice# 36744 <br /> � Date: 9/8/2 <br /> 17 <br /> APR 252019 <br /> Terms: Net 30 <br /> MARION COUNTY <br /> KAT& BRANDON FOX 3UILDING INSPECTION Due Date: 10/8/2017 <br /> 4570 ANTONIA AVE NE <br /> SALEM OR 97301 <br /> 10574 MILLCREEK RD SE <br /> Service Address: AUMSVILLE,OR 97325 <br /> Units Description Rate Serviced Amount <br /> 1 Septic tank evaluation 200.00 9/7/2017 200.00 <br /> w/o#17997 <br /> Invoice Total $200.00 <br /> Thank you for choosing us, we appreciate your business. <br /> na 0 If paying by Credit Card please circle which card type and <br /> cpD 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: 10574 MILLCREEK RD SE,AUMSVILLE <br /> Invoice# 36744 <br /> A & B Septic Service Date: 9/8/2017 <br /> P.O. Box 444 Terms: Net 30 <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: $200.00 Amount Enclosed: <br />