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8672719
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Last modified
6/28/2019 8:24:13 AM
Creation date
6/18/2019 2:20:29 PM
Metadata
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Template:
Permits
Permit Address
7070 LIBERTY RD S
Permit City
SALEM
Permit Number
555-19-004012-AUTH
Parcel Number
083W28A 00800
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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:;e4 k,'sErric VAILLEY - 0 I/0(,g-Al7r4-1 <br /> Invoice <br /> SERVICE SEPTIC SERVICE <br /> P.O. Box 444 ,CEINE <br /> Albany, OR 97321 <br /> invoice# 43319 <br /> MAY 30 2019 <br /> Date: 4/23/2019 <br /> MARION COUNTY <br /> BUILDING INSPECTION Terms: Net 30 <br /> RICHARD GILMORE Due Date: 5/23/2019 <br /> 7070 LIBERTY RD S <br /> SALEM,OR 97306 <br /> 7070 LIBERTY RD S <br /> Service Address: SALEM,OR.97306 <br /> Units Description Rate Serviced Amount <br /> 1 Pumped 1000 gallons from septic baffles in 400.00 4/22/2019 400.00 <br /> place at operating level. <br /> 1 Existing system evaluation. 425.00 4/22/2019 425.00 <br /> 2 Senior discount. -25.00 4/22/2019 -50.00 <br /> w/o#24882 <br /> Invoice Total $775.00. <br /> Thank you for choosing us,we appreciate your business. <br /> If paying by Credit Card please:circle which card type and <br /> -1:Dk a 0 —11) 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.corn <br /> REMITTANCE ADVICE-PLEASE RETURN WITH YOUR PAYMENT <br /> Service Address: 7070 LIBERTY RD S,SALEM <br /> Invoice# 43319. <br /> A& B Septic Service Date: 4/23/2019 <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: $775.00 Amount Enclosed: <br />
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