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ROTO- -` HOFFMAN SOUTHWEST CORP. -
<br /> DBA ROTO-ROOTER SERVICE&PLUMBING.CO. !
<br /> �OO���'" 28655 S.W. BOONES FERRY RD. •WILSONVILLE, OR 97070 1
<br /> p�uHl,BEBs (11
<br /> A'(503)682-9774• FAX(503) 685-9754 INVOICE NUMBER C7I I
<br /> OR ST CONTR#13989•WA ST CONTR#ROTOR**088JG _ or
<br /> 1-800-GET-ROTO 2(800-438-7686) ' 1 J�a PAGE-:TI
<br /> -, www.rotorooter.com 1 _: c-L-I I I J
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<br /> I AUT.HORIZATION:. —--- —. Q 4Ir , .. 5,1 i f �..p `•"i f,!,,. / :.r�
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<br /> • " • - --� ----1 THIS SERVICE 1:`AS PRCFESSIONALLY ^ ASSISTANT(S)
<br /> -DESCRIPTION OF THE PROJECT AND MATERIALS TO BE USED AND EQUIPMENT TO BE INSTALLED:I ' PERFOR.+EOs: ---
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<br /> { : WATER PRESSURE'(PSI)'if:—_ `
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<br /> :^t}�-.,"+¢f a�3. 'i--1-67./4-1 f•),"7f j•:�,,r�'_$,_.� ?7_.���+-4_1-�.f��"}T.^1 %�c�,,t- FORMS ATTACHED::— f -- - 5 � II ! 1Y t,s`'. 2 6Y_'t._,ii:J ✓ F.•`1=- ':S ,/r1^•?<12. 1' # t-i' ( Cu` f^';.-.1-2 F' `C'1- �:^- r_!{"frr---_:4-1t::?-1-:-."1-''
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<br /> I , - 1 I I DECLINE TO HAVE
<br /> I - i'''''.' „rf 1 J S`/` f E RECOMMENDED PR
<br /> r1--� 01 3< !THE I CONTRACT
<br /> _ —�_..' — — — ---1.4-a-,4-L-1SERVICE(S�LISTED
<br /> DONE TODAY. ATTACHED.
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<br /> 1,...'..-5': - - C...f .t --...:_14-,'6,--r_.: J LSI ff cI T}.4_!,---_,./6/:',,,,,,11,,,;—,-,-__4: CAUSE OF STOPPAGE :1,
<br /> f J ,-, / 1 z.------1—:, A) C;Roars- 0 GREASE �OTHER 0 UNKNOWN`
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<br /> .. ""=""""-".-- "'-_ ACCESSED VIA
<br /> WORK ORDER AUTHORIZATION: I AUTHORIZE YOU TO PERFORM THE ABOVE ESTIMATED CosT, , t,,.,I, <, ' L,ORAIN rCLEAN OUT T:VENT '
<br /> DESCRIBED SERVICES SUBJECT TO ALL THE TERMS AND CONDITIONS SET l-I
<br /> "--FORTH ON'THE FACE AND REVERSE_SIDES HEREOF I'ACKNOWLEDGE THAT I J5;, C(r .---_-_:--_,-.....-7.----, OTHER
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<br /> ; WAS GIVEN A VERBAL ESTIMATE AND FURTHER ACKNOWLEDGE THE ESTIMATE !---- � - 1 '-;� Yt`I fn,,.p. L 1 MIL ;—;HOT .
<br /> - `MAY BE MODIFIED SUBJECT TO UNFORESEEN CIRCUMSTANCES AND THAT -1 n OWNER n�y i 5 — LABOR CODES: '
<br /> : YOUR COMPANY IS NOT,RESPONSIBLE FOR MY DEFECTIVE LINES,EQUIPMENT, I-- — __; TENANT �A=ROTO-ROOTER G=LINE LOCATION 3-ADDL FIXTURES •
<br /> .OR CLEAN-OUTS. I ALSO CERTIFY THAT'I AM AUTHORIZED TO ORDER AND onau {J OTHER tB=.IETTwG J=PLUMBING' 7=BUP.ST1NG ,I
<br /> •APPROVE THIS WORK. I_ `
<br /> MU6T 6E SAME AS PRINTED C=PRODUCT R=EXCAVATION 8=LINING
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<br /> - tuve 6EU* F=VIDEO•INSPECTION 1 =MAIN LINE ! -
<br /> PRODUCT/PARTS USAGE --_ ^_ -•-----.I
<br /> �_---""_--""---_ LABOR A m
<br /> QUANTITY _ DESCRIPTION 1 PART# SELL PRICE j CODE# _D_ESCRIPTION 1 SELL PRICE
<br /> 8d t`-` r :2,.r` f I g _ 15-6-;,-..,'„'
<br /> __ .— „ .. ` --.` .-"—_ __-. ,
<br /> I ,f I /0 f'-`;:...-.'1-'"1,-} I <r Lf rfM 1 Lr..�.`w:F —! •I' r :l •T �['_->!''G_�:7 .i ^aC;/ .°to_ l7%`jr 5'a'�I :.`..'i' :.? t `-i--)
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<br /> PRODUCT/PARTS TOTALS' '`'" C-. •'"fII- _ I �Z
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<br /> -RESIDENTIAL GUARANTEE - LABOR COMMERCIAL GUARANTEE I r- PAYMENT.' +
<br /> CASH LABOR$ - ' 1,1.2._.:1_,_ ___-__.1r-,‹)
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<br /> ❑ 120 DAYS - MAIN/ERWVCH UNE ❑ 30 DAYS {'
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<br /> �..— - y � +CHECK NO __ PARTS�u ` + -. .7 I CO
<br /> 0 §0 DAYS MAIN UNE FROM ROOF VENT ❑ N/A I —'
<br /> I CREDIT CARD `'.? :"` {„+§.1
<br /> • 0 10 DAYS TOILET STOPPAGE ❑ 5 DAYS 1--"H - AUTKORIZATION i PRODUCTS$_ �'
<br /> --- NET 10 DAYS ''
<br /> LP 90 DAYSt. PLUMBING REPAIR ❑ 90 DAYS I ,,.....„.1,-_-:_..,, OTHER$. _ _ r —.
<br /> ( I i --7—•-- —I j 1 1 z i --------_ I OVER 30 DAYS=LATE CHARGE 0E1.5%"PER'MONTH. y` s - '�
<br /> I:I] 1'YEAR „J5 °'�f— `"i f' °`PLUMBING REPLSCELIENT 1 YEAR -IH THE EVENT CII CI(IS F.ETL'P.NEL7, CO
<br /> =— — — I� TAX S.-.... ---
<br /> ❑ DAYS I OTHER • ❑ —„—_DAYS •
<br /> 'HE COMPAN __
<br /> —`-- CUSTOMER A$35.00 PROCESSING FEE. INVOICE TOTAL$
<br /> - REASON FOR .- - ,.!_,_ t `f r JI PAYMENT
<br /> ._ . < (..,...`23—t--411::' -- -
<br /> INO GUARANTEE: d+p/`?.l' 'y tt h -/«_ AMOUNT DUE _
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<br /> CUSTOMER l c 6 :' ` ✓ ,t 4 t ,
<br /> SIGNATURE: L___._.U f” '` ---=,*--' PRINT NAME: .'-'1,!L^-1.:-V2k:,1 I- s 7 Jt•• -.-
<br /> I SAVE THIS INVOICE FOR YOUR GUARANTEE BY AUTHORIZING THIS.INVOICE,I AGREE TO ALL OF THE CHARGES LISTED.I HAVE READ AND AGREE TO THE -
<br /> SEE BINDING TERMS`ON REVERSE TERMS ON THE BACK OF THIS FORM AND I AGREE THAT THE WORK WAS COMPLETED TO MV SATISFACTION.
<br /> ` REV.7/09 •
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