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10512290
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10512290
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Last modified
6/25/2021 8:00:13 PM
Creation date
6/25/2021 11:25:46 AM
Metadata
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Template:
Permits
Permit Address
34020 RAILROAD AVE SE
Permit City
GATES
Permit Number
555-21-003820-AUTH
Parcel Number
094E30 01600
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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1 <br /> `"' )SEPTI`SERVICE Invoice <br /> =_� <br /> P.O. Box 444 <br /> Albany, OR 97321A\, Viiiu Invoice# 51624 <br /> Date: 4/2/2021 <br /> Terms: Net 30 <br /> CINDY CHAURAN Due Date: 5/2/2021 <br /> 34020 RAILROAD AVE <br /> GATES, OR 97346 <br /> 34020 RAILROAD AVE <br /> Service Address: GATES,OR 97346 <br /> Units Description Rate Serviced Amount <br /> 1 PUMPED 1,000 GALLONS FROM 450.00 1/4/2021 450.00 <br /> SEPTIC TANK. TANK AT OPERATING <br /> LEVEL. BAFFLES IN PLACE. SEPTIC <br /> TANK IS DETERIORATING ON OUTLET <br /> SIDE. RECOMMEND INSTALLING <br /> CHARCOAL VENTED LID AND RISER.1 EXISTING SYSTEM EVALUATION ' 425_0.0 4/1/2021 425.00 <br /> W/O#32456 <br /> Invoice Total $875.00 <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: 34020 RAILROAD AVE, GATES <br /> Invoice# 51624 <br /> A& B Septic Service Date: 4/2/2021 <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: $875.00 Amount Enclosed: <br />
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