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10512761
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10512761
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Last modified
6/29/2021 10:06:44 AM
Creation date
6/25/2021 2:20:25 PM
Metadata
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Template:
Permits
Permit Address
23405 SALMONBERRY WAY SE
Permit City
LYONS
Permit Number
555-21-003530-PRMT-01
Parcel Number
092E17BD00301
Permit Type
Septic
Permit Doc Type
Permit Document
Status
Ready to Film
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MC <br /> VALEY D � C E 0 W E <br /> SERVICE SEPTICLSERVICE Invoice <br /> P.O. Box 444 - 11 APR 0 7 2021 <br /> Albany, OR 97321 <br /> Invoice# 50852 <br /> ,ION COUNTY <br /> . ii G INSPECTION Date: 1/22/2021 <br /> kviterk.44 Terms: Net 30 <br /> eiri°1 <br /> VERA DAVIS <br /> Due Date: 2/21/2021 <br /> 23405 SALMONBERRY LN <br /> LYONS, OR 97358 <br /> 23405 SALMONBERRY LN <br /> Service Address: LYONS,OR 97358 <br /> Units Description Rate Serviced Amount <br /> 1 PUMPED 700 GALLONS FROM SEPTIC 420.00 1/21/2021 420.00 <br /> TANK. TANK BELOW OPERATING <br /> LEVEL. BAFFLES IN PLACE. <br /> 1 EXISTING SYSTEM EVALUATION 425.00 1/21/2021 425.00 <br /> W/O#32452 <br /> Invoice Total $845.00 <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 /> You can also pay online by going to our website: <br /> aandbseptic.com <br /> REMITTANCE ADVICE - PLEASE RETURN WITH YOUR PAYMENT <br /> Service Address: 23405 SALMONBERRY LN, LYONS <br /> Invoice# 50852 <br /> A & B Septic Service Date: 1/22/2021 <br /> Terms: Net 30 <br /> P.O. Box 444 <br /> Albany, OR 97321 Card Type: (Please Circle Below) <br /> Visa / Mastercard CVV# <br /> 1-866-927-1156 Card No: Exp: <br /> Signature: <br /> Total: $845.00 Amount Enclosed: <br />
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