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�' VAILLEY <br /> •• ' i y SERVICE SEPTIC SERVICE Invoice <br /> P.O. Box 444 <br /> Albany, OR 97321 <br /> Invoice# 56052 <br /> � �� Date: 6/20/2022 <br /> ` ' 4 Terms: Net 30 <br /> `k <br /> DORSON CONSTRUCTION Due Date: 7/20/2022 <br /> + �n <br /> DORSON JACKSON D V <br /> EIT)) <br /> PO BOX 3912 <br /> SALEM OR 97302 _ JUL 01 2022 <br /> MARION COUNTY pVe --Z <br /> 5515 SERENITY DR.SE BUILuING INSPECTION <br /> Service Address: SALEM,OR 97307 <br /> Units Description Rate Serviced Amount <br /> 1,100 PUMPED 1,100 GALLONS FROM 0.45 6/17/2022 495.00 <br /> SEPTIC TANK, BAFFLES ARE IN PLACE, <br /> TANK AT OPERATING LEVEL, <br /> CONFIRMED INFLOW, TANK AT <br /> OPERATING LEVEL. <br /> 1 EXISTING SYSTEM EVALUATION 500.00 6/17/2022 500.00 <br /> 1 Fuel Surcharge 20.00 6/17/2022 20.00 <br /> W/O#38007 <br /> Invoice Total $1,015.00 <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: 5515 SERENITY DR SE. SALEM <br /> Invoice# 56052 <br /> A& B Septic Service Date: 6/20/2022 <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: $1,015.00 Amount Enclosed: <br />