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11855981
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11855981
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Last modified
9/29/2023 1:01:10 PM
Creation date
9/19/2023 1:56:24 PM
Metadata
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Template:
Permits
Permit Address
100 CENTRAL AVE E
Permit City
Gates
Permit Number
555-23-004087-AUTH
Parcel Number
093E26CC02600
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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' t h. ,411%SEPTIC VALLEY <br /> gi SERVICE SEPTIC:SERVICE Invoice <br /> P.O. Box 444 <br /> Albany, OR 97321 <br /> Invoice.# 59614 <br /> Date: 5/9/2023 <br /> Terms: Net 30 <br /> CLINTON CONSTRUCTION Due Date: 6/8/2023 <br /> 39262 MONTGOMERY DR <br /> SCIO,OR 97374 <br /> 100 EAST CENTRAL AVE <br /> Service Address: GATES,OR 97346 <br /> Units Description Rate Serviced Amount <br /> 1 PUMPED 1,000 GALLONS FROM 600.00 5/8/2023 600.00 <br /> SEPTIC TANK,TANK BELOW <br /> OPERATING LEVEL UPON ARRIVAL 30". <br /> 1 FUEL SURCHARGEā 25 00 5/8/2fl23 25 00 <br /> W/O#41958 <br /> Invoice Total $625.00 <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: 100 EAST CENTRAL AVE,GATES <br /> Invoice# 59614 <br /> A& B Septic Service Date: 5/912023 <br /> Terms: Net 30 <br /> P.O. Box 444 <br /> Albany, OR 97321 Card Type:(Please Circle Below) <br /> Visa I Mastercard CW# <br /> 1-866-927-1156 Card No: Exp: <br /> Signature: <br /> Total: $625.00 Amount Enclosed: <br />
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