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a . <br /> • <br /> ,�/ VALLEY SEPTIC SERVICE• ' <br /> �' � P.O. Box 524] . <br /> • <br /> • <br /> Vi •Salem,.-Oregon:973Q4 . . .. - . . : ... <br /> lit d 503-588-1115 9 <br /> Name 1(A;)+1-Q . !Y),ltr1 atr I./t—e � Date 'b`" 4' 7 <br /> Address F" 8Q K. . I .2_tt '•I: UI.- G, :Tv. 973.6(9 • . <br /> -Oty&State y-0 5�'N `�rvl Phone. c3 7—r) 2� <br /> • <br /> Job Address - • <br /> ❑.Pump tank I O Deroat IO Insplielion D Locate&Uncover 0 Service cant❑Minimum charge O Other <br /> Quantity Description Price Amount <br /> ) p�.n1 P-'f •T 4‹ 2-2- 7 4 t7-... 14"- F • . <br /> (pale . PG • <br /> G : se_ <br /> VO0 1am td rr' N • 717 <br /> ariiCS <br /> . ' ) r N.)g pe c.,-7-?oW . 39'041#246 <br /> • <br /> F�� <br /> • <br /> (2:: . <br /> • <br /> ».�.�. <br /> 5 Z qb- <br /> COMMENTS: My j p 0 0 gallon tank was <br /> pumped on A-0-99 by <br /> Valley Septic Service . <br /> • <br /> 588-1115. . . <br /> Received on account check 0 <br /> Payment due upon completion of work 10 days are allowed on approved aide accounts. Please pay from invoke. <br /> A billing charge of$10.00 is added alter 10 days <br /> SIGNATURE <br /> 1.5%per month charged on the unpald balance alter 30 days.Owneragnes to pay costal colleulon 'T3 ,,,. <br /> fees and cost incurred to effect collection,with or without suit Including preparation,filing&f- --.. i . <br /> „1[117 <br /> K., <br /> JUN" . 1997 <br /> • <br /> MARION COUNTY <br /> • BUILDING INSPECTION' <br /> . e <br />