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8616477
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8616477
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Last modified
5/22/2019 9:42:47 AM
Creation date
5/8/2019 4:14:51 PM
Metadata
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Template:
Permits
Permit Address
10574 MILL CREEK RD SE
Permit City
AUMSVILLE
Permit Number
555-19-003012-AUTH
Parcel Number
081W32B 01600
Permit Type
Authorization
Permit Doc Type
Permit Document
Status
Ready to Film
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'`24411\7;2:7), SEPTIC %I' V • <br /> SERVICE SEPTIC SERVICEInvoice <br /> P.O. Box 444 ) 1- L 6 u 1 Z—Au IA <br /> Albany, OR 97321 <br /> Invoice # 43320 <br /> ) C� IF, -� Date: 4/23/2019 <br /> APR 25 2019 Terms: Net 30 <br /> Due Date: 5/23/2019 <br /> KAT & BRANDON FOX MARION COUNTY <br /> 4570 ANTONIA AVE NE BUILDING INSPECTION <br /> SALEM OR 97301 <br /> 10574 MILLCREEK RD SE <br /> Service Address: AUMSVILLE,OR 97325 <br /> Units Description Rate I Serviced Amount <br /> 1 Evaluation on drain field. 250.00 4/19/2019 250.00 <br /> w/o#24844 <br /> Invoice Total $250.00 <br /> Thank you for choosing us, we appreciate your business. <br /> PAID 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: 10574 MILLCREEK RD SE,AUMSVILLE <br /> Invoice# 43320 <br /> A & B Septic Service Date: 4/23/2019 <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: $250.00 Amount Enclosed: <br />
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