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LADY RO TE <br />,, O R H~4P <br />Drain Cleaning & Repair Service, I <br />- ~-~-~~ Licensed • Bonded • Insur <br />Re~or Rooree~f--~ <br />CN,vYMY PLUMIIMO <br />- _ ~"~ <br />CCB# 092524 <br />541-744-7991 • 541-484-52 <br />88608 Ermi Bee Road <br />Springfield, OR 97478 <br /> <br />CU~StOMER: ~Og; PO., <br />'.p ~ ,. 1 ~ <br />NAME ~ ADDRESS Y~ /~ ~P~ l ~(,~i ~/.r'i /;~ : -"; <br />ADDRESS CITY STATE <br />CITY STATE PHONE ( ) ZIP CODE <br />PHONE ( }-_, _ ZIP CODE <br />~~ ~ J ~ <br />DATE, T 2 17 -C~ `~ SERVICEMAN NO. ~ ~~ TIME IN ~ ~ ~~l TIME ~ <br />•UT <br />GUARANTEE DRAIN DAYS ~ WARRANTY WORK PLUMBING DAYS <br />_. _ _ _ <br />A¢C~SSED;~111A: ~i3AIN ,T" VENT~CLEAN OUT 'CAUSE OF STOPPAGE. ROOTS -GREASE T©THER _IINKt~lOWN <br />FIXTURES COMPLETED NEED SERV. DESCRIPTION/REMARKS CHARGES <br />MAINLINE ~. ~~ /+-.,~ ~~ l.~+G.3CJ62'l `~~C.1...~ ~~~. OVERTIME <br /> '~: f I 7.~ .~ <br />~ <br />~ <br />L <br />~ <br />~ <br />~ <br />y <br />~ <br />~ <br />1 ~N <br />~ <br /> .3 <br />ts. ~~ - <br />t~ <br />. <br />~. a <br />i <br />l <br />.I~r <br />. .. <br />~ <br />~ <br />...~ <br />C <br />~ <br />BATH TUB ~ ,~~ /-5-- / C <br />/ / <br />~ ADDITIONAL <br /> , <br />/ FIXTURE <br />S S' ~ <br />~ 7ki ~ 'aFr ,. <br />_ _ ~,: ~ <br />~~ .f ~ ~~''~3 ~ ,3 ~ i F.&~~ ~ ~~ ~ " i yy ~ ~ <br />;.ra.'3 .a"~,Yr., ri~~l.Cti <br />~ 'r~I~-4J IrY4tnB ~,l <br />:LABOR -' <br />BATH 51NK ~ <br />~~i J <br />~~ ~ ) <br />PARTS <br /> ,5 ~ <br />~ <br />~ <br />~ - <br />s ~ <br />! <br />P ODUCTS <br />_ ~~ . <br />.~ 1 i <br />~ <br />w <br />... <br />LAUNDRY ~~/ ~ ~~ ~ VIDEO <br /> l INSPECTION <br />C~Ei r ~, F ~ 3rH C~;~ t, ~~. <br />rkY " C ; ze" <br />~~ <br />~ ~, ~~ }{YDRO- ~~ <br /> _ <br />s <br />Y <br />«.~ _ - .1ETTER <br />FLC~Ot§ <br />~ MINI JETTER <br />_ <br />F SI <br />~~ ~ <br />:5~ <br />c <br />~*~ ~~ ~.? <br />~~- <br />~ <br />~'' <br />`` _ + .r~ '?~ ~ ; <br />~ <br />ta <br />_ <br />Y~ <br />; <br />,LIME/LEAK <br /> . ~ <br />r <br />a ~ ~. x <br />: <br />- <br />~ ....w,~ CUCIkTfON <br />ARIA DRAIN OTHER <br />QTY , PA~tT NO. DESCRIPTION QTY. PART NO. DESCRIPTION SUBTOTAL <br /> TOTAL <br /> z` <br />- <br /> ~; <br />'~ PAYMENT TYPE <br /> ~- <br /> ^ CREDIT CARD <br /> 1 ~L ,~ , ;..- _ <br />~:;' ^ CASH <br /> _ _~ <br /> ~HARGE <br /> ^ CHECK <br />ereby author¢e the above described work to be performed by Ready Rooter/Chapman Plumbing and agree to all of the terms set forth above on the reverse side hereof. I <br />.ognize that aged deteriorated plumbing fixtures or piping, settled, broken or offset sewer lines may no longer be serviceable and further agree to hold Ready Rooter/Chapman <br />t'lumbing harmless for any damage or destruction thereto or arising therefrom. I agree to pay for all works, goods, and services received in accordance with the terms stated herein. <br />TERMS: Net 10 days. An account maintenance fee of 1 ~/:% of the outstanding balance per month (18% annual percentage rate) will be added to amounts not paid within 10 days <br />of invdce date. A $15.00 charge is added for all returned checks. ` `' <br />invoice iVo. 3 3 41$ <br /> <br /> <br /> ,:..PPROVf1~18Y• <br /> CONTRACT (VO.. " <br /> cc141MIi111T~; <br /> <br /> <br /> e <br />2 <br />Authorized Signature Signature Acknowledgment Completion <br />