~l~ ~(.~~r~ ~1~ l ~3 <br />J ~~ ~~ <br />Invoice No. 2$398 <br />RED <br />„j~s \ -: ~ Drain Cleaning & Repalr Service, I <br />` `.~--.-~_ ~, ~`-~ ~ ` ` Licensed ~~~onded-~°insur <br />Rwraaoa_' ~ ,- ~~"-~ .:54'1-744-79g1~" ~ 541.-484-52 <br />,,ciu.Ww RrrrNro .' <br />~°-- , _,. _ - , 88608 Ermi $ee fload <br />cca# osas2a _ -Springfield, OR 97478 <br />CU.$TOMER: .10B: <br />NAM ,,, ADDRESS ~~~~ r /,'/y~~w~~-T7'~C <br />ADDR~SS_ CITY ~r~ % STAT~O~+ <br />CITY STATE PHONE ( ) ZIP CODE <br />PHONE ( ) - ZIP CODE <br />DATE /I- /7• d 3 SERVICEMAN NO..~c TIME IN~$+~ TIME OUT~~•'~`U~µ-- <br />GUARANYE DRAIN DAYS WARRANTY WORK PLUMBING DAYS <br />FlXTtJRES OMPLETED NEED 3ERV. ~ ' ~ DESCRIPTION/Ri=MAfiKS CHARQES <br />4 <br />i OVERTIME <br />~ <br />. ~_S~~tr ~ <br />T <br /> ~ ~-'~~, <br />^~" ; <br />-r~' <br />1~ <br />`'3"~ <br />_-~ ~31.s.'- 7.~'t' +d'' ~ Ir~,~ <br />L:`:Y ~" <br />~ ~`7`~; "i ' zit :~f L <br />~°c <br />k '`~~ ki-'F.':: - <br /> 4 t t <br />, <br />, <br />. <br />-~ . <br />~ <br />. <br />, <br /> ADDITIONAL <br />BATH TU8 ~ ,FIXTURE <br /> ~ ~ ~~ • <br /> •' , ~j.~i ~h~~~Zi~ ~1 ~. F'~~. ~ !~ i3{ ~ /_ _ V ~ ~ nYj : <br />]is` ~.~ 1~ ~yt .': <br />tui ~. <br />~BATI~ SINK ~~ '. I_ ~ ~ ~ - PARTS <br /> <br /> <br />1 <br />.,;. ~.._., <br />, <br />L <br />_, <br />Y ~ <br />~ , VIDEO <br />~ ~ <br />}IyUNDR L <br />a i ~ULZ~ ECT10N <br />INSf i <br />`'S ~ ~x.`~~ ~ ~ _ F <br />, - <br />, <br />;~u ,;,~ <br />~*t~'~-~(4~t,~~"~ ~w ~ ~u ±tiU`~ur.~~~ ~ 't~N~.a~'~,~Ni ~ ti-reC~ ~r #~.~-~"~tf a '~'° t~ <br />I .~ _ :, ~ ~ ~.. <br />F~,OgR MINI JETTER <br />~~ }~ ~F ~ ' "~ ,~~~ r ,i°~f ck ~ ,d; ~- -r` <br />Y)!''~ rte ~~ <br />r ~ s :~ ,~cd >~~ v f~ <br /> x G <br />. <br />AREA DRAIN OTHER <br />OTY.` PART NO. DESCRIPTION QTY. PART NO. DESCRIPTION <br /> ,, <br /> ~'ii,~^:: ~ ~:' O PAYMENT TYPE <br /> ' ~ <br />k; , <br />~, <br />~ °"" - ^ CREDIT CARD <br /> . <br />, <br />, ~ <br />; <br /> ~ ..~ ; ^ CASH <br /> ~ ~ <br />' _ <br />~ <br />~ '~" CHARGE <br /> _ <br /> ^ CHECK <br />I hereby authorize the above described work to be pe~rform~ed by Ready Rooter/Chapman Plumbing and agree to all of the terms set forth above on the reverse side hereof. I <br />rP^^gnize that aged deteriorated plumbing fiMures or piping, settled, broken or offset sewer lines may no longer be serviceable and further agree to hold Ready Rooter/Chapman <br />ping harmless for any damage or destructioh thereto or arising therefrom. I agree to pay for all works, goods, and services received in accordance with the tem~.s stated herein. <br />~r01S: 10 days. An account maintenance fee of 1 Yz% of the outstanding balance per month (18% annual percentage rate) will be added to amounts not paid within 10 days <br />of my ce d e. A $15.00 charge is added for all returned checks. ~ 2 _ ~ ~ _ <br />03A0~:59 RCVD <br />lr l <br />Authorized Signature ` Signature Acknowledgment Completion <br />