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- - - <br /> i <br /> Grease Traps • Video Inspection Hydro-jetting It1VOICe' NO. <br /> We will tackle your drain problems <br /> Insured, Bonded, CCB 170530 <br /> ~ office: 541.338.8848 <br /> 1574 Coburg Rd. #221 <br /> Eugene, OR 97401 <br /> CUSTOMER: JOB: ~r`r~ .-,~~~-,r~,,~ P.O.: <br /> NAME -1 e^° -"~.a r° ~ i ~~DDRESS _ ~ ~ ~ t.,J~""° ~ <br /> ~ <br /> ADDRESS ~ ~ ~ ~ ~ °`""~e' ~ CITY STATE c~/~-.- <br /> CITY~ STATE PHONE ( ) ZIP CODE <br /> PHONE ( )t''~~--`~~'~t~~ZIP CODE ~ ~ <br /> ~ ,f <br /> DATE SERVICEMAN a~~ TIME IN ~ TIME OUT c~,.~~..-f <br /> f <br /> DRAIN GUARANTEE LABOR GUARANTEE <br /> ACCESSED VIA: -DRAIN -VENT 'CLEAN OUT CAUSE OF STOPPAGE: -ROOTS-GREASE --°-©THER -UNKNOWN <br /> FIXTURES DESCRIPTION/REMARKS CHARGES <br /> M~ NLINE (M/~:~ ~ 1 ~ ~ ' OVERTIME <br /> TOILET (T/O) ' ~ t f , ~ ~ ,i DRAIN <br /> ' r x _ ,-1~ ~ ?'r^',-^ ~ -r ~ ) G~'__ . ~~~rt _ r""3 r,- CLEAN <br /> BATH TUB (B/T) t j t ADDITIONAL <br /> ~ ~ %°-Sc~ C~ - c_~_ Y"r~~ FIXTURE <br /> SHOWER (S/L) i E ~ F r- ` ;o f'~ ~ ~ LABOR <br /> a <br /> i <br /> BATH SINK (B/S) r i i~ I ~ ; ~ f PARTS <br /> ~ , ,GREASE <br /> KITCHEN (K/S) ~ , I ~ f~ " ~ i / i <br /> 1 - VIDEO , <br /> LAUNDRY L/L ' ~ ' ~ ' ~ I ` ~ <br /> ( ) t ~ r-~~ ~ ; '"i ~ f n 4_.r INSPECTION - <br /> URINAL HYDRO- <br /> JETTER <br /> FLOOR DRAIN (F/D) MINI JETTER <br /> FLOOR SINK (F/S) PRODUCT <br /> GREASE TRAP (G/T) <br /> QTY. PART DESCRIPTION <br /> ~ TOTAL 1 r'. ; -J <br /> PAYMENT TYPE <br /> CREDIT CARD <br /> ? CASH <br /> ~~"BTLLING <br /> ? CHECK <br /> I agree to pay for all works, goods, and services received in accordance with the terms stated herein. <br /> <br /> j TERMS: Net 1 O days. An account maintenance fee of 1'/Z % of the outstanding balance per month (18% annual percentage rate) will be added to amounts not paid within 10 days of <br /> invoice date. A $25.00 charge is added for all returned checks. <br /> X <br /> Authorized Signature <br /> <br />