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04/14/2009 13:55 FAX 20992390°' 16003/020
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<br /> 4 BOUT S�@lq{Ilq .lyr9boa06 DER AND RENTAL AGREEMENT
<br /> ISN 1 'C%�"��'a(204)fi1;i.1r111; . ',� G/n ', -��� 1�6�li
<br /> AIEF#��•-6110 1�
<br /> oA�e . . .
<br /> � r2V19) Sr''3 61
<br /> NEW ACCOUNT D TEFF cb' 'EO'
<br /> W5,7.84c,
<br /> LOCATION i" :.. 9'IPJAI',1!}5' .re .6.
<br /> QUALITY SERVICES '•,I .,.,?RQNIPSBq'' p �?1
<br /> I COUNTRY MANOR 4 ✓^3/Ila9d;a' a ^:r'I •' .,::.„•..
<br /> 17251 N. TRETHEWAY ROAD OLf�6Rt/4K�N�Y'F' Oi
<br /> LOCKEPORD C9RY:� .:• ., •.r: Iw'+encM:"u a' :.
<br /> PI NOS.
<br /> BILLTO .,. ”, ' �� �T -i:,.vj,,..JN�:18� ..7,Q ,.i,... . b:4^'•sv^�Ir:n•.._
<br /> QUALITY SERVICES
<br /> I T,l
<br /> .. ...,•�M'i; IME. r.:,'•!.. ..;1�;!:r'�. '1;';=:5 a., .�fJ:�'•J!•,Kn
<br /> 27348 E. 1-IWY 140 CITY DESCRIPTION pN
<br /> ESCALON CA 95320 r� AMOUNT
<br /> SERVICE REQUEST /'SD OC,Ct
<br /> PUMP SEPTIC, 2 LOADS, HYDRO JET ON SECOND LOAD
<br /> INS7RUCrI0N5I, .• '•r '�°1 , ,.,,.
<br /> 1.
<br /> „i '•��'i'''1.:�14,i.r iI,J Ir Y{II,n�M
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<br /> SIZE . I, ,,�., � •
<br /> ,L:'I+':�• ,; Y;ire dN,;i:nP•+.�:' 1.N1'{� ���y?71:
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<br /> ' t• i�rs,4,+e
<br /> TEC IC N TIME VTAR V ❑ AN +
<br /> ❑ PM
<br /> n'Mecorhr�Erea: ❑AM TOTAL. MATERIALS
<br /> Pm
<br /> REGULATORY COMPLIANCE CHARGE
<br /> p moaumanrr,hereby aegnawlbdao khat the above work hoc boon aallelaetomy emplatec. •--- .__
<br /> I Bon.9,wtlh the Wma ano cenditiv"on rhe apposite did..lime oehtraee.
<br /> EERVICEl6 PAQVIDED ATTna ORTION OFTME LESSER. LABOR
<br /> PAYMENT DUE UPONRECEIPT TAX
<br /> PAYTHIS AMOUNT
<br /> L *7 Qls-b
<br /> XbuX EY;R.i i ath�"
<br /> 9111 41ure 40 ewto WNa .4 once ofabove work as b;179— �.
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