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AAA SEPTIC INC. CUSTOMER INVOICE <br /> sena'u2�y s�:�t`att aid s � �'� WORK <br /> SEPTIC TANK CLEANING • REAL ESTATE INSPECTIONS ORDER NO. <br /> P.O. Box 591 • FRENCH CAMP -CA, 95321 <br /> AAASepticinc@gmail.com <br /> PHONE: (209) 983-5009 AAA SEPTIC INC DATE: <br /> STATE CONTRACTORS LIC.#1128956A APPT.TIME: <br /> Name: Phone: <br /> JOB l <br /> INFO. 1 Address b 5-0 - 2 S3 S. 6:1 v" vl� 'e <br /> City, State,Zip: 'C V-CA <br /> Name: R 1, e(y"k O �/�lP/G�f i Phone: <br /> BILLING <br /> INFO. Address HH bo <br /> City, State,Zip: <br /> Name: Phone: <br /> REALTOR <br /> Agent: <br /> Email: <br /> AMOUNT <br /> WORK DESC: V VA se <br /> AMOUNT DUE Sp <br /> REMARKS <br /> PAID? (CARD) (CASH) (CHECK) (OTHER) CARD/CHECK NO. <br /> NOTICE:I hereby authorize the work listed above to be performed by AAA Septic Inc.and its employees.I understand that the price quoted is subject <br /> to change depending on the severity of work performed and parts replacement.I agree to pay the full invoice amount according to terms specified,plus <br /> financing charges and reasonable attorney fees and other cost if suit is sustained by creditor,should I/we default on payment terms:NET 15 DAYS <br /> from date of work unless otherwise stated herein.Amounts 30 days past due are subject to 5%per monthly finance charge or 60%annually on unpaid <br /> balances.AAA Septic Inc.will not be held responsible for any damage to property including but not limited to the following:cracked driveways,broken <br /> sprinkler systems,broken septic tank lids,and broken tank inlets and or outlets. <br /> SIGNATURE DATE <br /> WHITE-CUSTOMER COPY YELLOW-OFFICE COPY <br />