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<br /> SOUTH WEST 231325
<br /> PLUMBING
<br /> •
<br /> 2401 SW ALASKA ST.•SEATTLE,WA 98106
<br /> e:27 3
<br /> (206)932-1777•FAX(206)933-1576
<br /> GC#SOUTHWPO71 G6
<br /> TIME ORDER DATE - CUSTOMER PHONE ND. SCjiVICETECH. TERMS 0CHECK 0 CASH 0CREDITCARD
<br /> 1' lk/ 3 v ,
<br /> 81LLING_; JOl3,LO.CATION._ •
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<br /> /DIAGNOSIS: // •
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<br /> 0oaar'IA t..ryes 7v.niJe) 1,�1F but eat,/ep �i/k r.�.9cr 14r7 •;< ie)Idr,4/ 6,/i—'
<br /> 13/t4s,r1 f,4J... S5) r94 r0 r 1�, r.fe1 �•1]I/ir,f�WS a /2�' ' 7' .. ` -
<br /> TASK#'S SOL UTI ONYWORK::
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<br /> ./.0...744.,,,,e. ,✓-� ..Pal a C' !e - /Se.a.5/R,, )0 .,;;,,4 f J( 'y ff �r P
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<br /> 13-46441 pAt9Z.1, tt lice I pe.2e.e i&/ w k)(97 ., L .
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<br /> PAID SY: ❑CH CK �- TIA1: ',ADDITIONAL REMARKS: •
<br /> '�CREDIT CARD 0 CASH ram' f / ,"� ft j f r
<br /> �f j-gt3 Iii�:eh 1.41•/�=v—_ eg c�/ray TOTAL ` 0--
<br /> CHECK# �j rJ {> �
<br /> AUTH.# 0S"`�f.�'�1, !G�!�'"�tT ir �� ' 74 $ 7 K. 0,CI
<br /> PRODUCT INFO qd g•
<br /> hereby cloche to have the above work Irar{ormed at the stated flat rate price, TOTAL
<br /> MODEL#
<br /> Thank You for calling
<br /> SERIAL# Signature' SOUTH WEST PLUMBING
<br /> WORK AUTHORIZATION NOTES I TERMS:payment in MI upon completifoon,
<br /> AUTHORIZATION TO PROCEED-WITH ABOVE DiAONOSIs I SOUJTiOl •I,the undersigned,am S />.1P y C{' ear:6.,ltg�f��1
<br /> ownerlauthorized representativeltenent of the premises at Which the work mentioned above Is to be Y'Y•Yp a�
<br /> done,!horebysuthoil a you to perform DlegnosislShtulion,end to use such labor and materials as you // A tt I Z f r
<br /> deem advisable.A monthly service charge of 1.5%will be added after 30 days.1 agree to pay l.recr ✓ l.>. t- '2 r / a_Irf'I. z)-
<br /> reasonable altorneysfoes and caul costs In the event of legal'action.If your cluck bounces,you could
<br /> be liable for 3 times the amount of the check or$100.00,whichever is more,plus the face value of the .4:r f ✓, / Ii 4f�r o.mi r ram. r j
<br /> check and court casts.I have read the front and back of this invoice and•:egree to all the terms and ACCEPTANCE OF Wt i h�RPORMEOO I,tied the service and materiels
<br /> conditions sat forth and have received a copy of the contract. el .) 1 rendered and Installed In connection with the above work mentioned to have
<br /> IHEREBYAUTHORIZE . 0 PROCEED WITH THE ABOVE WORK AFLAT RATE O):S - been completed inasatisfactorymanner I agree that the amount sot forth on
<br /> j' � this contract In the space labeled`TOTAL'to be the total end complete flat
<br /> Aulhorhed Stgnetura` '';; `` t ::.,..il�': role/minimum charge.t agree to pay reasonable attorneys fees and Doan
<br /> ICERTIFyT ATTHE WATER'•^�'`� To rebyaiet-a Nat it.obeys work has eninsla➢ed In a rmdmmnske manner. costs in 11w avant g.t<71-alien• AmonIf h service charge of 4.646 be !I
<br /> PRESSeeEMEASUREo TO BE TECHNICIAN'S SIGNATURE DATE:•: added aRer 30 days, I ac atedge that 1 have red 9ad waked a legible
<br /> LES/ copy of lids contract.
<br /> S• Q,IN. r _ Cr AcceplanceSlgnalure �
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