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• <br /> ..SOUTH WEST 231331 <br /> PLUMBING 13 935 <br /> 2401 SW ALASKA ST.•SEATTLE,WA 98106 <br /> (206)932-1777•PAX(206)933-1576 <br /> • <br /> t1�i PHONE NO.�1 �y CCyCr1#�S2OU/T'HHWP07IC66J <br /> TIME _ .O q - J!/�DATE R Y r� !7i y ✓f S/ !� TERMS !7c#ECfC 0 CASfi L�CRBDITCARD <br /> BILLING JOB LOCATION;• <br /> .r <br /> ✓/'"L jdcQ'y A f l /'y <br /> t— 7 Li4 ' s.9f93 jJ L <br /> j• .... --•-, e <br /> • <br /> DIAGNOSIS: _rt r <br /> 15t✓r ' • r <br /> ale.).- e,7 XPte..4.."4/ a(41-2.4•4.- <br /> `I U 6 44' �f "Cflr( :t�"-tt'.!:!1An.A. ,-{.t•6.7 /ZC.e_.,11407 !,.l f.B'fc!trr <br /> 64 J• i"Og'� 2 ,1"A _�/i /.: .1 }` w% t9. ,fit, -ign I S- ,f"1. z_ <br /> TAS #'S SOLUTION/WORKG fi <br /> iti <br /> 9 [�� fi 19r1.A� r GpGed ' r� <br /> •" ry <br /> 7,ir L� dta 2' 4 . r��vf n'yP ff.n rile 4+Z•t3fe-,`1.,F7. <br /> ,g 1 I / , <br /> �- f �A1 ajr _sf,.6P4` '`fraree dam? J.00 #/%tar w-1 ...4,9cdz ', <br /> PAID t3Y: ❑CHECK °INITIAL ADNAL REMARKS: �/ <br /> S,w•9 tl' t . <br /> 0 CREDIT CARD []CASHSUB 7 <br /> f "! I <br /> • <br /> CHECK# �� ' ice r� .s*y a TOTAL <br /> AUTH,# 1t r• tv�:�r • T <br /> PRODUCT INFO <br /> I hereby decline to have the shove work performed at the staled Oat rate price. T TAL $ <br /> MODEL# i <br /> SERIAL# Signature: <br /> Thank Yeti for calling <br /> SOUTH WEST PLUMIBING <br /> WORK AUTHORIZATION NOTES/TERMS:Payment ID full upon completion. <br /> AUTHORIZATION TO PROCEED WITH ABOVE DIAGNOSIS I SOLUTION•1,the undersigned.am <br /> Owner/authorized representative/tenant of the premises at which the.work motioned above Is to be <br /> done.t•herebyauthodie you'to perform Diagnosls/Solution,and to Die Subhiabbr and materials as you . <br /> deem advisable.A monthly seMee charge of 1.5%will be added after 30 days.I agree to pay <br /> reasonable attorneys fees and court coals in the event of reel action.If your check bounces,you could • <br /> be liable for 3 limes the amount of the check or$100.00,whichever Is more,plus-the face value pi the • • <br /> check and court costs.I{rave read his front and back of this tnvotce,and agree to all the terms and' AhCEPTANC(?OF WORK PERFORMED.I,find the servfae end materials <br /> conditions set forth and have received a copy of fhe contract. �,... condoled and Installed In` nebuonwlih the eve work mentioned to have <br /> I HEREBY AUT oRt[vo eTRo E W1TH1 ABOVE WORKAT IRATE OF:S o b <br /> /l�-• besncompleledlnasolisiaoryinannar'1'gfsemlhatlheamounlaeltorihon <br /> \d T...` .LLL...••'�•• ""�--� this contract in the space foliated TOTAL"Id be the total and complete Rat <br /> Authorized Slgn trite rate/minimum charge.I agree to pay reasonable altomey's lees end coon <br /> fCEarrFV'ranrTxe wA'. ddo hereby state d,arthea6ove wok has boon installed inavwwnanAAo manner,— costs In the event of legal Batton, A monthly service charge of 1.6%will he <br /> t eaeasuasafrasuncoTo E added this30 days, t acknowledge Thai I have read and received a legible <br /> Q TECHNICIAN'S DatW above <br /> DATE <br /> OS./,,.--- copy of thla noshed. <br /> .!!.' . SQ,TIJ. Acceptance Signature <br />