2510 W CASINO RD MAJESTIC GLOVE 2016-09-26

r TIME IORDER DATE s P�unnBtNc 2401 SW ALASKA ST. • SEATTLE, WA 98106 (206) 932-1777 • FAX (206) 933-1576 CC#SOUTHWP071 C6 CUSTOMER PHONE NO. I SERVICE TECH. I TERMS .� � �: c� ��: � � -�—� �,� CHECK U CASH I I CREDIT CARD ` v� t� �� . C�,� ;�r�f� dG� DIAGNOSIS: TASK #'s SOLUTION/ WORK: PAID BY: ❑ CHECK INITIAL ADDITIONAL REMARKS: ❑ CREDIT CARD ❑ CASH SUB $ CHECK # — TOTAL AUTH.# TAX � PRODUCT INFO I hereby decline to have the above work performed at the stated flat rate price. @ MODEL # T07AL I �p Thank You for calling SERIAL # Signature: SOIJ°iFl 9NE'.5T PLUMBING WORK AUTHORIZATION NOTES / TERMS: P�iy�ricnt i�� tu�� uPon comp�etion AUTHORIZATION TO PROCEED WITH ABOVE DIAGNOSIS 1 SOLUTION I, the undersigned, am owner/authorized representative/tenant of the premises at which the work inentioned above is to be — done. I hereby authorize you to perform Diagnosis/Solution, and to use such labor and materials as you deem advisable. A monthly service charge of 1.5 % will be added after 30 days. I agree to pay reasonable _ attorney's fees and court costs in the event of legai action. If your check bounces, you could be liable for 3 times the amount of the check or S100.00, whichever is more, plus the face value of the check and court costs. I have read the front and back of this invoice and agree to all the terms and condiiions set ACCEPTANCE OF WORK PERFORMED. I fnd the service and materials forth and have received a copy of the contract. rendered and installed in connection with the above work mentioned to I HEREBY AUTHORIZE YOU TO PROCEED WITH THE ABOVE WORK AT A FLAT RATE OF: $ have been completed in a satisfactory manner. I agree that the amount set forth on this contract in the space labeled "TOTAL" to be the total and Authorized Signature complete flat rate/minimum charge. I agree to pay reasonable attorney's I CERTIFY THAT THE WATER I do heroby statc thal tho above work hes bcen Installed in a workmadike ni:�nner. feL'S 8fld COUff COStS Ifl i�12 2V6`Ilf Of �2g8� 2CfI0f1. Fi IllOilfh�y SBfVIC@ ChBf�B PRESSURE MEFlSURED TO BE TECHNICIAN'S SIGNATURE DATE of 1.5% will be added after 30 days. I acknowledge that I have read and LBS./ received a legible copy of this contract. SQ. IN. Acceptance Signature osii i