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� ������, Y" �������t� <br />�� ` ' �. Roater <br />{425) 387-� rJ' �7 Mailing Address: <br />5407 71stAve. NE <br />aAn�n�i �rs�ll�r�l��mhinn rnrr� --- - <br />Serving Evereff, Marysville & Snohomish County <br />nnr � nr nnn� a <br />15740 <br />.:';.;:�,,;� •�s>>�.a+e✓vuvr+�aa���,.ra��.,..vvu■ �nn�yaru�c�...�.�v��.. ncymnrv��r�ow�c <br />+. . <br />•- •��- •��- DATE: � �,�r�l. <br />Customer Name ---�^ { Customer Name <br />t 'f`j r`�i' �'� �._ '� i:; ,�-,��.� � - � <br />Address �-� - 1 � � �. Address <br />S G�� �`� <br />Cih/ !�� ����� St � Zip�,��� JabPhone Cify St. Zio DtherPhone <br />x <br />Vu'ould you like to receive ema l efters? f� Yes ❑ No Email Address: Technician(s) Gontact Person � Service ❑ Previous Malnt <br />❑ EsGmate ❑ Qpportuniiy Call <br />❑ Oamer Q Tenant <br />❑ Cash ❑ Check ❑ Billed ❑ Credit Card Check # or Credit Card Referrai # Aufh Gode: ❑ Residential ❑ Commercial <br />� • � �� t��..�--{. 6'��� tr-+..�'�.��i';- -� -'(� `� s • <br />-� <br />�� t,�,E,,,; `�,;$ �- ��,�"'g,�--( �,�.� I agree that in'Ual pnce quated prior to sla�t af work does not include any addi6onai or unfors:en tasks. Nor materials whlch may be found to be necessary to <br />comolete repairs ar replacements. I also agree to hcld Apollo Plumbing or its assigns harmless fer parts deemed wrroded, unusable or unreiiable for completion of <br />stated vrork fo 6e done. I hers5y aulhorize Apollo Plumbing to perform proposed work and agr=e to al! agreement condifions as displayed on the face and revers> <br />i ;ides ofifiis documentand furtheracknowledge fhat this invoice is cue upon receipt. <br />Xr � . �;����? .e � ��� � "� Authorized Signature X S <br />, • • -r. . <br />� �.-ti'- „�'i �,.L C �; it t'4 i` � --7� - e �'. ["�.-{� /3�`_t� �°l � '�'. �! , t%'{ �, J ,�' " 's ,,°'� <br />> �� 3' C c.�`�G ` � i�' � �� i}� �#i�. <br />� ,.�'. '�"� 1'7.�" �t-- C-� t':� �� v�.. �t d. ,..t't:�'' �..,f' i � ..�°z'f° �/'� { <br />� i � <br />�• �,'% o ► . � <br />�t � t F�.f b�, ��5 <br />`" ,i 4 <br />�� v� <br />� � ��a�� � f �` <br />r` <br />Acceptance o`work performed: I find the service.and materials per%rmed & installed have been completed in accordance with lhis agreement. I agreeto pay reasonahle attorney fees, collection fees and cour; =•� $ fi Gi �_ ��.,, <br />costs m tha event of legal action ?ursuant to collectian of amounf due. �"= f <br />Customer Signature X 7AX $ ��� _.� �..��—� <br />I do hereby state fhat the above work has been done in a woricmanlike manner a�d to �p licable wdes. � <br />7echnician Signafure X � • � �����y <br />C� <br />