HomeMy WebLinkAboutSeptic Pumping - Receipt - 64 OLD CART WAY 12/1/2020 k❑Stewart's Septic Service ❑ Andover Septic ❑ Stratham Hill Septic ❑ Roto-Ram
(978) 372-7471 (978) 475-2593 (603) 772-5548 (978) 452-9022
58 South Kimball Street, Bradford, MA 01835
Date of Service
PAY FROM THIS BILL
Customer Name: fRe, Natu�r of Service
y l� r` C —7 Reg.Maint.
Service Location:
Phone: Septic Tank Pumping and Cleaning 4 Day ❑ Night
Contact:
"Done the Right Way"
Billing Address: Not Responsible for Covers V�Q
or Irrigation Systems AFC
City:j zip: TOWN0,C- �zo?o
Special Instructions DFp Np�
_ iU Completed gRTMFNT�/�
Per:
❑ Incompleted Reason:
A PM
Services Rendered
VVaum Pumping Observations Drain Cleaning
:a Septic Tank ❑ Good Condition ❑ Main Line
Drywell ❑JI bhfield Runback ❑ Toilet Bowl
❑ Leech Pit/Overflow Ja Riding High ❑ Kitchen Sink
❑ D-Box (liquid level) ❑ Bathtub/Shower
❑ Pump Chamber ❑ Full to Cover ❑ Vanity
❑ Grease Trap ❑ Excessive Solids ❑ Floor Drain
❑ Catch Basin Top/Bottom ❑ Vent
❑ Portable Toilet ❑ Use No Powdered Soap ❑ Sewer Jet
❑ Other ❑ Heavy Grease ❑ Other
Oty: ❑ Roots Footage:
Size: ❑ Suggest Electric
❑ Under 1000 gallons ❑ 1000 gallons 1500 gallons Rootering
❑ 2000 gallons ❑ 3000 gallons ❑ 4000 gallons ❑ Van Called
❑ 5000 gallons ❑ Other ❑ Other
Misc.
❑ Digging Charge ❑ Backhoe ❑ Inspection
ElfLocation ft.i'" ❑ Consultion firs ❑ Certification: P/F
❑ Service Call ❑ Estimate Reason:
❑ Labor ❑ Portable Toilet Rental ❑Pump Repair
❑ Waiting Time ❑ Baffle ❑ Repair
Digging Charge is Per Driver ❑ Chemical Treatment
Discretion ❑ Other l J
Description of work Recommendations Terms of Payment
Parts
Vacuum Pumping Drain Cleaning PAYMENT DUE IN FULL
Yr. Month Yr. Month1-1 UPON COMPLETION Tax
Terms&Conditions I Jj/cash ❑ Check ❑Credit Discount
t Not responsible for damage beyond curb line. 3. 1.5%per month will be charged to accounts past due. To I
2. All complaints shall be reported within 48 hours. 4. The purchaser agrees to pay all cost of collection. J
Customer Signature Serviceman