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HomeMy WebLinkAboutSeptic Repair - Receipt - 400 WINTER STREET 3/8/2022 U Stewart's Septic Service ❑ Andover Septic ❑ Stratham Hill Septic J Roto-Ram (978)372-7471 (978) 475-2593 (603) 772-5545 (978) 452.9022 58 ,youth Kimball Street, Bradford, MA 01835 Date of Service PAY FROM THIS BILL Customer Name: ❑ Reg, Nature of Service ❑ N/C J Reg.Maint. Service Location: ❑ Emergency Septic Tank Pumping and Cleaning l� Day J Night Phone: - "Done the Right way" Contact: Billing Address: Not Responsible for Covers or Irrigation Systems City: ,, zip: Special Instructions ID Completed ❑ Incompleted Reason: Per: _ AM/PM Services Rendered Vacuum Pumping Observations Drain Cleaning ❑ Septic Tank ❑ Good Condition ❑ Main Line Drywell ❑ Leechfield Runback ❑ Toilet Bowl ❑ Leech Pit/Overflow tJ Riding High ❑ Kitchen Sink ----- ❑ D-Box (liquid level) ❑ Bathtub/Shower IJ Pump Chamber ❑ Full to Cover IJ Vanity ❑ Grease Trap ❑ Excessive Solids ❑ Floor Drain Catch Basin Top/Bottom IJ Vent ❑ Portable Toilet ❑ Use No Powdered Soap ❑ Sewer Jet J Other ❑ Heavy Grease J Other aty: ❑ Roots Footage: Size: ❑ Suggest Electric IJ Under 1000 gallons ❑ 1000 gallons ❑ 1500 gallons Rootering 2000 gallons ❑ 3000 gallons ❑ 4000 gallons ❑ Van Called ❑ 5000 gallons ❑ Other ❑ Other Misc. FJ Digging Charge ❑ Backhoe J Inspection J Location ft./in, ❑ Consultion h`s. ❑ Certification: P/F J Service Call ❑ Estimate Reason: ❑ Labor ❑ Portable Toilet Rental tJ Pump Repair ❑ Waiting Time ❑ Baffle ❑ Repair * Digging Charge is Per Driver ❑ Chemical Treatment Discretion ❑ Other I Description of work Recommendations Terms of Payment Parts Vacuum Pumping Drain Cleaning PAYMENT DUE IN FULL Yr. Month Yr. MonthUPON COMPLETIONTax Terms&Conditions ❑ Cash ❑ Check ❑Credit Discount Total 1. Not responsible for damage beyond curb line, 3. 1.5%per month will be charged to accounts past due. 2. All complaints shall be reported within 48 hours. 4. The purchaser agrees to pay all cost of collection. Customer Signature � �' Serviceman