NCG551012_Septic Receipt_20220603

FOREVER CLEAN PORTABLE TOILETS INC
116 W ACADEMY ST
FUQUAY VARINA, NC 27526
Ph: 919-552-0200 Fax: [phone]
Billing Address
OSMAR SOTO
5010 GLENN ROAD
DURHAM, NC 27704
Phone: [phone]
Fax: 0
Invoice
Service Address
5010 GLENN ROAD
5010 GLENN ROAD
DURHAM, NC 27704
Cust #
Site #
Date
Clerk
Terms
P.O.#
Invoice #
Page
OSMARSOTO
17538
6/10/2022
SM
DOR
B-986131
Page 1 / 1
DESCRIPTION
RATE
QTY
TAX%
TAX
AMOUNT
6/10/2022
SEPTIC TANK PUMPING
425.00/EACH
1
6/10/2022
FUEL SURCHARGE 425.00/EACH 0.12
DUE TO THE FUEL PRICES AT THIS TIME, A 12% FUEL SURCHARGE HAS BEEN ADDED TO THIS INVOICE. THANK YOU FOR YOUR
UNDERSTANDING.
6/10/2022
Visa Card #XXXX9180: This transaction has been approved.
Approval Code: 01217B Transaction ID: 63760870344
425.00
51.00
Thank you for your prompt payment.
Total
alarm You!
476.00
Statement as of 6/13/2022
Future: 0.00
Current: 0.00
30 Day: 0.00
60 Day: 0.00
90 Day: 0.00
Total Due: 0.00
Please detach here and return the bottom portion with your payment.
Div:B Cust #: OSMARSOTO Site #:17538 Invoice #: 986131
From
OSMAR SOTO
5010 GLENN ROAD
DURHAM, NC 27704
To
FOREVER CLEAN PORTABLE TOILETS INC
116 W ACADEMY ST
FUQUAY VARINA, NC 27526
Invoice #
B-986131
Total Pre -Tax
476.00
Total Tax
0.00
Invoice Total
476.00
Paid Amt
476.00
Adjustment Amt
0.00
Balance
0.00
PAYMENT DUE UPON RECEIPT