NCG550048_Email with invoice indicating clearing of discharge line_20231205 (2)

Invoice No. 28074
DRAIN W EXPRESS
%6-1,1W
Professional Plumbing & Drain Cleaning
www.drain-express.com
North Carolina Plumbing License No. -21697
P.O. Box 670 • Carrboro, NC 27510
Chapel Hill: 919-968-0070
Durham: 919-680-6229
Date:
Technician:
Customer P0:
NAME (JOB LOCATION)
NAME (BILL TOI
W'v I e, An S4fC1 �
ADDRESS "} } f�
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ADDRESS
VIr'CL
CITY STATE ZIP
CITY STATE ZIP
HOME PHONE WORK PHONE
C, II III-IT7oI
HOME PHONE WORK PHONE
Type of Service
Plumbing
Drain Cleaning
❑
Hydrojet
❑
Camera
❑
Check
❑
Cash
❑
Credit Card
❑
Charge
❑
Residential
;#
Commercial
❑
•
1
•: DESCRIPTION
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WORK AUTHORIZATION PAYMENT OF THIS INVOICE
CONTRACT DUE UPON COMPLETION OF WORK
AUTHORIZATION TO PROCEED WITH PROPOSED WORK. I, the undersigned, am owner/authorized
representative/tenant of the premises at which the work mentioned above is to be done. I hereby authorize
you to perform said work, and to use such labor and material as you deem advisable. A monthly service
charge of 1 12% will be added after 30 days. I have read, agree to, and have received a copy of the contract.
All parts will be removed from premises and discarded unless otherwise specified herein. I agree that I have
authority to sign this agreement, and is doing so I accept full responsibility for payment of all charges incurred
pursuant to this Work Authorization Agreement. I agree to pay all collection expenses, court costs, and/or
attorney fees if collection and/or lawsuit are necessary. By my signature below, I agree to personally
guarantee and pay all amounts required under this agreement.
I hereby authorize you to proceed with the above work at the price of $ L c
AUTHORIZED
SIGNATURE 0%--
Guarantee
30
60
90
Other i --Y e w—
Labor
Material
Otter
TOTAL
/ `� b
Ck
CREDIT CARD r EXPIRATION DATE
NO. 1S Li (-- cl I O o Z /C — Z 9
ACCEPTANCE OF WORK PERFORMED. I find the service
and materials rendered and Installed in connection with the
AUTHORIZATION CODE DRIVER'S LIC. NO. DATE
ACCOUNT NO. CUSTOMER
SERVICE REP
above work mentioned, to 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
'
i
complete charge. I agree to pay reasonable attcrney's fees
and court costs in the event of legal action. I acknowledge
that I have read and received a legible copy contract
and have read the Notice to Owrer and statemea thisnt required on
I do hereby state thhat the above work has been performed in a workmanlike manner and to the applicable building codes.
(f
contract on reverse side.
X
ACCEPTANCE
SERVICE TECHNICIAN SIGNATURE DATE
SIGNATURE