HomeMy WebLinkAboutPROPANE PAPPERWORKaso (3AuVN
SCANNED
BY
St, Lucie Cniinfv
Bid To: _
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phone.
Pump Out:
CAKAAO,-Jmi4:5 8 GRE�-
OIL & PROPANE®, ;80 g 9-
MARTIN COUNTY PROPANE 7P— 33�
43
Date Prepared: J0." 3-
z-=syX-=Q Fax:
Tank Set: AG or UG Excavation:
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Yanksize: 60 no 29 5�
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Purchased Leased (lan to lan) OR proratedrated
t�pQ�u�B Tank Monitoring stem yearly lease $ . /5JS. OO
�Qt� Feetotundergroandlina(+or )atxualfootagewiBbadlarsed@$ OD perfect
Feetofinteriorlinel4er-Ixduatrn�,n•s,.naa�..�..,.,..,.n,e _
All material Is guaranteed to be specified. Ali work to be completed in workmanlike manrteracconGng to standard practices. Any alterations
or deviationfrom above speEiflcations Involving extra costs will be executed only upon written orders and will become an extra charge over
and above the estimate. All agreements are contingent Upon strikes, accidents or delays beyond ourcomrol: Owner to carry fife, tornado and
other necessary insurance. Ourworkersarefully covered by Worker's Compensation.
"Bonding of interior gas fines to he done by otbam
'� °°Ali sod re9lace»ant to be done hll others. --Sp� ��LIC E/.(�i— g� ��
Como Representative
Accepted By:
Sign:
Customer
Accepted
Sign:
Martin County Propane
Name
®ate.
Subtotal:
Tax:
Permit Fee:
$
t FillPriceX Gallons:
Za 3J { Nazmat Fee:
$
$ •
rallons:
50%Oo Payment
Balance flue:
$ S
3586 SW Martin Hwy. Palm City, FL 34990 Phone: (772) 287-1900 Fax: (772) 287-5961