Service Authorization

Jobsite Details

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Generator Details

Payment Information and Authorization

**If exempt, you will need to submit your Tax Exempt Certificate**
**To pay by credit card, you will be contacted by our Accounting office to submit payment**

By signing below you agree that this service call is performed pursuant to ESSE, LLC standard terms and conditions, which are available upon request. These will apply to this request and supersede all others now or attached to a subsequent service call and/or purchase order. Services provided may be chargeable, if not warranty in nature and therefore, agree that payment shall be issued at the time of service.

*Rates subject to change

Published Rates: Labor ‐ $120.00 per hour / Travel ‐ $120.00 per hour / Mileage ‐ $2.50 per mile

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Signature *
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