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� ■ . .° <br /> s � � . . Gfas�Service �atnna� <br /> PROPANE`GAS <br /> � AND AIC iNC. _ _ , Tankless Water <br /> Heaters <br /> �7�e�988 8�3•782�5013 <br /> SALES•SERVICE•REPAIR•INSTALLATION ����� ���ER#/SFRV IGEMA�I 1�47� DFF <br /> DA7E/TTME TAI'.EN �6/17115 1`0�9 <br /> 4441 Allen Rd.•Zepfiyrhilis, FL 33541 TAN.E�I L�Y SC �4 <br /> - � (813) 782-5013 DATE/TTME F�ROMTS�D <br /> z CUSI"DMER#/LOCf�TI01V �Z�S��•3 <br /> NOTES: F'H01�IE# 81�:,-782-785� 0 <br /> � -CONTACT - �ETH AFCER <br /> ROt1TE/SEG? OFF <br /> EAST^ �'ASCO I�EALS Ohi WHEELS TIVG �ASl" F�ASCO �iEALS Ohl WHEELS I�iC <br /> 3814� 15TN AVE 3814•5 -15TH AVE <br /> ZEf-'I-�YRHTLLS FL �354` � ZEPHYRHILLS' FL3�54` <br /> 1��1GflL F'F2ES8 TES7 01�1 F I LE <br /> ��hfEW CUST SET CJF��� <br /> Start End Time Flow Lock Up System Regulator Regulator Regulator Regulator <br /> Pressure Pressure Meld Pressure Pressure OK Code Condition Manuf. Model <br /> Single Stage ___ Ira,�,�IV C._______ ____ In. C. In W.C. ' <br /> ------- — ----� ---- -- --- ----- --_—_ ---- ---- - <br /> Two 1st PSIG PSIG PSIG PSIG <br /> Stage <br /> ' 2nd In. W.C. - - In.-W C. - In. W.C. <br /> Work Performed: <br /> • Description Amount <br /> Service <br /> Appliance <br /> ' Material <br /> , " � Tax <br /> Qty. Part# Description GeS <br /> Hazmat - <br /> Permit <br /> Tank Lease <br /> Total.Due <br /> ° - ' AMOUNT RECENED <br /> I haye authorized and have authority to order the work as outlined above.I agree to pay all costs as represented.in this document.If these charges are turned <br /> over for collection, I agree to pay reasonable attorney's fees if this invoice is placed in the hands of an attomey or collection agency for collection. <br /> Customer Signature Date Technician's Signature Tech# <br /> FILE COPY <br />