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_ � 8950 New York Avenue ----- <br /> � ��tHudson, FL 34667 • <br /> Phone: (727) 868-4636 New Equipment Installation (1�� 14 51 � <br /> � CAC058062 • CFC042998 <br /> PLUMBING • COOLING • HEATING v�,W,bayonet-inc.com WO# ���"��Q � Cust# � Job# <br /> Date� Customer Name: ��� ���a�''� <br /> � � � � Technician(s): �, <br /> Address• �� <br /> Salesperson: Rebates/Incentives: City/Zip. <br /> Phone 1: - ne 2: <br /> ❑ Work Complete OWork Incomplete ❑ Ready for inspection Email: Bill to: <br /> Items Requiring Attention: , , <br /> am enance a c arge. � � v� <br /> Airival Time Time Complete �Permit# <br /> Work Performed and Equipment Installed: - ,�� <br /> Brand Model S�� <br /> L�ir Handler � � ���- ' <br /> ❑Ca ed Coil <br /> [�eat Pump Z ��� <br /> ❑AC Condenser <br /> ❑Gas Furnace <br /> ❑Air Cleaner <br /> ❑Electronic <br /> ❑Media All Work is COD.Please pay technician. � <br /> ❑W Light CCA <br /> ❑DEHumidifier Paid by: CASH CHECK# Other <br /> ❑Drain Line ❑Copper Lineset❑ Condenser Pad ❑Disconnect ❑Plenums FINANCED Downpymt <br /> ❑Duct Work add supplies add retums other A.mount Due •-� <br /> VISA MC DISCOVER AMEX <br /> ❑Non-Program Thermostat❑Programmable Thermostat 0 Deluxe T-stat � <br /> Environmental Performance: REFRIGERANT IN USE: Authorization Code Card# <br /> lbs refrigerant recovered lbs refrigerant installed Name On Card Ezp. SSV <br /> I authorized the work outlined on this document and all work has been This system carries a year parts warranty, year labor <br /> performed in an acceptable manner and I acknowledge with my signature belo �'�'anty, and � year compressor wananty as installed. Please call <br /> t3iat work is satisfactory and complete. us immediately at 800-535-4505 if you have any questions. <br /> , <br /> (�r�-nk ��u f r ��uY businessl <br />