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7-�-�- �`�`{�`��1� __._ __y., . , , <br /> �lu�.nor,� Accounting&Billing; Q � (^ � p "'�' <br /> ��� � ,�� . PiiECi510N GRRAGE DC?OR SERVSCE U a j �PERA70F� ves❑ No EXlS�'lR1G.Dt?OR YEs.p r�op <br /> ' .��� 13737Aufomobi�e 8tvd, MliKE MODEL �TYAE:�Sec, ;�'One Pc.'�Wood 0`Steel,;[,�'fiberglass. <br /> Cleat^water,FL.337G2 License# � 'i <br /> $SEAVIG� �888)'626-3667 CBC1259763 HP 814 lfZ RAlLSIZE HEAOROOM:';- - .��� .� " <br /> � I � K�l( EXTRA REM07ES VL�, FIQOR`fD tElLtNG:. � �. � <br /> • d/L, � i��i C•'� cr( (Nf _l� rG•i�'� t� � ' <br /> � � �/� (� : �.- , .. � <br /> Customer Name KEY PAp <br /> 1� ! SPIE�IAL ORQ YE'�5 �o <br /> L��J ��f I l�� f7 f � C'- 'G/ip/�'��r�i i. l�S %/��,,� SURGE PROTECTQR ' `�' ' ,� ' (Q ,AM 7 PM <br /> t WSTqLL�DATE:�' - �•. � ' <br /> Address City SYate Zip � , . , , � <br /> CARBONMONOXIDESENSOR �'Tfie`reisatle o'"of50"fare uired' <br /> p` q yspeciaf'orderddor{s). <br /> � ��,�j � � � j` � � �U ��� � UPERATOR 70fiAL ' ee s fora'rrival: <br /> Hame phone Work Phone/Cell Phone <br /> MODEL �E.' {' c ",h GL�t-Z- i�� ��',?f �'' MODEL MODEL <br /> - size � G '" w�.c{"l ".�.' ` si'ze size <br /> INSUI.ATED R- Y 1 tNSULATEO R- Y 1 N WSULATED R- Y / N <br /> ��WIND RATING G � ?.• ll J-�l! i"�'� -WWD RATING WIND RATING <br /> `.COLOR J�a li �T'G ' COLOR COLOR <br /> GLASS Y ! f3' GLASS Y t N GLASS Y 1 N <br /> C G"jt� <br /> P.ERMIT Y, / N PERMIT Y / N PERMIT Y / N <br /> YEARS HARQWARE WARRANTY-PARTS&LA80R � ,� ����,� YEARS HAftDWARE WARRANTY-PARTS&LA$OR YEARS NARDWARE WARRAN7Y-PARTS&lABflR <br /> YEARS PANEL WARRAMY FROM MANUFACTURER � �A� YEARS PANEI.WARRANTY FROM MANUFACI'URER YEARS PANEL WARRANTY FRQM MANUFACTURER <br /> ('.";7 � <br /> TRACK 12; 75 ll�' � • TfiACK 12 15 � tH TRACK 12 15 LN <br /> SYSTEM G..TLI(i510RF/EXTENSION SYSTEM TOR510N/EX7ENSION SYSTEM TORSIbN/EXTENSION <br /> �.�^"-�� - �fty <br /> LOCK c�i� 'OU(SIUE ,�, ' COCK !NSlDEIOU75(QE LOCK ltVSJt3ElflUT5it7E <br /> HAULAWAY Y / N HAULAWAY Y / N HAULAWAY Y / N <br /> r+ <br /> TRtM Y)1 M �`�� TRlM , Y 1 At TRiM Y t N <br /> VERTICAL FRAMING Y / �I VERTICAL FRAMING Y / N VERTICAL FRAMING Y / N <br /> HEADER BOARD Y �{1�' i-IEADER BOARD Y 1 P2 HEADER BOARD Y 1 N <br /> SPRING PAD � � N {� ���1 SPRING PAD Y � N SPRING PAD Y � N <br /> r+ores: DQOA t "–� G7�1 aores: �' G•!4�G.. C J��` � �� OOOR xo�s: D003? <br /> ' TOTAL �� � i ��' TOTAL <br /> Ls�r.� TQTAL <br /> . OPERATOR J � � �"�'�"' — OPERATON . OPERATC7R <br /> TO7Al 70TAL TOTAL <br /> EST1�tVfA1'E AGREENfEN7' TOTAL TOTAL 7aTa <br /> '[}:I.fully u�derstand ttie.explanation and tiie tota!piice(s)given to me <br /> ❑�(t has been exptained.to rrie and.hundestand.that.my operaror may have been strained or.worn due taan unbalanced�overhead garage dooc The technician has`infarmed.me thatthere is no way, �ustomer Signature <br /> 'Ro tletect the longeveity of my operator due to this possible strain'I und'erstand that there is no guarantee or warranry on a strainedfwom operatar,if notreplaced afthe time of my garage door.. -Z,,,� s�'b� <br /> Q,t,understand that my doorarri!my,operator,are two separate mechanisrtis. Date <br /> GARAGE NEEDS TO BE FREE AND CLEAR 5'BACK�ND WIDTH OF OPEf�ING. IF NOT THERE WII.L BE A$75.00 PER HOU�R CHARGE TO MOVE 1'TEMS. $ALE5 TAX IfVCLUClED! <br /> - WE BEATA Y1NRtTTEN Q,llOTE! l <br /> METHOD QF'PAYMEiVT , l ' . , � <br /> ❑Cash�Check� pdakecheckspaya6letoPrecisionGaagePoorServlce.FeechargedformNmeddiecksa BIIIIn�:Net `TECHNICIAN: ... t �G'• �'�� <br /> Credit Card ❑Visa�]tUiC DAmex ❑Disc Account# Exp.Qate Sec.Code Auth.Code Pn�'- �-.��.._�� _ <br /> '� <br />