Laserfiche WebLink
�' � c;arporate xaaress: rttysu;di r�uu�Ca�. �o �sJ v r o-:�vv � <br /> -F `� i 712 E. Seward St 1712 E. Seward St <br /> � Tampa, FL 33604 Tampa, FL 33604 CAC # 1817480 • �'�� <br /> Fax:(855) 773-7693 - • . •- --.. • . .. + - . . : • • - • � <br /> - — ---.— , , <br /> •—" � - - _Return Supply_ High Lowx StiJSC D1B °foRFi �, <br /> HC)111.�` ..�!C�r'V1.C�:S — -- .- —P_referred Temperature Setting for your home: � <br /> -�, — <br /> Heating& Cooling (�j .� 7 � � � Before Rate the level of dust in the home from 1 -10: � <br /> ACSHomeServices.com After Who suffers from allergies/asthma/congestion? -� � ; <br /> DATE: .�1 I�.[��P ., <br /> WVOICE#: Time In:�. Time Out:� ^� U Mo de l � �, � ���'�j W h 1c h room in t he home is har dest to 000l and heat? � { <br /> Model S1N � ` <br /> Name: �� �V ..� ���� �S � � Jr <br /> Address:_ �cJ� '�'� ���. Y)G�L17 �� Date the Last Maintenance was Performed: � <br /> PGK Mode! S!N <br /> �'- �,y`���_�����Z� � , <br /> ��, �7 • . • � <br /> Home Tel: �,�"'c.�l��`'����� �j Horizontal Vertical Package Roaf AHU <br /> Servtced Serviced <br /> Checked CU Checked <br /> CelUFax: •- Evap.Coii Y J N Fan Motor Y! N <br /> Email: SIC �j� HP Toris Insp.lClean Drain Pan Y t N Condensar Coii Y/ N � � <br /> � � � Transformer Y! N Freon Charge Y/ N � ; <br /> Reason fOr Today's G�II:_�/�l..X,'� Heat Element Strip Y / N Compressor Y / N � <br /> New Gaod Fair Poor glawer Cap Y / N Amp.Rating Y / N I � <br /> Service Res/Comm Clean/Check Residential Estimated Age: Yrs Average Life: Yrs Biawer Amp Y/ N ( ) Y/ N ; <br /> Warranty Res/Comm Maintenance Highest Electric Bill:$ Month DUCT SYSTEM i <br /> 8ervice Return Duct Cleaning Estimated Utility Overpayment$ /5 Years Ducts ( ) Duct Leaks Y/ N � <br /> Good 1 Fair ! Poor Y� � Sanitization Y! N f <br /> �- . • � - I <br /> � �� �/' FORNi OF PAYNIEtVT � <br /> _Cash ,_Check# �, <br /> Credit Card: _VISA_MC�AmEx�Other i <br /> � <br /> Name on Card: ! <br /> � Card No.: <br /> Auth.Code: Expiration_ <br /> � a ��� , ��� <br /> � �,, Payment Plan Company:�� ����� <br /> - �'!l� � <br /> �^,(jj�'� Parls and Labor Warranty: <br /> AII parts as recorded aze warranted as per mann(acturer specifications. if <br /> ` repairs leter laecome necessary due to other detecBve parts,they will be <br /> charged separatety, We guarantee that atl repairs ara done rlght. if a cepalr <br /> � 1 h2186y Buth011ZB th8 a6pVe tY4f/c f0 68 dotl8&S SO fdBtBd 8ttd . lefls during the seeSon,we will repafr ft agein absol�tely(ree. <br /> r!'hanl�You outlilled above. It is agreed that the seller.wfll�Btain titla to any , BUYER'S RIGNT TO CANCEL-This Is a home solicitaGon sale,and if you do <br /> eqtlipmenf Or m8terial unfit fina!i�omptaf9 payment is mad8. !f tha' not want ihe goods or services,you may cance!this agreemant by providing <br /> settlement is not made as agreed,the seller has the right to remove Total Amount Due �J-����7� written notice to the seller in person�by t9legtem,or by mflil.This noUce must � <br /> equlpmant and material and fha setler wi!!be held harmless far any indicate that you do not want the goods or sarvices and must be detivsred or <br /> damagas resu(ti from the,rett�}val of equipment t� postmarked betore mid�ight of the third buslness day efter you sign this <br /> �������_I / 1 8 ! �- � ' \C,ry� egreement.it y F Yancai this agreement,the seiter may not keep ai{oe part oi � <br /> ��� St nature_ TZ,.,. i����� any cash down a menG <br /> - _ _ician s Signafure _ Authorized by I hereby ecknawledge tbe satlsfecrory complef/on a!fhe abova descdbed vrork NFPCI JJ28849 <br /> � - _ v I acknowledge form of peyment and terms. ACS•0-002 <br /> ' Initlals----- ---- . - <br /> __.,._ , _ - �---- -- --- -- - - -- - - . ,_ . _ ..._' <br />