16-17893 - Laserfiche WebLink

Browse Search

1161 - - � cnc ia�a39s � � Date: ��— ��o �,,,,o��e#: - CLUB MEMBERSHIP Tech name:��l� 5 WO#: Temprite Saving programs have been explained: TEMPR �T� i 0 D � • .W ! tf � � ` ❑ Current Member MAKE MODEL SERIAL AGE COND ❑ Agree to purchase ❑ Decline participation AHU 813.252.4507 Customer Initials: WWW.tempriteairsolutionscom �� I have discussed Temprite Air Solutions Saving �infoQtem riteairsolutions.COm programs with the customer, I have given a copy of the contract to the customer All work is complete Name: � PCK and is in compliance with Temprite Air Solutions ��/e � 1 standards of excellence in workmanship and in Address: . � .., � ..., compliance with building codes. City:Z I 7 I HIGH , ' LOW ACTUAL MAX Technician Signature: Home Tel:��i y�� I ��`/�Cell/Fax: BEFORE Email: Reason For Call: S�� a ��„ �o.�C �,�� AFfER INDOOR AIR QUALITY ❑ Attn.Supervisor ❑ Follow Up Air Handler ❑Ok ❑Dust ❑Growth ❑Dirt ❑ Work Complete ❑ Work Incomplete BRAND ❑ S/H ❑HP ❑VERT ❑HORIZ TONS slower Wheel ❑Ok ❑Dust ❑Growth ❑Dirt p . fi s s`• ' _. p ` � . p`�" � . � � ' 1 � ,�m , ,; , = Evaporator Coil ❑Ok ❑Dust ❑Growth ❑Dirt r� � ! � j Ducts and Vents ❑Ok ❑Dust ❑Growth ❑Dirt o /✓ �'� .,� / .r- i d' •4 a � PAYMENT OPTIONS ° / a . C� - -- ❑ Cash ❑ Check# � - Z ❑ Credit Card ❑ VISA � MC ❑ DISC ❑ AMEX o °" �O /� �''�I' 1/ �` C'Q a • ° Name on Card: z � O' -�C�. /I/G�G�✓ � � Card Number: �� O a/Vl �-✓� /U� O i.� Z � a - CV2: EXP: c -`� � �,�C � U ��✓, � 9� Signature: o /� _ ° I hereby acknowledge the satisfactory completion of the work as noted on W C r / C.'� 1 Q�Le. this invoice.It is agreed that the seller will retain title to any equipment or a material until final and complete payment is made.If the settlement is not omade as agreed,the seller has the right to remove equipment and material and the seller will be held harmless for any damages resulting from the � removal of equipment.Terms include 1.5%monthly service charge if not paid in 30 days.In the event of non-payment of the specified"total",a lien against my property may be pursued and I will be responsible for practical Agreeme;r;(ar Service:I,the undersigned,am an authorized representative of the premises at � STANDARD vs MEMBER TOTALS ,� attorney fees,collection cosu,and interests. which the work above is being done.I authorize the performance of the work as noted on this ; /--�� _ ____ - - - - - -- - — -- invoice.i acknowledge that the estimated price does not include unforeseen_parts or_la6or_which-_—_-- _ -- - - "- - Parts and Labor Warranty: may.be needed after the work begins.My written aulhorization will be obtained before beginning 4 CIUb'MErtlblf`58V117g5 $' ' ' • All parts as recorded are warranted as per manufacturer specifitations.We any additional work.I h read this contract,an a e to 6e boy� d by all terms contained herein. � do not guarantee other parts than those we supply.If repairs later become � _ - necessary due to other defective parts,they will charged separately.We Signatu�e: ''• s � r • � ��b�j , � guarantee that all repairs are done right.If a repair fails during the season, eb acknowledge the satisfactory completion of the above work _ we will repair it again absolutely free.