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16-18027
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2016
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16-18027
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Last modified
8/1/2017 10:43:36 AM
Creation date
8/1/2017 10:43:36 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
16-18027
Building Department - Name
GUYSE,THOMAS & CHARLENE
Address
5815 9TH ST
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813-445-4818 DATE:��_/�� INVOICE#: 2��6 o ACE CLUB MEMBERSHIP <br /> a 727-495-7474 Tech Name c --- WO#: And Services Saving programs have been <br /> 352-458-4181 C�i��s � ��O� I explained: <br /> 863-226-5588 " • _ • ° ° ' <br /> s e r v i c e s �Wandservices Make � Model � Serial � Age I Condl ❑Current Member <br /> AlrConditioning • Plumbing • Electrical contact@andservices.com i ❑Agree to purchase <br /> AHU � <br /> CAC1816819,CFG7428895,EG13002594 ' ___I ! ! Y ❑Decline artlCl atloll <br /> - - ' ----------� _-__�--- -- P P <br /> �� 1`-------------r------- , <br /> Name: %�i�v��i_s �u y�c? CU � � I Customer's Initials <br /> Street Address: S�'�S �� 5-�-- -- --- - ' � <br /> —�----- <br /> � i ' I have discussed And Services Saving programs <br /> City �;��,�,rG,�.�II.S State. FL Zip:��� PCK I � with the customer I have given a copy of the contract to <br /> the customer.All work is complete and is in compliance <br /> Home Tel: .�7+�/��.3�"'C,,�/5/ Cell/Fax: " ° ��' ' � ' � � with And Services standards of excellence in <br /> High I Low Actual Max. workmanshi and in com liance with buildin codes. <br /> Email: - —- --- ----—i— —— ----_! ; P P� 9 <br /> Before i ' <br /> Reason For Call: ❑Work Complete —� �, i Technician's <br /> After � L i � Signature <br /> ❑Attn.Supervisor ❑Follow Up ❑Work Incomplete gRqND ! ❑S/C ❑HP ❑VERT ❑HOR�z� Torvs INDOOR AIR QUALITY <br /> o a � � � o •- � o .. . .: <br />' � Air Handler ❑Ok ❑Dust ❑Growth ❑Dirt <br /> �, �k�,.K,.� s���,,,,f_p�.���5,�,!_,,, � _��_��Q�� , Blower Wheel ❑Ok ❑Dust ❑Growth ❑Dirt <br /> � � Evaporator Coil ❑Ok ❑Dust ❑Growth ❑Dirt <br /> Z � Ducts and Vents ❑Ok ❑Dust ❑Growth ❑Dirt <br /> c� , <br /> a -- -- -- --- — --I-- <br /> � - I--- � <br /> PAYMENT OPTIONS <br /> --�u�^_�:��.�o� �-----�-`=�v----�a-s�-u�-v�-�'j ----------------------------- - ----------�7-�i_o��. <br /> z ❑Cash ❑Check# ❑ Credit Card <br /> 0 <br /> Q ----- -- — -- --- -- . .----� — <br /> � —� ❑VISA ❑MC ❑ AmEx ❑ Discover <br /> � � -- <br /> � I � Name on Card: <br /> � -------- <br /> �W -------•-- I � <br /> --------_.__—_-- - --- -------- ------- —______ Card No. <br /> - — -- --� _I � <br /> —� � <br /> ' CV2 Code: Expiration / <br /> �� ��r�o`-�6��u�r��w ��ct s' �.r�.� ? � �---- <br /> o �� <br /> I � -r'ow�a r�,�1sy /Y.�..?� ;l.µ��-1l.��e�+^c���—fiLlo�+�_4—l-�—_. I -- �— <br /> � 9 I . <br /> w --�_---'-kc�T^R-��-----okiL:�_f.x::AW��L--: Si nature <br /> ----------... ------...-- ------- 9 <br /> a ---�------------- ------------._.._. __ <br /> o —�_ ___ __________ ___ _ _ ____ I __ I hereby acknowledge the satisfactory completion of the work as noted on <br /> � � � this invoica.It is agreed that the seller will retain title to any equipment or <br /> � material unGl final and complete payment is made.If the settlement is not <br /> t— made as agreed, the seller has the right to remove equipment and <br /> � ! material and the seller will be held harmless for any damages resulting <br /> -------- -----------�----- ---—- <br /> Agreement for Service:I,the undersigned,am an authorized representaGve of the � � ' � `— -T' 1' ---- m the removal of equipment. Tertns include 1.5% monthty service <br /> ro <br /> premises at which the work above is being done.I authorize the performanca o( STANDARD vs MEMBER TOTALS � � � charge if not paid in 30 days.In the event of non-payment of the spec�ed <br /> the work as noted on this invoice.I acknowledge thatthe_estimatedgrice does-no_ - _!__,�� "total�a.lien-againstmy_property-may-be pureued and-4-wiIl be responsiMe - <br /> include unforeseen parts or labor which may be needed after the work begins. ' � ' " - for practical attorney fees,collection costs,and interests. <br /> ACE�CIub Wlember Savin s �. � � <br /> My writtc�n authorizatlon will be obtained before beginning any additional work. g <br /> I have read this contract,and agree to be bound by all tertns contained herein. - — __..__ Parts and Labor Warranty: <br /> , All parts as recorded are warranted as per manufacturer spec�cations. <br /> � � � We do not guarantee other parts than those we supply.If repairs later <br /> � + . � � � - become necessary due to other defective parts, thay will be charged <br /> Signat,ure: . - i L����� separately.We guarantee lhat all repairs are done right.If a repair fails <br /> _� i erety ac o ge the satis on ve vrork during the season,we will repair it again absolutely free. <br /> /'. . ._ i% ....... i <br />� <br />
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