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State License# ��}�'� ��' � `��-td'/��t' �C--�°�'�'�-- J�U � �'— °1 ,� %�'�
<br /> ����������� CAC056871
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<br /> c������o� �o�o _ _ -
<br /> ��������������� '°� B� � � � �
<br /> �Liquid :�� psig �C����HM�S � . . =` ' '� , _ - �
<br /> su�t�o�, �� � psi9 5�2`7 Y3T�A��I�T�J�E,N��I �O�T' ��C�1E�'9�'�3�652 0 (727) �46���1�� (�0�) �40-��b�
<br /> Fan,4mps � t I NAME l��� �,�. ,�� DATE� � J SUBDIVISION
<br /> �ompressor Amps� pDDRESS � �i �f 3 ��� ��� TONNAGE_" ^ ❑H/P �S/C ❑PACKAGE ❑GAS ❑R-22 ��410-A
<br /> Heat Recovery �+� � �" '
<br /> Contactors L . CITY� � �'� STATE�� ZIP ����� COND.MAKE �� ��v� YR. � AIH MAKE � �— YR.�
<br /> C8p8Cl$OPS �� PHONE � „ � ` ���� CELL � _��l..�� ��� � MODEL# � �`.�v�^," '���- MODELN� �-� R16 �t1�y
<br /> Y V l.�
<br /> Safety Kifi �� EMAIL ' � �j�(�¢ �%�c��;� � � � SERIAL# � ��/�� �� =Z SERIALIII,� ( - �j�'' '
<br /> ,r�.� , . .. . ,., ... . . ; �„,,.._., ..::�.„��,., ..�.,::, , ..., ... _.. . , ,, -.
<br /> Oil Motor ' ' • "
<br />- ,: REC,0�6�����T90�S ..�E�CF,8IPTION �0��!lVORK o
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<br /> �dd 12efrigerant ,.. ,.. .,... ., .,. . , ,,,
<br /> Cond.Breaker# ��> i � '`�� : ^ ��'°`rir a� � �
<br /> *Cond.Coil ��a`�+:'�.� �' `�Lt '�, ;� ���u�. �<� i P ,�,� � `� ��L.
<br /> Accumula�or ��� ` ' c,_��. r,�, �;jcs}` �✓✓�'"�
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<br /> A69�;�1����E� I
<br /> : ... �� ��� � '� - �`�,.1 �,'��v` ; "'�''_ , ,�Ct �i' �
<br /> ..,a n Amps •� •��� a� �yyl�l��.� � �� �.�� ��u.a�� r�C '� �� 1 �.�-+:� . ��1T�- � V.J'�C_� fL�i� �•�.
<br /> �r r, ��- ��? t � . fi �j �,. �?i,� �-, v
<br /> Drain Tabs� '� � . � ��
<br /> K.�lf Size �b' �
<br /> Relays �;� �
<br /> �� � c t��' � �' E�,� . � � ��S j �
<br /> Duct 5ystem C '�� � �� t � `
<br /> Tigh4en Electricall�� �g���p��}� �@���P�y PLEASE INITIAL �`''''"�i� J 1 C' � `.�°v�C,�`�'�('� �
<br /> 1
<br /> Unit Rusiing � ` � �` � �.� ���a 3 C,�J 'L'L'L
<br /> 1. Was the representative helpful in answering all your questions. �Yes — No -
<br /> ,4ttic Insulatio � � - •, '�,���w''�� ��� ���
<br /> . Was the service performed in a professional manner? .��'es _ No
<br /> *Evaporator Coil �- �� -� `�" �
<br /> 3. Did the representative fully explain the services o
<br /> Temp.Drop�!� performed or any additional services to be performed � o� � � TOTAL I
<br /> ,41H Breaker# `�' in a professional and non-pressuring manner? L�s — No I HAVE THE AUfHORITY TO ORDER THE ABOVE WORK AND DO SO
<br /> ORDERASOUTLINEDABOVE.ITISAGREEDTHATTHESELLERWILL TRIP
<br /> T-S��� '�pig O Merc�Zone 4. Was the work area left neat and clean? �LYes ._ No RETAINTITLETOANYEQUIPMENTOR MATERIALFURIVISHED UMIL CHARGE I
<br /> � FIPJAL&COMPLETE PAYMENT IS MADE,AND IF BALANCE IS NOT
<br /> . ������cy�,�B�� 5. Would you recommend U.S.AIC&Heating �,.�es — No ��DEASAGREED,THESELLERSHALLHAVETHERIGHTTOREMOVE
<br /> , . ,. SAME AND THE SELLER WILL BE HELD HARMLESS POR ANY DAM- ����� j� ��
<br /> �Q@�0����`�' 6. Overall,how would you rate the value you receivetl from U.S.Air CondiGoning and Heating? AGES RESULTING FROM THE REMOVAL THEREOF. �V�� �
<br /> ALL SALES ARE FINAL.NO EXCHANGE/REFUPfD EfC. �,,�
<br /> Excellent J�Good Fair Poor �AGREE TO PAYALL COST OF COLLECTION,IfdCLUDING DOWN PAYMEPdT ���l i
<br /> Ultraviolet System `� ATTORMEY FEES.STATUTORY RETURN CHECK CHARGES APPLY.
<br /> Air Cleaning System � PARTS WARRANTY:AII parts as recorded are warranted as per manufacturer specifications.We do not guar- MAKE CHECKS PAYABLE:U.S:A/C 8�HEATING CORP. ❑CASH OCK.#
<br /> � anlee other parts than lhose we install.If repairs later become necessary due to olher defective paAs they will .
<br /> Whole House HEPA � be charged separately,othenvise 30 day warranty on all paRs and labor. � ❑C.C.
<br /> NEW EQUIPMEM:Federel Tax Credit will not be acknowledged unless staled on the invoice.Must meet Federal � TECHMICIAM IGNATURE �IMANCE , �
<br /> Dehumidifier System guidefinestoqualify.Oneyearlaborfromdateofinslall.CuslomerisresponsibletoregisterequipmenlforHarranty. �,
<br /> � •PLEASE NOTE:There will be an additional char e for chemicall trealed cleanin. �
<br /> 9 Y 9 ./ � BALANCE DUE
<br /> ��������'� EMERGENCYSERVICE:AIIPMAandwarrantyserviceisbetween8:00am-S:OOpm,Monday-Fridayexdud�ng X��,i�/Jit .0 /_ '� UpOn Completion
<br /> legal holidays.All other work subject to additional charges. CUST MER AUTHORIZED SIG RE � �
<br /> Q� ���Q�, �Q��� 12112-INV TECH# � � TM#--��� �
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