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Customer Order: 143949 , � ersal <br /> �Name • Kermit Oppenheimer 1�.&�P�t <br /> Address 5039 Summer Hill Dr Apt# <br /> City Zephyrhills Cell Phone �rPorate Office <br /> 5460 Reese Rd#12, Davie, FL 33314 <br /> State ZIP 33542 Other Phone State Licensed#CAC058142 <br /> Date 3/18/2017 Date Scheduled 3/25/2017 uahac.com(866)999–2665(COOL) <br /> —New <br /> Air Handl�r RH1T4821STANJA <br /> _��.p�_enser RP1442AJ�.LVA <br /> -F� er 5 <br /> I <br /> ❑ Testimonial Video Release SUB-TOTAL $4,636.87 <br /> I Agree To Be Photographed And�deotaped For This Production By Universal Air And Heat Without INSTANT REBATE $0.00 <br /> Receiving Compensation Of Any Kind. i Understand That This Footage May Be Used,As Deemed -UTILITY REBATE AND OR <br /> Appropriate By Universal Air&Heat For Future Productions Which May Be Viewed By Public And MANUFACTURE REBATE <br /> Private Sector Audiences -DEPOSIT $2,318.87 <br /> TRIP CHARGE <br /> Release Signature TOTAL AMOUNT DUE $2,318.00 <br />�I <br /> �� 1�-�-�--- , Date:3/18/2017 <br />'� Customer Technician I <br />� - <br />