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<br /> • � DATE: �/�/� INVOICE#: 6872 SUPER CWB MEMBERSHIP
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<br /> Tech Name "'� W,O�#: Super Heat and Air Club Memberships have been �
<br /> _ .� �� ���j�j explained:
<br /> �����L'��-5�15 � /" �,
<br /> � ' ' ` ' ' • �urrent Member
<br /> �R www.superheatandair.com Make Model Serial A e. Cond
<br /> � ,� � �' , info@superheatandair.com g ❑Agree to purchase
<br /> NE�' CAC1818204 AH� ❑Decline participation
<br /> Name: ��✓� l V,� ���'��p� Customer's Initials
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<br /> Street Address: I � -Q e I have discussed Super Heat and Air Club
<br /> City � "� �� i ��S tate:FL Zip: P?J�� PCK Membership Saving programs with the customer.I
<br /> 60. have given a copy of the contract to the customer.All
<br /> Home,Tel:�����"��Cell/Fax: . .- '-.• � • '••• � work is complete and is in compliance with Super
<br /> �� . High Low Actual INax. Heat and Air standards of excellence in worlcmanship
<br /> ,n� a�d in compliance with building codes.
<br /> .Reason For CaIL• U" `S(tf`l� �'"�,. ��� ❑Work Complete Before
<br /> � After Technician's
<br /> ❑Attn.Supervisor ❑Follow Up ❑Work Incomplete Signature
<br /> BRAND ❑S/C ❑HP ❑VERT ❑HORIZ TONS
<br /> � . � � � . � �. � , � . � , . �_ , INDOOR AIR�UALITY
<br /> �, Air Handler ❑Ok ❑Dust ❑Growth ❑Dirt
<br /> � � � �, � Blower Wheel �Ok ODust �Growth ❑Dirt
<br /> � Evaporator Coil ❑Ok ❑Dust OGrowth ❑Dirt
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<br /> o • � �;� Ducts and Vents ❑Ok ❑Dust ❑Growth ❑Dirt
<br /> ,e� �� �� �' PAYMENT OPTIONS
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<br /> Q ' 94�n E ❑Cash ❑C k# ` � �`�I�C�edit Card
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<br /> � I'� Y7 �2!/' � ��•�"3���j� Name on Card: A�� �/���1i� �����
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<br /> `af� � 1I`i�'�� c ��' CardNo. ���119 7dV ��V`9
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<br /> � �� �,���y,�. � �, �, D CV2 Code: Expiration /
<br /> ¢ ����� r�e`- �, ,, i���� � �
<br /> o �� Signature °
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<br /> � I hereby acknowledge the safisiactory completion of ihe work as noted on
<br /> � this inwfce.It Is agreed that the seller will retain tiUe to any equipment or
<br /> � material untii final and complete payment is made.It the seritement is not
<br /> made as agreed, the seller has the right to remove equipment and
<br /> - material and the seller will be held hartnless for any damages resuldng
<br /> Ag�eement tor Service:I,the undersigned,am an autho�ized representa6ve of the ' � "- � � � " ' ' ' " ' - � d► � trom the removal of equipmenL Terms include 1.5% mon[hly service
<br /> premises at which the wodc above is 6eing done.I authodze the pedortnance ot ' � -ST�INDAF�D VS ME�IIBEf1 TOTAL$;�,;� ' a charge if not paid in 30 days.In the event of non-payment of the speci(led
<br /> the nrork as no[ed on this inwice.I acknowledge that the,eslimated price does not " - -- - , - ' � �'�. , `�`T '' `''. ± °total",a lien against my property may be pursued and I will be responsible
<br /> Include untoreseen parts or labor which may be needed after the work begins.My ` - � `R € l ` tor practfcal attomey fees,collection costs,and fnterests.
<br /> writlen authorization will be obtained be(ore beginnfng any addiUonal work.I have : ���SUp21'H2at'BIICI Alf SaVlfl`C]5, „ � '� , , ;'�' .
<br /> read this contract,and agree to be bound by all tertns contained herein. - _ ' Parts and Lebor Warranty:
<br /> .. � ) All parts as recorded are wartanted as per manutacturer specificatfons.
<br /> � ��� ' �O,,{j' , We do not guarantee other parts than those we supply. fl repalrs IateF
<br /> � � � � � •'. become necessa,ry due to other detective,parts, they.will be charged
<br /> Signature' � � . •' /'� _�f,�,.,'_ '� '�separately.We guarantee�tfiat all repairs are done'righG If a repair tails
<br /> i hereby eclmowi e saus�a �en o�e a xrork „ duri�g the season,we will repair it again absolutely tree.
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