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Customer Order: 148569 _ � ersal <br /> Name Rosaria Henderson u.&�P�t <br /> Address 6423 Laurelwood Dr Apt# <br /> Corporate Office <br /> City Zephyrhills Cell Phone 5460 Reese Rd, Davie, FL 33314 <br /> State ZIP 33542 Other Phone State Licensed#CAC058142 <br /> Date 6/13/2017 Date Scheduled 6/14/2017 uahac.com(866)999–2665(COOL) <br /> _ New <br /> _ Air��11er RH1T3617STANJ�9 <br /> —�olLdenser RP14�.�gJ 1 NA <br /> Hea�er 5 <br /> I <br /> I'� <br />� <br /> ❑ Testimonial vdeo Release SUB-TOTAL $4,767.32 <br /> I Agree To Be Photographed And Vdeotaped 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 Vewed By Public And MANUFACTURE REBATE <br /> Private SectorAudiences -DEPOSIT $1,000.00 <br /> TDID�`�.1�I7�� <br /> Release Signature TOTAL AMOUNT DUE $3,767.32 <br /> `�� f� ���' Date:6/13/2017 <br />� Customer Technician <br />