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� SERVICE INVOICE <br /> -,. <br /> � , LOCATION OF WORK A Yes / No <br /> — — —-- --_—_ -------- — --- <br /> - - -- -- <br /> CHECK LIST • _ - -- - 1 H-2 9 H- NnME -- -- - . <br /> p COMPRESSOR � '�'rT�C� ADDRESS j 1 <br /> ❑SUCTION PSI � � 7y` .�`1 � <br /> ❑HEAD �� �� � w, ` �� � 813-779�750� � WORKTOBEDONE-CODE <br /> ❑VOLTS AMPS ' n I <br /> ❑ELECTFiICALCONNECTIONS " � L,p P.O. BOX 1120 •ZEPHYR LLS,-FL 33539 �'�S1'o�.�� <br /> .O CONTACTS TIGHT 8 CLEAN ' <br /> �oa�vFtacoNomoN ei��To FL State Lic. #CAC1815498 Date � � � <br /> ❑ CONDENSER COIL NAME <br /> ❑CLEAN COIL 8 CHECK FlN COND. SERVICE COST ENVIRONMENTAL CHEEK LIST <br /> ❑�,,,,. oF�,� .F yt , ` � �cHruiciaN <br /> � REFRIGERANT S"�E� /�PHONE // WORKPERFOiiMED QTV. UNRPRICE <br /> ❑LEAK ❑CHARGE /� X I�,���i'�,� /O 70RCHUSAOE <br /> ❑ FAN AND MOTOR ' ' "` °' � <br /> RECUIM� <br /> ❑��� �Ps ��y STAT ZIP j�C1 <br /> I '• � VACUUMPUMPUSAOE <br /> ❑ELE'CTHICAL CONNECTIONS h o <br /> ❑CANTACTS TIGHT 8 CIEAN MAKE �� MODEL S IA NUMBER <br /> ❑FAN PULLEYS(ADJUST BELn ' �J/ �� OTY. MATERIALS <br /> ❑CHECK,LUB BEARINGS 8 MOTOR ,_r, � ' <br /> �a� ` MAKE MODEL SERIAL NUMBER <br /> ❑ EVAPORATOR COIL �I REFHIGERANT0. <br /> ❑CLEAN COIL 8 CHECK FlN MAKE MODEL �l� SERIAL NUMB�R <br />� ❑ENTOB_°FI LVGDB_°F G'� � G/� � . <br /> ❑entrwe_°F LVG WB_'F �KE MODEL SERIAL NUMBER <br /> ❑ CONDENSATE AREAS <br /> ❑INSPECT&CLEAN DRAIN PAN <br /> ❑INSPECT 8 CLEAN DRAIN DESCRIPTION OF WORK PERFORMED <br /> ❑ AIR FILTERS <br /> ❑CLEANED ❑REPLACED <br /> FILTER SIZE t � � <br /> ❑ HEI�TING ASSY. � � <br /> ❑BURNER 8 HEAT D(CHANGER / � ( //J'' + <br /> .❑FUELSUPPLVBPRESSURE � . / �� S(Y p� �/�C �f E./•f �l'/��,f./�" I YY1�LI�C1 <br /> ❑PILOTASSEMBLY , <br /> ❑FLAME ADJUS7MENT A� �J/' , <br /> ❑PHIMARY RELAY 8 FLUE �o � C - J�t�/Y 1 .f '�� IQGL�� ,�f <br /> ❑FAN&UMIT SWITCM OPER. �,� • f <br /> ❑e�owEaassenna�v " ��i�/� �� ��`-�'/•L fl� (�i C�..�, _ <br /> ❑Rvvnwe <br /> ❑STRIP NEAT � <br /> ❑DEFROST CVCLE <br /> i ❑ ELECTRIC/4L COMP?S <br /> ❑RELAYS ❑CONTACTORS � �M -..�' ,� <br /> ❑OVERLOAD ❑PRESS.SWITCH �'�� <br /> ❑ THERMOSTAT Time ot Arrival: <br /> ❑O.K ❑REPIACE �� �v ;�-'r <br /> ❑RELOCATE <br /> Time of Departure: <br /> RECOMMENDATIONS I HAVE AUTHORITY TO ORDER.WORK AS OUTLINED ABOVE.THIS INVOICE IS SUBJECT TO A FINANCE CHARGE OF 1 12%PER MONTH. TOTAL SUMMARY <br /> ANNUAL PERCENTAGE RATE OF 18%WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND REASONABLE ATTORNEI"S FEES <br /> IF THIS INVOICE IS PLACED IN THE HANDS OF AN ATTORNEY FOR COLLECTION.CUSTOMER RECEIVED NOTICE OF CONSUMER TOTAL <br /> - RIGHTS UNDER CONSTRUCTION INDUSTRIES RECOVERY FUND. MATERIALS <br /> TOTAL <br /> LABOR <br /> SERVICE <br /> • CUSTOMER'S SIGNATURE CALL CHG. <br /> TAX <br /> LIMITED WARRAN7Y:All materials,paris and equipment are warranted by the manufacturers'or suppliers'written warranty only.All <br /> • labor performed by the above named company is warcanted for 30 days or as otherwise indicated in writing.The above named company <br /> mekes no other warranties,express ar implied,and its agenis or technicians are not authorized to make any such warranties on behalf of above TOTAL � a �) <br /> named company. <br />� <br />