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� DATE: � /�/ �� INVOICE#: 10639 SUPER CLUB MEMBERSHIP ,
<br /> '' �� `� 813�609-5015 Super Heat and Air Club Memberships have been
<br /> �`"'' Tech Name WO#:
<br /> �.-�'�i ' " 3654 W.Cypress St. explained: �
<br /> ��� . � Tampa,FL 33607 � � � � � � � ❑Current Member �
<br /> A�R www.superheatandair.com Make Model Serial Age Cond '
<br /> ,� � info@superheatandair.com ❑Agree to purChase ,
<br /> N EP CAC1818204 AHU ❑Decline participation ' ;
<br /> Name: �; �2-�CFS�.%� �C.'� -�a�„�-. �� Customer's Initials �
<br /> Street Address: �oZ�1� �11a��s���a2. ��r: I have discussed Super Heat and Air Club
<br /> City Z� d .v�-° _ State: FL Zip: �✓'� � PCK Membership Saving programs with the customer.I �
<br /> v t, have given a copy of the contract to the customer.All''
<br /> Phone: z� r3'"- ���"" I ��� . �- ' •.. � '-.. � work is complete and is in compliance with Super
<br /> ' Email: High Low Actual Max. Heat and Air standards of excellence in workmanship.,
<br /> ' - and in compliance with building codes.
<br /> Before
<br /> .Reason For Call: ❑Work Complete .,
<br /> After Technician's� /'� �
<br /> ❑Attn. Supervisor ❑Follow Up ❑Work Incomplete Signature ��G
<br /> BRAND ❑S/C ❑HP ❑VERT ❑HORIZ TONS ,
<br /> , � , . . � , , � �. , . � . ,. , ., _ ,_ ,, IfVDOOR AIR (�UALITY ,
<br /> � �t �,, � ,l1�-- �� y/�j ,,SGJu— Z-�f7 . (�,�1 .� Air Handler ❑Ok ❑Dust ❑Growth ❑Dirt
<br /> o " / BlowerWheel ❑Ok ❑Dust ❑Growth ❑Dirt
<br /> Q '�"`�r+-�l'7%s Evaporator Coil ❑Ok ❑Dust ❑Grovrlh ❑Dirt ;
<br /> o �, � �` ��� � f� � Ducts and Vents ❑Ok ❑Dust ❑Growlh ❑Dirt
<br /> �' Y4
<br /> � «�+-��� PAYMENT OPTIONS
<br /> � , -
<br /> Q � '� ��'�''��`? _ '� ' ❑Cash ❑Check# ❑Credit Card ,
<br /> W9 ��-'')o d,2,�.�. :.��r 3�. �,-_,��c,�-u1ti.•-�-c
<br /> � � ��� ���` `��� ❑VISA �MC ❑ AmEx O Discover
<br /> ° Name on Card:
<br /> � �l �' ��?.x4J v+! �
<br /> c, �v.rr-v L��r� .r, � t►��L Card No. ,
<br /> ` ar�=�a�+-- e�. v - CV2 Code: Expiration /
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<br /> W � Signature
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<br /> o � .� J � i4 '(i� I hereby acknowledge the satistactory completlon of the work as noted on;
<br /> this Involce.It is agreed that the sellor will retafn tlUe to any equfpment or^
<br /> 3 , materlal until final and complete payment Is made.If the setllament is not.'
<br /> made as agreed, the seller has the right to remove equlpmenl and;�{
<br /> ' materlal and the seller will be held harmless tor any damages rosulting;"
<br /> Agreement for Service:I,the underslgned;am an authorized representative of the �. • � from the removal of equipmenL Terms (nclude 1.5% monthly service.;
<br /> premises at which the work above fs being done.I authorize Ihe pedortnance ot STANDARD VS MEMBER l'OTALS , $ . � ' charge it not paid in 3o days.In the event of non-payment ot tho speclfieii;,;
<br /> the work as noted on this inwice.I acknowledge that the estimated price does not - � "total°,a lien against my property may be pursued and I will be responsible:a
<br /> include untoreseen parts or labor which may be needed alter the work begins.My ' ' • tor practical attorney lees,collection costs,and interasls. ,g
<br /> written authorization wifl be obtained before beglnning any additional work.I have SUpEI'f�Edt dlld f�ll'$8VI11(�S � ' ;�
<br /> read this contracl,and agree to be bound by all tertns contained herein. � Parts and Labor Warranty: ;
<br /> , All paAs as recorded are warranted as per manufacturer speclficat(ons.;�
<br /> ///'''��� We do not guarantee other parts than those wo supply. If rapalrs lalor�
<br /> /// ��✓I � ,2 ��� � + � � � � �,� ���' become necessary due to other dofective parts, they will bo charged �
<br /> Signature��l—_�_�Ly���� . •� separataly.We guarantee lhat all repalrs are dono dght.II a ropalr fafls'�
<br /> �rThere ry acknow�edge 11 salisfaclory completion ol the�ve work . � � during lhe season,we wfll repair it agaln a6solulely 1ree.
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