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Craw qI;W0 moo e..Vaa®o <br /> ❑ COMPRE5SOR Per Customer Request X G�_ _ 7135 US Hwy 19 N. • New Port Richey, FL34652 <br /> PSI —+r 727-312-5550 <br /> Q HEAD PSI. ���JO(??U'f� . • Q.. " 1t� <br /> . ;Q VOLTS, .: - WS,AMPS, .."•.� S'.TZ:..(1!i . <br /> `Q'EIECTRICALCONNEC11ON5 sUperlorSerVlCeQaIIs7135@gmall.Com <br /> •: CONTACTS O CLEAN', ' - . ,• , <br /> Ej OILLEVL,&'CONDI710N State Certification#CAC 1817514 DATE ORDERED I <br /> 0 C{)NCSENSER'COii <br /> QCLEAN COIL&CHECKTINCOND.' NAME ,�..1 �y DATE SCHEDULED <br /> ❑ENT - ' ,2F 'I-VG.;F f 1 , t J Ti,. Ile- ,-1 f <br /> ❑ REPRIGEFiAIUT •I M' j'1 4 e'n STREET . �_ L <br /> Q LEAK CHARGE /f c '� J '. W'^'_{� P�10 r;ry ?Q,'- <br /> ❑:FA�!•A.ItSO'MOTOR' G'`fr`r� !"� �.,.,. 7 (� CITY '""7 STAI- ,... ZIP WK.PI�IONF- <br /> []VOLTS AMPS' <br /> FI ELECTIItCAL CONNECTIONS �. / 4e I Mi KE AODF:L SERIAL.iv'UtiARFR <br /> Q CONTACTS TIGHT&CLEAN - i.�WARRANTY <br /> ❑FAN PULLEYS(ADJUST BELT) �' � J � � El t:nN1 RAC 1 <br /> ❑CHECK,LUBE'BEARING&&100TOR _ �, /1 ,,... ❑ SEORMA:COIJ"I RAC I <br /> ❑-EVAPORATOWCOIL {J�F f tt 0 NORMAL <br /> Q CLEAN COIL&CHECK.FIIJ J r.-t,`✓" �" ems! "� 106 /J, ,-�- „� ,!? RES. [� comm, <br /> Q.ENT DB_ _2F''LVG C1B i ! ' +y \ LOCATION �t . <br /> QENTWFi,— r'F•L-,GWB_,_,—_t'1.' ttt j'' <br /> ❑ coNDENSATE AREAS , 1 r <br /> ❑INSPECI&CLEAN DRAIN PAN ' +, L) .7 [ 4 <br /> ❑INSPECT&CLEAN DRAIN '- f <br /> ❑. AIR FILTERS'., <br /> Q CLEANED. �. ❑REPLACED <br /> FtiFERSIZE__:_ _ RE RQFI7 APPLIED <br /> �V%. cI C Cam, � � r - '/ �, 1� �-(• <br /> ❑ _HEATING ASSY. t f� <br /> Q BURNER&HEAT'EXCHANGER' <br /> Q FUEL SUPPLY&PRESSURE _ '"` —--•- -- : _ _ `�-! t <br /> Q PiLoTASSEMBLY, REF IGERANT ADDED <br /> Q PLAME ADJUSTMENT SL � - ✓ I-r n7�'" l.�)e, ._L.... !—.. <br /> Q PRIMARY RELAY&FLUE, <br /> Q PAN&LIMIT SWITCH OP,ER: <br /> ❑•BEOWER ASSEMBLY <br /> ., <br /> Q HyvALve TOTAL PARTS <br /> Q.STRIP HEAT t WRITE OR CODE AMOUNT[]DEFROST CYCLE ;: PARTS WARRANTY n $ 60 36J i U <br /> ❑ ELECTRICAL COMP TS. All parts as recorded are warrante'd'as per, <br /> manufacturers edflcations. G t <br /> �' p El bax to authorize Superior Energy Management to <br /> ❑f vikt: CONTACTORS E continue to call me form to ular air condiIionm needs. a,��//tt <br /> Q OVERt.gAO' ❑RRE55.541+ITCH LABOR GUARANTY � � :' �- � 5. Y ' 9 9 �!� <br /> The labor charge as recorded,here relative to the R TECH aF.GU11tR v 'HRS. OVERTIMP. t <br /> I� THERMOS equipment servicesas noted,Is guaranteed fora R 9 HRS-ra FtR.: E HR.= t <br /> Q O.K. i ❑REPLACE period of 30 days. O — R <br /> M race NIACH USAGE RFi;ULA, T OVERTIME, t <br /> Q RELOCATE a., We do not,of course,guaranty other parts than TECH{ I I-IRS. <br /> those we supply:If repairs become necessary B #2 +�Hr,S. /HR.= E I1It.= I <br /> due to other defective parts,tbey#'III be �; _ CER i.I+' <br /> chargedseparately:J", p TOTAL TECHNICIAN `, •-- OTHER I <br /> TIA4F _ IN OTHE,RCHARGES- S SIGNATURE �.-L,j (, CHARGES <br /> ARRIVED - , <br /> ------ — � D D o e • ;5U6 TOTAL �"��� :d 6 <br /> TIME 'er TYPE SYSTEM E' OUT ORCHANGD I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO <br /> i DEPARTED "_ ? CI ORDER AS OUTLINED ABOVE.IT IS AGREED THAT THE SELLER WILL <br /> — REFRIG.---_----�_ CITY.____ `� REPLACED). <br /> TRAVEL U YES No RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL <br /> TIME E'• I CIS- FINALAND COMPLETE PAYMENT IS MADE,AND IF SETTLEMENT IS NOT TRIP t <br /> •RECOVERED? QTY. ,P MANTLED? MADE AS AGREED,THE SELLER SHALL HAVE THE RIGHT TO REMOVE CHARGE <br /> YES NOM_ YES NO SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES <br /> ENDING R'. E REFRIGERANT DISPOSAL RESULTING FROMTHE REMOVALTHEREOF. TAX <br /> a RECYCLED? QTY-Y— ;N: <br /> fYES NO <br /> START- ❑ OUR <br /> RECLAIMED? QTY.__,— RECOMMEND:' <br /> TO MILTS YES NO <br /> ES �, RETURNEDTO <br /> i A, THIS SYSTEM? QTY. <br /> A- YES NO ' D <br /> I X /HR.= A•- DISPOSAL _ ___ AUTHORIZED SIGNATURE <br /> i — ABOVE�®RDREDWORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY. DATE <br /> OWNER'S INITIALS ' <br /> j X /WR.= NON USABLE QTY.-__-- ACCEPTED DECLINED <br /> I TRIP T,- YES NO <br /> CHARGE a DISPOSAL f,CP <br /> I <br />