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/Veld Li✓ -vr7iJJ� <br /> _ SERVICE INVOICE LOCATION OF WORK YSCA Yes ! No <br /> CHECK LIST - 19916 NAME <br /> ❑ COMPRESSOR f 1rTecI� _ <br /> ❑SUCTION- <br /> HEAD {r! J//`JJ r /� i ADDRESS <br /> ❑HEAD PSI F / r,/Y� 4 7 Lr �!�+ �-/ :�L-;1�/1 t Y O15 <br /> ❑VOLTS AMPS idwtiLd 813-779-7508 ,, z WORK TOBE DONE-CODE <br /> El ELECTRICAL CONNECTIONS - CD P.O. BOX 1120•ZEPHYRHILLS FL 33539 <br /> ❑CONTACTS TIGHT&CLEAN <br /> ❑OIL LEVEL&CONDITION - , <br /> ❑ CONDENSER COIL BILLTO p FL State Lic. #CAC1815498 Date X� <br /> IDCLEAN COIL&CHECK FIN COND. NAME ;' SERVICE COST ENVIRONMENTAL CHECK LIST <br /> ❑ENT -F LVG °F i�(.l i�1 P ` -(. fA�L r0_ TECHNICIAN <br /> ❑ REFRIGERANT ! WORKPERFORMED CITY. UNIT PRICE <br /> STREET: 1�1 � PHONE � � r` <br /> ❑LEAK ❑CHARGE I ��^ �. 0 1�- {;tJq f I l TORCH USAGE <br /> ❑ FAN AND MOTOR ` �rFI _.d o( � J�^i� ,��!A (� f <br /> ❑VOLTS AMPS CITY I STATE ZIP , !l0 RECLAIMED <br /> J <br /> _❑ELECTRICAL CONNECTIONS F/n �6'y-1 II 1 T �T/ 3 "'j r•, VACUUM PUMP USAGE <br /> ❑CONTACTS TIGHT&CLEAN / MAKE MODEL SERIAL NUMBER <br /> ❑FAN PULLEYS(ADJUST BELT) QTY MATERIALS <br /> ❑CHECK,LUB BEARINGS&MOTOR <br /> ❑GRIM MAKE MODEL SERIAL NUMBER <br /> ❑ EVAPORATOR COIL REFRIGERANTR. <br /> ❑CLEAN COIL&CHECK FIN MAKE MODEL SERIAL-NUMBER <br /> ❑ENTDB_°FI LVGDB_°F <br /> ❑ENT WEI_°F LVGWB_°F <br /> El CONDENSATE AREAS MAKE ' MODEL SERIAL NUMBER <br /> ❑INSPECT&"CLEAN DRAIN PAN <br /> ❑INSPECT&CLEAN DRAIN DESCRIPTION OF WORK PERFORMED <br /> ❑ AIR FILTERS <br /> ❑CLEANED ❑REPLACED <br /> FILTER SIZE ~1' <br /> ❑' HEATING ASSY. }J�j�t 1 1. ,^ ,a K� l l r� C`#_ 3 I o V\ <br /> ❑BURNER&HEAT EXCHANGER <br /> ❑FUEL SUPPLY&PRESSURE <br /> ❑PILOT ASSEMBLY <br /> ❑FLAME ADJUSTMENT j /) <br /> ❑PRIMARY RELAY&FLUE f , v� '� fir. f�l e J u (1 �r� l/ r," �-"-•'�f/"7 <br /> ❑FAN&LIMIT SWITCH OPER. " <br /> ❑BLOWER ASSEMBLY � ),p <br /> ❑RV VALVE <br /> ❑STRIP HEAT •�-_ <br /> ❑DEFROST CYCLE <br /> ❑ ELECTRICAL COMP'TS /f <br /> ❑RELAYS ❑CONTACTORS i/",� �.'•`�� � <br /> ❑ ❑ 1 OVERLOAD PRESS.SWITCH -�`•�6 -�d } <br /> ❑ THERMOSTAT <br /> ❑O.K. ❑REPLACE - P r Time of Arrival: <br /> I <br /> ❑RELOCATE Time of Departure: <br /> RECOMMENDATIONS I HAVE AUTHORITY TO ORDER WORK AS OUTLINED ABOVE.THIS INVOICE IS SUBJECT TO A FINANCE CHARGE OF 1 1Y2%PER MONTH. TOTAL SUMMARY <br /> ANNUAL PERCENTAGE RATE OF 18%WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND REASONABLE ATTORNEY'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 /> / \1� ✓�/.y"i/,l'� �(it:c/ , SERVICE <br /> C,UST,OMER'S SIGNATURE CALL CHG. <br /> V TAX <br /> LIMITED WARRANTY:All materials,parts and equipment are warranted by the manufacturers'or suppliers'written warranty only.All <br /> labor performed by the above named company is warranted for 30 days or as otherwise indicated in writing.The above named company <br /> makes no other warranties,express or implied,and its agents or technicians are not authorized to make any such warranties on behalf of above <br /> named company. TOTAL <br />