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<br /> —� �' EQUIPMENT IDENTIFICATION
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<br /> :Customer Name: �`•/�% rlf',�f� •.��1� ~= .�;-..
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<br /> �Aiiiiress'" NOTES:.�.- ��;-;>ut• }.�:�,?-��� .�.-, ,:/a,.FR,
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<br /> ( PERFORMANCE INSPECTIONtt
<br /> Q;THE MQSTAT O.t Static Pressure 'r% DRAIN ❑Air Flow =❑Discharge ❑Defrost/Terminate WARRANTY:CLAIM ACKNOWLEDGEMENT'
<br /> r O Accuracy '=❑;Return:_. `'SupplyC: O'Inspect Pan.Condition' OUTSIDE FAN O Discharge Temp OTHER Extended Warranties ere underwritten by an ,insurance
<br /> 2;'0`set Point *;'O;Evap Coil:' 0 Clean Drain'/Flush ❑Electrical Connections,-i?:_ 'El /Sub ❑Tighten Screws company. As with all insurance; certain requirements and
<br /> n;l❑%Amtilent Temp 'O;Cleari = ❑Pan Guard"• O Volts' AMPS `.-'�'.:; ELECTRICAL ❑Clean&Wax OD Unit limitations apply.'If yeur:warrant claim is denied,o'r portions
<br /> ;,E7;}2/hl a' ,'❑Rusting l.CoYrosidn ;;: ❑Bio Side Spray ❑Capacitors /;'= -i.'-r ❑Relays : - ❑Clean Cabinet Switch thereof,the owner responsible to pay for those repairs.
<br /> ;;AIR°F1tfERS - e,©.Recommend'P 4i .Clean ❑Float Switch. ❑Fan ;:y ❑Contacts ❑Rust 8 Corrosion Dear valued Customer, -
<br /> ;;�,Typej rBLOWER: = " COMPRESSOR' O Noise ,1c, ❑Pressure Swtch REFRIGERANT LOG
<br /> :r:,0;Cleaned!Re laced OStii Nea`tiAIv1PS ❑Electrical Connections, ❑Balahce;' ,4 i�a .' <,>; ❑Sequencers ❑R-22 ❑410 A third party warranty'claim will tie processed by Red Cap for
<br /> P •P- `' q - either LABOR/PART(S)or bothon'your behalf.We_will make
<br /> t)1❑Size?+^: ",O'Efectncal:Connections` ❑Volts AMPS ❑:TemP.� : t ';- ' ❑Overload/Fuse Links ❑Recover Ibs: every effort to collect.for the repairfro'm yourwarranty company.;
<br /> f,_,�;Location O,Volts`. r, 'AMPS-- ❑Capacitors' / REFRIGERANT';-.�•,r,.p.,._:= ❑Transfohners ❑Put Back_Ibs. In the event they do not pay,you w ll:be responsible to pay for
<br /> Yf 0 FBGJA/H D,Blowet Wheel '. CONDENSOR COIL D Tj pe`.. .':': :?>f.•: ,+.', ❑Disconnect,. ❑Back to Shop_lbs. the repairs made that may not be_covered by your warranty.
<br /> AHU: t', r'_ O"Blower'Relay O Clean Yes_No ❑.Suet on."'' .ri' ❑Defrost-Control By signing this fo m,;you acknowledge if the claim-is unpaid
<br /> s'OTemperature;DifferenbaN ;,.❑'Capacitors %: ❑Corrosion Protection ., 'r ,:.❑3uclioirTemp ❑connections _ you will be responsible for todays charges as quoted by your
<br /> -1-•::-•_ - ?='�. -�'" a:.-::a"�-_:. _ n Service Technician.Payment will be due upon receipt of invoice.
<br /> DIAGNOSIS . .. We value you as�a customer and:would like to thank you for
<br /> i choosing Red Cap for your heating and air conditioning needs.
<br /> 'I C _ ' r) Please feel free tocontact a Customer Service Re re'sentative
<br /> ..';i'• %i. , 1�, �'�?- j-' -i. ,P L l �'t�/ i with an 'additional questions at 813 963-3056. n
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<br /> ,r, �'+r`•,r_w' ii, �:' r Q G is=� 4 <� {,��►' /'.{� Signature:. :Date:
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<br /> Invoice#• Quote Amount'$
<br /> PAYMENT-'OPTIONS
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<br /> VISA ❑MC• ❑AMEX' •Q DISCOVER
<br /> 'Ahi a^>: T `fill Auth Code
<br /> t�� •ti ' r �t'f,Gl^:1 I.�°- ''-" 'f, ❑CASH ❑CHECK#
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<br /> grppe@t for Service:The esfi aled price;findutlessates(or,olhet);taK,It does not cover unforeseen parts or labor which may be needed after the w&k g iu. r n°usI m r uthori d before beginning any,additional vrork. ❑BILL OUT _
<br /> :':,y-..tauthogietheperfotmance,oftheworkdeschT,edheein sinvbice;1iidudnglazes,sdueandpayableuponreceipt Signa[ureX y APPROVED BY
<br /> • n CID Exp.Date
<br /> vkriiFx`rrr ims:-rorkuduEANDPAYABUE*fyr Kudort• i','; 1 %`�`'. ? WORK COMPLETED
<br /> !'COtdPLQ10N�raFSS DTHERNLSENOTID:l,itp-Wild, MA! 'TENANCE C'/�CLL�C_�HARGE - - _ SATISFACTORILY Initial X
<br /> ?:state;Nat,I'aiui;tlle ovmer(auttmuved rep`r'esenla6+eJtenaid`d Cie' �'� .:1-ti •;. '
<br /> 'pe`mses'.at ii1&the-w menii"a_bdv i,td,be pejfpmcA.' 'l' ...f. ) l .-'S:'� -,•
<br /> '�a0ypa`iei„�oceed th�Da2•Diagrgsi{'anE Recdmlerdafion� )!� ✓Y�!J� '�'I'•:'�,:``;. •. � '`�7 -- �+ '
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<br /> Red Gey;i s;agen s,and'womneauas b'peQam'a9.wo k ,; : H; SUBTOTAL- $ �{ $ '
<br /> �d¢SOIbeO�d and b the.SlYJI IaCa ilnd fnalPid a5.11 Rla). � t ��
<br /> e gem a°d•rrs'aNe:iti'I:5%pf aanmAgdge and agree tupay a mbnmly�service
<br /> Fptw�'.-g`e":o( Ne enCre unpaid balance.slmil6l detiW m
<br /> l (��/+,��/'/r� ,' _ _C•' ,• Cfj/'/y„� LESS
<br /> iauk g> !2a ouHJesa xoa,be;W?�!?d.150W`-cap.io..:_ _ '.=;- •.,:: /�- .
<br /> m9ed arry,unpaiC balaixe.I hereby
<br /> ecVnmNed .diatH Credt , 1 COUPONS $ ' $
<br /> ;af letumed far usufhdent IuMs,I cold. Gable br 3 Ernes Ne' ,./.,. _ !� _ _
<br /> TOTAL.k":.NeYlieUi ar�:caut costs.I fuither arJulorledge that I have read. ''
<br /> ,understood,ard.agree to aE-Ne.terms ad condEalssel-IoM DUE AND
<br /> m'Uie Irord and reverse vde o1 I it jam.(Ad Hard Tema e,d �C
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<br /> 'CondiGonsappear on'the reverie side o1 this doamehtl` AUTHORED SIGNATURE X PAYABLE $
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