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Y DATE QUOTE/INVOICE <br /> iCUSTOMER NA / <br /> �J �/• «i+2 �J INVOICE# <br /> - / G G <br /> SILLINGADDRESS OF01 CrTr V ZIP <br /> PH EMAIL tINIpAN <br /> Servile Today Without Delay! <br /> 235 W.Brandon Boulevard-4639 <br /> Brandon,FL 33511 ELECTRIC TODAY <br /> 13C.#)ECI3001848•CACC43881 <br /> 813-653-4221 <br /> ORIDINAL REUM FOR cAuz, <br /> suva4my. <br /> I HEREBY AUTHORIZE THE WORK LISTED BELOW TO BE COMPLETED AT THE UPFRONT PRICE OF S <br /> WORK STANDARD <br /> DESCRIPTION <br /> `0/"/ <br /> Y 5" Gcar� <br /> e..n <br /> HELP US SUPPORTTHE FOLDS OF HONOR FOUNDATION AT www.ElectricTodayorg <br /> CLUB MEMBERSHIP . <br /> 'CUtT'•�E=S Subtotal of Service Repairs $ <br /> ❑ Yes,enroll me In the SafeGuard Savings Plan for S per manth. .'Nrtu.:1S DEDUCTIONS THAT APPLY TODAY <br /> Coupon= <br /> ❑ I decline a SafeGuard Savings Plan today -- <br /> OthWrD",scou,a '3( � <br /> ELECTRICAL SAFETY INSPECTION TOTAL AFTER DISCOUNTS $. <br /> ❑1 received my Electrical ❑I detfine Electrical and AC Saletlr Inspections"' <br /> Safety inspection <br /> SSP FEE S <br /> ❑I request anAirConditioning ••I have been Nomad ofpomltHal¢aktyhamrds r,•:;r;ee,sot <br /> Safety Inspection and do not wlshw ehemmrreCtedatthl6Dme •'.trW: DISPATCH FEE s <br /> AccwrANeE DF WDRK PERmRmeo:Iac4tlowledge 11.Y5 <br /> sadsfauorycomp4tcAofdxabovedesmbedworkandehatthe �u`ir+�l?I ,, .'t. tJrE. 7PSt7#ARGE $ <br /> premkes has been left in saddactorycondk6mlundcrstand that 1f •"'� <br /> ffiwnthebdaWA dear,Iampabk�d,achedtanp�ttutges WD RFORNEDTONY FACTNIN TOTAL AMOUNT DUE <br /> greewpayla596 mondsfor ue $ <br /> Conga=(mmimvm d:a,ge$I$),In tlu ev�tth7toollecdonsRorls <br /> amwyated aralnstmG l M payforall_.•—`2wfiesatthe 1)! F r,ti`i71J�)Ct <br /> postsdramas well asalla0umnMandreawnableattanW. ` TOTAL SSP <br /> Peen tagyee dlat theamountsec torth in the spaet marked"rorsl <br /> Amount Due'Ithetouluphmtprcelhaveagteedw. ORMEDWORKTDCUSIamER'S5ATISFACTION SAHIN65TODAY S <br /> PAYMENTINFO <br /> ❑Cre&Card CAROTYPE MC via AMEX Disc , ❑Cash $ <br /> ❑Check Check# ❑3rd-PtatyFiemnr;..•.:t'r: S <br /> MfNt rA M11N f:InNn.,nh IR Ilf Aa ridrta resar.,we. SGNpttIFoM'erd Pocig is dta tradamark For a patontod D(ow&paum No.u.s.9.iw,w f <br />