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P.O. Box 4356 <br /> Brian Lewis <br /> Cert. #tACII-811 536S A Plant Ciiy, Florida 33563-0023 <br /> 813-752.0821 <br /> DATE—///?e//g 0 A-LIST INVOICE# 27186 <br /> INVOICE TO: WORK DONE AT:(If different from billing address) <br /> NAME- -Ie-,* ADDRESS <br /> ADDRESS Sal j 1?7" <br /> -7e,44p, r./ <br /> PHONE # PHONE # <br /> E-MAIL ALT PHONE# <br /> SERVICE(S) RENDERED: 2 Z'-'/ <br /> p�4Sly q 2,1 <br /> e- <br /> 'UNIT COS,t' AM01UNT <br /> 'MATIRIAL <br /> -0 <br /> c -14 6Sge� <br /> ot—e"- &,4L,4 IQ /1111, 10 <br /> TOTAL MATERIAL <br /> AGREEMENT <br /> TOTAL LABOR <br /> MNFR REBATE <br /> TECO REBATE <br /> VISITATION CH ARGE <br /> SALES TAX <br /> TOTAL <br /> CRIE01T CARD 11NIFORMATION <br /> INDOOR MODEL# <br /> TYPE NUMBER EXP. DATE INDOOR SERIAL#, <br /> I I I I I I I I I OUTDOOR MODEL# <br /> TERMS: DUE UPON COMPLETION I hove the authority to order the above work and do so OUTDOOR SERIAL# <br /> order as outlined above. It is agreed that the seller will retain title to any equipment or material <br /> furnished until final &complete payment is made, and if settlement is not made as <br /> agreed, the E) WARRANTY D ASI # <br /> seller shall have the right to remove some and the seller will be held horn-Jess for any damages <br /> resulting from the removal thereof.Payments mode after 30 days'will incur a 5%late fee per month. 0 EXTENDED PARTS ❑ TECO REBATE(S) <br /> go days labor Spdn—y-p3M replaced. anufacturer warranty on all parts Installed, <br /> EXTENDED LABOR ❑ OTHER REBATE(S) <br /> FAILED PART# <br /> CU - ER SI 1AVRE NEW PART# <br /> FAILED COMPRESSOR SERIAL# <br /> SR WEE MAN SIGNATURE NEW COMPRESSOR SERIAL# <br />