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SERVICE INVOICE LOCATION OF WORK YSCA Yes No <br /> SHECK LIST /4- 00, 11211 NAME <br /> El COMPfiMSOR ADDRESS <br /> ❑SUCTION PSI IrTeczh /2, <br /> 0 HEAD PSI <br /> []VOLTS_ AMPS A 813-779-7508 <br /> M ELECTRICAL CONNECTIONS % ' & C WORKTO BE DONE-CODE <br /> DJMMQ&CJW P.O.BOX 1120-ZEPHYRHILLS,FL <br /> 1771 CONTACTS TIGHT&CLEAN <br /> E3 OIL LEVEL&CONDITION <br /> ❑ CONDENSER COIL BILL TO FL State Lic.#CAC 1815498 Date 1/2'xho - -x-oS46q,1 Mail <br /> ❑CLEAN-COIL&CMCK-FIN COND. NW SERVICE COST ENVIRONWENTAL CHECK LIST <br /> r❑1 ENT—*F LVG—'F e6�� I TECHNICIAN <br /> El REFRIGERANT STREET P))ONE wDAK PERFORMED OTY. UNIT PRICE <br /> 0 LEAK 0 CHARGE TORCH USAGE <br /> [:1 FAN AND MOTOR �n So Z±—K qr? 19- 8,oi?q I <br /> 0 VOLTS— AMPS CITY STATE ZIP RECLAIMED <br /> -35 VACUUM PUMP UWE <br /> 3L <br /> 0 ELECTRICAL CONNECTIONS wffls P-� <br /> CO CONTACTS TIGHT&CLEAN UMAKE MODEL SERIAL NUMBER <br /> ❑FAN PULLEYS(ADJUST BELT) CITY. MATERIALS <br /> ❑CHECK,LUB BEARINGS&MOTOR <br /> E3 GFm MAKE MODEL J SERIAL NUMBER <br /> El EVAPORATOR COIL REFRIGERANT R <br /> 0 CLEAN COIL&CHECK FIN MAKE MODEL SERIAL NUMBER <br /> OENTDB--Fl wGoa--r, <br /> ❑ENT WB—'F I LVG WB—'F <br /> ❑ CONDENSATE AREAS MAKE MODEL SERIAL NUMBER <br /> ❑INSPECT&CLEAN DRAIN PAN <br /> El INSPECT&CLEAN DRAIN DESCRIPTION OF WORK PERFORMED <br /> El AIR FILTERS <br /> 171 CLEANED 0 REPLACED <br /> FILTER SIZE 0 HEATING ASSY. O'er© 25 7x 1; `,;Ve <br /> 0 BURNER A HEAT EXCHANGER I <br /> El FUEL SUPPLY&PRESSURE <br /> E PILOT ASSEMBLY <br /> C3 FLAME ADJUSTMENT <br /> ❑PRIMARY RELAY&FLUE <br /> ❑FAN&LIMIT swrrCH OPER. <br /> ❑BLowEn ASSEMBLY <br /> El RV VALVE Al <br /> r❑I STRIP HEAT. (Y- <br /> C3 DEFROST CYCLE <br /> E] ELECTRICAL COMP79. <br /> F1 RELAYS El CONTACTOR$ <br /> 0 OVERLOAD 'I-1 PRESS.SWITCH <br /> El THERMOSTAT <br /> 1-1 O.K. ❑REPLACE Time of Arrival: <br /> ❑RELOCATE • <br /> Time of Departure: <br /> RECOMMENDATIONS I HAVE AUTHORITY TO ORDER WORK AS OUTLINED ABOVE.THIS INVOICE IS SUBJECT TOA FINANCE CHARGE OF 1 1121/6 PER MONTH. TOTAL SUMMARY <br /> ANNUAL PERCENTAGE RATE OF 18%WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND REASONABLE ATTORNEYS FEES <br /> CJ 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 /> 2021d TOTAL <br /> LABOR <br /> CC SERVICE <br /> CUSTOMER'S SIGNATURE CALL CHG. <br /> I 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 /> -4 named company. TOTAL <br />