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.: <br /> s, -- ervrce Itinua� <br /> ® ® PROPANE"GAS Ta <br /> ess Water <br /> AND A C'INiC. nkl er <br /> ,_._�,- ,• Heaters <br /> 813-782-501 P�. <br /> SALES • SERVI`CE� REPAIR•INSTALLATION WORK ORDER#/SERVICEMAN 14711 COM:;-'; <br /> 4441"Allen Rd. Ze0hyrhi11s,'FL'-33541 DATE/TIME TAKEN - -03/19/19 10:'3,2 <br /> `:'(813' 782-5013 -` TAKEN BY SC 04` ._ <br /> DATE/TIME PROMISED <br /> CU "STOMER#%LOCATION O5, <br /> NOTE S: (�n�.,(1� � � I�Q�?,� <br /> PHONE# _.___,. .. _ .813-788-3663 C <br /> e- L CONTACT- JER I M I AH SW I NDELL <br /> ® I ROUTE/SEQ. COM <br /> , ... 4. <br /> to <br /> low fr0 z <br /> BULLFROG' PERFORMANCE E D ' BULLFROG=GERFORMANCE -SPEED <br /> 5037 GALL HLQD v� <br /> 37. GALL.-BL�VD Q" <br /> Z E�'HY RH I LLS;>;t;' FL 3 `4E' ;' ^"' ; ."Z EI-'HY RH I LLS FL33542 <br /> © 'bl - - - <br /> *#NEW •A.CC.OUNT; 4 EST 3°14 TE IT.O._`I f lSTAL` l^A RGC: ,'r`.. <br /> T�N'#i i!FOR ANC O.V.EN <br /> <:,a, �., <br /> �' x Lotik.Up System <br /> Re ulator Regulator Re ulator Re ulator <br /> .� ,,; �; Sf�art End,, ,_ 3i"L., ,:�1`ovr•:� '_',,tD <br /> 9 9 <br /> _ 7 `.a F-Pressure - °<Press�ce ti d':-:: :.R�cssif�e. . Pr'essure:_-- OK Code._: _ Condition Manuf. - Model..- <br /> i-'a k. <br /> Stngla:Stage < <br /> :.. .•......,-._.+eke ...,..__�.__I ,:.C. -' - -<:=�'t:..�- <br /> e( <br /> r_. <br /> FSIG <br /> • 1st;, - - - - <br /> s : <br /> PSG Sly�.k „ <br /> _, -:.. :-�•� „���;,` .�_ .�� <br /> y <br /> +2nd Ini tUV:C. In.W.C. <br /> Work Performed: - <br /> r, <br /> Description - Amount <br /> Service <br /> Appliance <br /> Material <br /> Tax: <br /> Qty. _.- Part# Description Gas <br /> .. -... -Hazmat <br /> Permit ;_ . <br /> Tarik Lease <br /> AMOUNT,RECEIVEI7., <br /> I have autFiorized and,Have autfiority to order the work as outlined above.I agree to pay all costs as represented in this document.:,If these charges are turned"over <br /> for collection, I agree-to pay reasonable attorney's fees if this invoice is placed in the hands of an attorney or,collection agency for,collection,. <br /> _ .. .>. <br /> Customer Signature Date Tech# <br /> ;.✓�` <br /> I <br />