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11101 813-445-4818 DAT /C INVOICE#: 8 9 AND SERVICE AGREEMENT 727-495-7474 Tech Name: O#: And Services Saving programs have been- 352-458-4181yQ explained: /A.-JrCanditlonlngrvices 863-226-5588 Hardness PH Iron PPM Appearance ❑Current Member - Plumbing - Electrical www.andservices.com - ❑Agree to purchase c tact@andservices.com _ (� Q 1816819,CFC-42a6 Ec,aoczssa —-- - ❑Decline participation ram/ ` Softener Information Name: (s'`' _ Customer's Initials: Street Address: Make: I have discussed And Services Saving programs City: S a : F Zi with the customer. I have given a copy of the contract Model: to the customer. All work is complete and is in Home Tel: I compliance with And Services standards of Email: Serial# excellence in workmanship and in compliance with LOWAr\ building codes. .Reaso*ASupervisor II: Work Complete Water Heater I Age Condition S/N Technician's J Make I Signature: ❑Follow Up ❑Work Incomplete • •NS- WORK DESCRIPTION Standard Member,$ 24 HOUR EMERGENCY (CQ SERVICE 0 Z PAYMENT OPTIONS �- _ z ❑Cash ❑Check# ti-Credit Card 0 z ❑VISA ❑MC ❑ AmEx ❑ Discover w o Name on Card 1 C 8!'c,6) V — Card No—, (�G�!/ IV.ZJ W — — CV2 Code: Expiration:AT o -- 0 Signature: ,XDe�a,� w - - ----- - -- - — -- - --- -- - -- —--- Y I hereby acknowledge the satisfactory completion of the work as noted -------- ----------- ----------- - --------------------------------- -- 0 i on this Invoice. It is agreed that the seller will retain title to any 3 1 equipment or material until final and complete payment is made.If the 1— —'--- --- ---------- --------- - —-- — - settlement is not made as agreed,the seller has the right to remove _ if equipment and material and the seller will be held harmless for any Agreement for Service:I,the undersigned,am an authorized representative of the _ damages resulting from the removal of equipment.Terms include 1.5% premises at which the work above is being done.I authorize the performance of STANDARD VS SERVICE AGREEMENT;',' @@ monthly service charge if not paid in 30 days. In the event of non- the work as noted on this invoice.I acknowledge that the estimated rice does not ..,: -; payment of the specified "total', a lien against my property may be 9 P "!, .. i ' r. include unforeseen parts or labor which may be needed after the work begins.My `SERVICE'AGREEMENT SAVINGS" - _ pursued and I will be responsible for practical attorney fees,collection written authorzation will be obtained before beginning any additional work.I have ' '_• s,and interests. i read this contract,and agree to be bound by all terms contained herein. - .5-- and Labor Warranty:e a A "'` All parts as recorded are warranted as per manufacturer specifications. L Amount DuWe do not guarantee other parts than those we supply.If repairs later Signature: •- "`'' "'' ` J. become necessary due to other defective parts,they will be charged k1h..�Y..Qkn. .dge the satisfa mpleHon of the above work - - separately.We guarantee that all repairs are done right.If a repair fails during the season,we will repair it again absolutely free.