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Z6 AND SERVICE AGREEMENT <br /> 8134454818 DATE: Y i Z i INVOICE#: 9 3 5 0 <br /> E Tech Name: WO#: I?o(oGZ3� And Services Saving programs have been <br /> f 727-495-7474 � <br /> 352-458-4181 _ <br /> Hardness PH • Iron PPM Appearance explained: <br /> 863-226-5588 s rance &ufrent Member <br /> � services ;.._.._..._-_-- ..._ <br /> AVConditlon[ng - Plumbing - B.W.1 www.andservices.com ❑Agree to purchase <br /> contact@andsondcas.com <br /> ..._..... ❑Decline participation <br /> CAC 1919a1•,Cf•C-i42t3695,EC•13ep$5B� <br /> Softener Information <br /> IName: &T ____._-_-- Customer's Initials: <br /> Street Address: 58 G CCl �/ Make I have discussed And Services Saving programs <br /> City:z 67lR�lirRi��S State:FL Zip: '. .. . .. . ........._..__.....--...._—........ _._......._ ----.....- - ...._...._........__.._-- <br /> 335 ` ; with the customer.I have given a copy of the contract <br /> —( —� 1 Model: to the customer. All work is complete and is in i <br /> Home Tel: l 3 7���0N Cell/Fax: 813 -713 �- -' ------ - '--- — -- _..._ _..___-- --..__.. .._. compliance with And Services standards of <br /> v <br /> Email: Serial# excellence in workmanship and in compliance with ' <br /> _.._-.._....... . ....._, . . ....- - .................... ...._._..........._ __ building codes. <br /> t .Reason For Call: ❑Work Complete ' Water Heater i Aga Conditionf S/N Technician's <br /> Make <br /> r , Signature:�An.Supervisor ❑Follow Up .�/ork Incomplete : I <br /> TECHICIAN DIAGNOSIS I RECOMMENDATIONS- W.- DESCRIP 24 HOUR EMERGENCY <br /> N <br /> � ;......_.__�S.R.�,C�_..��"__..._......---�--..._..._._.........------.._.. ............ . ........ ...... ..._..- •-�--•�--•--..._._....... __..�._-�°�cl �-... ' SERVICE <br /> ' 3 -0 0 -....' <br /> ....... PAYMENT OPTIONS <br /> �- -...... ._. _LL:....---__--. _.—._..-_.. _.._-- _ _.. .. .._..._ _..._. ..._..__...__.._.... ._...-_.._._._._. ._.; <br /> _. _ ..... _..--__-.. __.. .. _ -- 4 ❑Cash ❑Check# 1�redit Card i <br /> r ,� U ( ,q VISA ❑MC ❑ AmEx ❑ Discover <br /> ' ^ ""_/ <br /> ���,r .. 0 .l~ d F.--- tom ....-- -��[-•• '�`--- __.-. ; Name on Card: / fJDJ f t U1 <br /> f 9 ? Zr� `` Z �,( <br /> a i SLrOw�.._.f/u!� f- — Card No. `✓�C. C(J w y3 7 Z J�I7: <br /> ./ Ir-y <br /> --�•----�--�-�--.__..._........ __. _�....... .-----..t"�_,.-_ .�_. _-._._.,Y. !'��.. .............. .-• --------- --......_...._.__ CV2 Code Expiration: �O Za •i / '-""i : �� Expire' n: / . <br /> ,...-- .-..- ._................__._._.. _...._........._ .........._._.............. ...... .............._._ ....- . .------ --- -- ......_... <br /> Si nature. <br /> C.,T_..-----.l f -- Gam... � e-_._.._.-.__.._ .._ 'I <br /> hereby <br /> vocItga�eettlryemeta not noted <br /> .----- o ine. aer d �tthe rr wit rtion of etain any <br /> yQ equipment or material unfit final and complete payment is made.If the <br /> i ;. ... .. _ _. ..... .......... __. . _.. - . .-.. ...-----._._......... ... .-.. ...-- ; ... .-. .-. settlement Is net made as agreed,the seller has the right W remove <br /> ( - ent and setter will be held harmless for any <br /> . .. _ .n,_,.v _._::a,3 - h w ,s" �'"'''""- T4'. sF^:•a a ma s resulting from the removal of equipment.Terms include 1.S% <br /> and <br /> Agreement for Service:I,the undersigned,am an authorized representative of the_j;. ;;:'.:••;;:7 9B <br /> remises at which the work above is be done.1 authorize the performance of monthly service charge r7 net paid in 30 days, in the event of non <br /> - <br /> promises �g Pe <br /> e v. <br /> i`.(� w J 1_ �.... <br /> •' a'� ,=.:-*:t-•.--.-:qi men of 'toter.a lien against m be . <br /> the work a9 rested on this invoice.I admowled a That the estimated does net i^"��---*"�` ';^rh�m:^='� payment the specified 9 my ProP01h'may 9 P qTv '°., <br /> ctl fe cone on <br /> e responsible for radical s,sued and I will be u es <br /> Include unforeseen parts or tabs which may he needed after the work begins.My D Po P �•y 1 �::..�Y' d �t�{'� .�!+'::r:...t% .��. %;Yfi?':.•`::.•:.;'. .,;:: costs.and Interests. rJ� written authorization will be ad betore beginning arty additional work.I have rt /_ � C� !�"✓� <br /> read this contract.and a fire bound by ell term mained herein. ,,/ ,} <br /> Parts and Labor Warranty: �yy��_Z <br /> All parts as recorded are warranfdd as per manufacturer specifications. <br /> • <br /> S' nature: Charges • • fs We do not guarantee other parts than those we supply.If repairs later <br /> IhcreDyack eomplefionddraaDovowark - !� se�paratelyeWaguarecessary dMeethal�rtdetegive parts,ttre}hLvnl7fle Bdta charged <br /> repairs are done ri pal <br /> _ during the season,we will repair it again absolutely free. <br />