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A DATE: Y /Z / INVOICE#: 9350 AND SERVICE AGREEMENT ---] 813-445-4818 i06CaZ3% And Services Saving programs have been 727-495-7474 Tech Name:`/ �� WO#: �� 352-458-4181 , FREE-water explained: servt•,ces 863-226-5588 Hardness PH Iron PPM Appearance urrent Member Alr Conditioning • Plumbing • Electrical www.andservices.com ❑Agree to purchase contact@andservices.com J ❑Decline participation / CAC 1816819,CFC-1428695,EC-13002594 ---._._...- --- -- ------------ -.-.... --- ------- ..-.._......_.... I Name: 011 !��/ij�y�l/J Softener Information Customer's Initials: Street Address: &V= Make: I have discussed And Services Saving programs City:7,e-Dk f/kkS State: FL Zip: �3�Y� with the customer.I have given a copy of the contract ---r--� 2/ Model: to the customer. All work is complete and is in Home Tel: (� �G� � Cell/Fax: q v l J '�1 J,,Z�" compliance with And Services standards of Email: Serial# excellence in workmanship and in compliance with building codes. .Reason For Call: ❑Work Complete Water Heater Age Condition S/N Technician's Make _ Signature: ❑Attn.Supervisor []Follow Up -Work Incomplete I DTEC'HICIAN,DIAGNOSIS RECOMMENDATIONS- WORK ESCRIPTION Standard .- 24 HOUR EMERGENCY N 4 ite ��4 SERVICE 3so o TL7, 0 PAYMENT OPTIONS �- - ❑Cash ❑Check# credit Card o 14 kno' se &,( _yli Q ,,,-_/� VISA ❑MC ❑ AmEx ❑ Discover o /C Name on Card: 6tr W vu �. �Z 3 y 2Gi C W >G1Dt�'� fib Gt - y� ( Card No. GjJ �� `J �o ri`r-t fiyesi� (7� Gluey 4i� I U ZO e— iG, s Avg' L"� /vCS G --- CV2 Code: 7 I Expiration: / ,Ile - - cc - - Signaturecc w a /] /' cCJS I �L( BUT— %�� _�./J e— _ (� !.� I hereby acknowledge the satisfactory completion of the work as noted —�J — —�— 1 on this Invoice. It is agreed that the seller will retain title to any 3 --- equipment or material until final and complete payment is made.If the ------------------------ ------------- --- ------- -- -- -- - - - - -------�' --'- -- '- -- settlement is not made as agreed,the seller has the right to remove ! e i ent and material and the seller will be held harmless for any Agreement for Service:I,the undersigned,am an authorized representative of the � ..; I damages resulting from the removal of equipment Terms include 1.5 premis.ps at which the work above is being done.I authorize the performance of ;STANDARD vs SERVICE AGREEMENT- Q Q monthly service charge if not paid in 30 days. In the event of non the —__--..- - - — L== payment of the specified'total', a lien against m roe may be the work as noted on this Invoice.I acknowledge that the estimated price does net _ � � .' --�= �— - - _ P Y P g Y property rtY Y include unforeseen parts-or labor which may be needed after the work begins.My SERVICE-AGREEMENT.SAVINGS pursued and I will he responsible for practical attorney fees,collection written authorization will be o ed before beginning any additional work.I have : - costs,and interests. n ;-'e- t/4e 6,, - read this contract,and a re o e bound b all term ntained herein. -.� •. Parts and Labor Warranty: 57-y q T Ali parts as recorded are warranted as per manufacturer specifications. ••' TOTAmount Q /% I, -'-. We do not guarantee other parts than those we supply.If repairs later �P 4 LLL/// 6/ l/ ) _ _ became necessary due to other defective parts,they will be charged Signature: Charges �. I hereby acknowled9 a sa8 ctory completlon or the above wo k v i separately.We guarantee that all repairs are done right.If a repair fails during the season,we will repair it again absolutely free_ _