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<br />SERVICEf:::}ICE <br /> <br />.ir Control Systems <br />Southwest Inc. <br /> <br />SP No. 43a99' <br /> <br />FORT LAUDERDALE <br />500 S,W, 21st TERR. B 103 <br />FORT LAUDERDALE, FL 33312 <br />DADE: 621-8412 <br />BROWARD: 791-5605 <br />BOCA RATON: 368.1799 <br /> <br />WEST PALM BEACH <br />1387 N, KILLIAN <br />LAKE PARK, FL 33403 <br />PALM BCH,: 845-1407 <br />MARTIN: 283-9459 <br />ST, LUCIE: 461-0278 <br /> <br />CORPORATE OFFICE <br />6280 ARC WAY, FORT MYERS, FL 33912 <br />FL WATS: 1 (800) 432.6562 <br />FORT MYERS <br />6280 ARC WAY <br />FT, MYERS, Fl33912 <br />CHARLOTTE: 639-6858 <br />LEE: 275.8720 <br />COWER: 597-1890 <br /> <br />I /0 i~(1 f C('.D <br /> <br />TAMPA /W..:::> ~ PASCO <br />ST, PETERSBURG 845-1212 <br />10820 - 8 75th ST, N <br />LARGO, FL 34847 LAKELAND <br />CLEARWATER: 541.7500 687-0396 <br />TAMPA: 225.1379 <br /> <br />WORK TO BE DONE <br /> <br />STATE CERTIFIED CACO 35496 <br /> <br />DATE/-~-9/ <br /> <br />T~M{+ <br /> <br />~I I <br />q-c / i) <br />I <br /> <br />SOURCE COST OTY. ITE~ <br /> <br />~J) rTnnl^~ ('l^~~'\,q, <br /> <br />) <br /> <br />PRICE <br /> <br />CU~:~ ,,1. ~. ~ r. on N\.l'O <br />S~~""?"4\ c...Oll - 0 - _t\ ~I~-ho<fl <br />~ <br /> <br /> <br />STREET "" < . PHONE <br /> <br />~;E <br /> <br />CITY <br /> <br />STATE <br /> <br />ZIP <br /> <br />2- L,.r~~Z:15<, -r;.A.J /Z::>- <br />'./r -ilL n ::,. 1/___: _. ~ <br />~ - V A. t.. ", AKE /Av1..h ..l./k ~CJ "7: V7. E~ 71 <br />/' - ~/ 9~ /J~IL, f 1 '~l'/I~~cfcSf:. <br />rfh7a .~i:~ - .. ~~ ~ ~I q /.on DATE <br />a/?~ /,4F~/ //1"1~ -<:..~ - - <br />Am 1./,.... n /. -_ ...: <br />1 <br /> <br />DESCRIPTION OF WORK PERFORMED <br /> <br />'- <br /> <br /> <br />: <br /> <br />I \....! -'--""-t' I.J (J tL,o, 1'1_ ^ ~ \ 1 -. '.IC <br />--\-a \otL. nH.IV\-n '.'An j) _<'~ a:iE'- <br />4,.. ;.k'\~.- 1.1 . J 1 J <br />~~~/-1~1J .4:e //. - ~ /L-9 ~o~ <br />kr;C;~; k.vtY~R61II.r0AJ.r AVO <br />~~~~;f/~;7V <br />1111 V III "UI~ ft. ~.. w... <br />... ...-. .'"," .. '.. <br /> <br />IfAU.lr it ,. all U"'lIlI .r" '_o_u <br />AND IEINSprCTION <br /> <br />.. <br />-. <br /> <br />IF YOU ARE SATISFIED WITH THE SERVICE YOU RECEIVED <br />TODAY TEll A FRIEND, IF NOT PLEASE TELL US. <br /> <br />TRAVEL TIME: <br /> <br />nME <br />&.RRIVEO' <br />nME <br />'RRIVED <br /> <br />TO <br /> <br /> <br />FROM <br /> <br />PLEASE PAY FROM THIS INVOICE <br /> <br />~. <br />P'" ,/fjfJ <br />llit ~ ~'tV <br />I' of <br /> <br />TIME <br />DEPARTED <br />TIME <br />DEPARTED <br /> <br />SERVICE PARTS <br /> <br />SERVICE LABOR <br /> <br />CUSTOMER DISCOUNT <br /> <br />TOTAL CHARGE <br /> <br />DEPOSIT <br /> <br />BALANCE DUE <br /> <br />$ .tf 1 h ;{o <br />$1/~7L i"f-o <br />$ -8" <br /> <br />TERMS: NET DUE ON COMPLETION en <br /> <br />Thi"' invoice is subject to 8 Finance Charge of , -, /2% per month, Annuel Percentage Rate of 18% which is: -a <br />_Itowed by law <br />tt i. egreed and understOOd by the perb.. that aU equipment and pens which.. 80Id pWauant hereto "'I NOT Z <br />=. ;::::: :':~O::.t';:'':t=:':':I'':m:~ ~~-::.::: ~nt~ :'~i,~=":';:':.:'l::::: ? <br />:o~r::rr~~~-:~~~;~luP8:a~nd eqUipment mav be repoa...ed in the event of non-payment. S.. rever.e aide .,I:::a <br />I have authority to or r the WOrit .~. outlined .bow. I agree, to pe.,' all costs 8nd '..lOn.ble anorney., fee, if thisW <br />inVOice IS pile I . hends of an attorn r collealOn <br />./ 0'__ - ~ _ __ A ~ <br />TECHNICIAN SIGNATURE rtll7h /l... () E,~.Af A (0 <br />CUSTOMER'S SIGNATURE' O' Orf~ <br />== ~~RD 53 9,8 - f.5 ()() - /c!) / /- g.JE(.1:.9m~y <br />