Laserfiche WebLink
<br />ORIZA TION # D OTHER <br />SERVICE INVOICE NO. <br />J69176G-O <br /> <br /> <br /> <br />o WARRANTY <br /> <br />BRAND <br /> <br />MODEL NO. <br /> <br />/ <br />1/''-<.... '/!_-~ "'_- <br />ILLUSTRATE DETAIL OF PROBLEM ON REVERSE SIDE <br /> <br />SELLING DEALER! DISTRIBUTOR <br /> <br />je <br />. I <br />STATE <br /> <br />CITY <br />b f.-~ <br /> <br />ci- <br /> <br /> <br />INVOICE NUMBER <br /> <br />QUANTITY <br /> <br />DESCRIPTION <br /> <br />MAG. I MOTOR I SEALED UNIT NO. OLD <br /> <br />SERVICE AGREEMENT NUMBER <br /> <br />I Authorize A Charge To My Credit Card. <br />CARD NAME <br /> <br /> <br />MAG. I MOTOR I SEALED UNIT NO. NEW <br /> <br />CARD NUMBER <br /> <br />SERVICER NUMBER <br /> <br />EXP. DATE <br /> <br />I AUTH. NO. <br /> <br />/ <br /> <br />The Repairs Have Been Per/armed In A Manner Satisfactory To Me_ <br />CUSTOMER'S SIGNATUR.E DATE <br /> <br />I Hereby Certify The Above Service Has Been Per/armed & Parts Used. <br />TECHNICIAN'S I OTHER SIGNATURE I NUMBER DATE <br /> <br />SERVICE CENTER STATE NO. <br />SERVICER NAME AND ADDRESS: <br /> <br />~. ~~-/~ <br />. 7?7f-s:: ~..:JO / <br />~ C(~ .f&' r-_~ ? .2-f? <br /> <br />ESTIMATE OF REPAIR <br />PARTS <br />LABOR <br />SALES TAX <br /> <br />ESTIMATE TOTAL <br /> <br />REVISED EST. OF REPAIR <br /> <br /> <br /> <br />INTERNAL CONTROL NO. <br /> <br />COPY 1 <br /> <br />@ NARDA, INC. I-:':.~,SD 1990 <br /> <br />DATE PURCHASED <br /> <br /> <br />D D D <br />NOT HOME LACK PART CALL BACK <br />TIME STARTED TIME STARTED <br /> <br />TIME COMPLETED TIME COMPLETED <br /> <br />TOTAL TIME <br /> <br />TOTAL TIME <br /> <br />MICRO LEAK READING: <br />BEFORE <br /> <br />AFTER <br /> <br /> <br />EXTENSION <br /> <br /> <br />TRIP CHARGE <br />COMPLETED CALL <br />LABOR <br />DIAGNOSTIC FEE <br /> <br />TOTAL LABOR <br /> <br /> <br />()(~ I <br /> <br />LOCAL TAX <br /> <br />---....,--,.-...' <br /> <br />, aJ <br />