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<br />A irdex Inc <br /> <br />2901 . 44th Ave, No, St. Petersburg, FI. 33714 <br /> <br />Air Conditioning <br />Heating & Electrical <br />521-2602 .527-2123 <br />24 Hour Service Available <br /> <br />TO: <br /> <br />JOB NAME: <br /> <br />ADDRESS: <br /> <br />CITY ZIP: <br /> <br />LABOR <br /> <br />~CAJm~ <br /> <br /> <br />:~08112 <br /> <br />PHONE: <br /> <br />HOURS RATE <br /> <br />AMOUNT <br /> <br /> <br />CHECK LIST I TERMS: DUE UPON COMPLETION lauANI ITEM OR PART NUMBER ICODEI PRICE <br /> <br />COMPRESSOR <br /> <br />~ ~ <:".; 1:: ~~ <br /> <br />o VOLTS ~ <br />o AMPS I 0 RATED <br />01 21 ~ 121 <br />o ELECTRICAL CONNE~S <br />o CONTACTOR POINTS <br />o FAN A, f RATED <br />CONDENSER COIL <br />o CLEAN WATER gpm_ <br />o FIN CONDITION <br />o AMBIENT OF <br />o ENT AIR OF <br />o LVG, AIR OF <br />o OIL LEVEL <br />REFRIGERANT <br />o LEAK <br />OO,K, <br />FAN AND MOTOR <br />o AMPS / RATED <br />o PULLEY/BELT <br />o LUBRICATION <br />ELECTRIC HEAT STRIPS <br />o INSPECT CONNECTIONS <br />o AMPS RATED <br />EVAPORATOR COIL <br />o CLEAN <br />o AIR IN OF <br />o AIR OUT OF <br />CONDENSATE AREA <br />o INSPECT PAN <br />o INSPECT DRAIN <br />AIR RLTER <br />o <br /> <br />I acknowledge that service has been <br />performed in a manner satisfactory to me. <br />In the event payment is not made as <br />agreed, Purchaser agrees to pay all costs <br />of collection including a reasonable amount <br />as attorney's fees. Interest at the rate of <br />1'12% per month will be added to all <br />delinquent balances, <br /> <br />DATE <br /> <br /> <br />I certify that I have performed services indicated and <br />installed parts listed. <br /> <br /> <br />#~~ <br /> <br />TECHNICIAN' SIGNATURE <br /> <br />o <br /> <br />OUR TRAINED PERSONNEL SUGGEST <br />THE FOLLOWING IMPROVEMENTS: <br /> <br />o <br /> <br />o Customer request preventative maintenance <br />inspections be performed per year, until cancelled <br />by eijher party in writing at least 60 days prior to <br />each anniversary date. <br /> <br />PREVENTATIVE MAINT. $ <br /> <br />+ REPAIRS <br /> <br />(PER INSPECTION) <br /> <br />o FUll. MAINTENANCE <br />PRICE FOR NEXT 12 MO. $ <br /> <br />x <br /> <br />SIGNATURE <br /> <br />IIIlLlNft ~n~v <br /> <br /> <br /> <br />r2. <br /> <br />(" <br /> <br /> <br />" <br /> <br />St-tr] ~ (Z; <br /> <br />PARTS WARRANTY <br />All parts as recorded are <br />warranted as per manufactur- <br />er's specifications. <br /> <br />LABOR GUARANTEE <br />The labor charge as recorded <br />here relative to the equipment <br />serviced as noted, is guar- <br />anteed for a period of 30 days. <br />"No charge" warranty work <br />will be provided only during <br />normal working hours. <br /> <br />o JOB INCOMPLETE <br /> <br />o JOB COMPLETE <br /> <br />o REFER TO: <br />TICKET # <br /> <br />CK# <br /> <br />o CONTRACT <br />o BilLING <br />o WARRANTY <br />o C.O.D. <br />o CREDIT CARD <br />o START UP <br />o OTHER <br /> <br />PARTS <br /> <br />LABOR <br />TRIP <br />CHARGE <br />INSPECTION <br /> <br />FM CONTRACT <br /> <br />QUOTE <br />TAX <br /> <br /> <br />AMOUNT PAID: <br /> <br />BALANCE DUE: <br /> <br />OK'D BY: <br />O PLEASE PAY WITHIN 5 DAYS <br />TO AVOID A BILUNG CHARGE <br />