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<br />KINSEY CENTRAL <br />HEAT & AIR-CONDITIONING <br />P.O. 60)( 2209 <br />7718 Fort King Highway <br />ZEPHYRHIILS, FL :=n5~9 ;:>209 <br />(813) 782-2300 <br /> <br />BILL TO <br /> <br />HVAC <br />SERVICE ORDER <br />INVOICE <br /> <br />THIS WORK IS TO BE <br /> <br />o C.O,D. <br /> <br />MAKE <br /> <br />MODEL <br /> <br />SERIAL NUMBER <br /> <br />NAME ~\ (' \ \ <br />u V 1\ D~;. c..., e . I <br />STR~~ q Qt..O 19-~tI ?::: (od) DiTE/.:s! qb <br />".1 I' J PROi4lSEO <br />> ';7 N J I <., , <br />PHONE7~p('_ t)~ 09- <br /> <br />CITY <br /> <br />CALL BEFORE <br /> <br />TECHNICIAN <br /> <br />AUTHORIZED BY <br /> <br />WORK TO BE PERFORMED <br /> <br />I-----~- <br /> <br />OTY. <br /> <br />MATERIALS & SERVICES <br /> <br />UNIT PRICE <br />: <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I .... <br />I <br />. ... <br /> <br />REFRIGERANT R- <br /> <br />LBS <br /> <br />FILTERS <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />.I <br />I <br />I <br />TOTAL MATERIALS <br /> <br /> <br /> <br />. <br /> <br />> <br /> <br />FILTERS <br /> <br />'x <br /> <br />BELTS <br /> <br />I <br />I. <br />i' <br />ij <br />~ <br />II <br />~ <br />!I <br />" <br />II <br />'I <br />II <br />! <br />II <br />I' <br />,I <br />I' <br />!I <br />" <br />I! <br />I' <br />il <br />~ <br />II <br />II <br />II <br />p <br /> <br />HRS, <br /> <br />LABOR <br /> <br /> <br />MATERIALS & LABOR MAY BE <br />CONTINUED ON OTHER SIDE f <br /> <br />TERMS <br /> <br />[J A,M, <br />o P,M, <br /> <br />AMOUNT <br /> <br />I. <br /> <br />I have aUfhoF,ty to orde the work outlined above whIch has been satisfactorily completed I agree that <br />Seller retains tItle to e UlpmenVmatenals furnIshed untIl final payment Is made If payment is not made <br /> <br /> <br /> <br />~~'~;;=_. "~/~:;; -'".- <br /> <br /> <br />.'CUSTOMER SIGNATURE ~ V DATE <br /> <br />ENVIRONM~NTAL <br />WORK PERFORMED QTY,TYPEIOISPOSITION,' ,. <br /> <br />[] RECOVERED <br />0 RECYCLED <br />0 RECLAIMED <br />[J RETURNED <br />0 DISPOSAL <br /> <br />I J DISMANTLED <br />o CHANGED OUT/REPLACED TOTAL $ <br /> <br />DESCRIPTION OF WOFlI(PEAFOFlMEO <br /> <br />: <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I ,f.' ,,, .r <br />I . r .....r <br />:.. .../ r /..(~- <br />I ',/';':'1 <br />I . Y J. !, <br />I <br />L <br />I <br />I <br />I <br />I <br /> <br />.'",,--,, <br /> <br />/' <br />/ <br />l <br /> <br />/- <br /> <br />(, <br />( <br /> <br />(} <br /> <br />?" ~V 1 /_, !i <br />7'-'c~r <br /> <br />/ <br />.' , <br />( I <br /> <br />...~ ," <br /> <br />L." ,~ <br />,(' <br /> <br />j-/ <br />~. <br /> <br />C),:~ <br /> <br />-< <br />c< <br /> <br />/,;; ,- <br />. ~. <br /> <br />C~~;~ . <br />. I <br />/ ,/ L""~ l ( <br /> <br />'~ <br /> <br />,...........,. <br />.<,/ <br />'V" .), /-1, <br /> <br />.../~l<~:)L'."''7":/ - <br /> <br />. ". , ': , ,", <br />. <br /> <br />.. . <br /> <br />o CHARGE <br /> <br />t' . , <br />. <br /> <br />CONDENSING UNIT <br /> <br />LEVELED <br /> <br />CLEANED COIL <br />CHECKED <br />CHARGE <br />REPAIRED <br />LEAK IN COIL <br />REPAIAED <br />LEAK IN COPPEA <br /> <br />" REF. <br /> <br />CHECKED <br />MOTOR <br /> <br />CHANGED <br />MOTOR <br /> <br />REPLACED <br />BELT <br /> <br />ADJUSTED <br />BELT <br /> <br />REPLACED <br />CONTACTOR <br /> <br />REPL STAAT <br />RELAY <br /> <br />AEPL START. <br />CAPACITOR <br /> <br />REPLACED RUN <br />CAPACITOR <br /> <br />CLEANED OR <br />ADJ. CONTACTOR <br /> <br />',-, ~7~~~EO <br /> <br />F-lEPLACED FUSE <br /> <br />REPLACED <br />COMPRESSOR <br />EVAPORATOR COIL <br /> <br />REPLACED <br />EXP. VALVe <br /> <br />ADJUSTED <br />EXP. VALVE <br /> <br />........... REPLACED <br />CAP, TUBE <br /> <br />CLEARED <br />CAP. TUBE <br /> <br />REPAIRED <br />COIL LEAK <br /> <br />REPAIREO <br />COPPER CONN. <br /> <br />CLEANED COIL <br /> <br />LEVELED COIL <br /> <br />ELECT. HTR. <br /> <br />REPLACED LINK <br /> <br />REPLACED KLlX. <br /> <br />REPAIRED WIRE <br /> <br />REPLACED CONT. <br /> <br />1750 <br /> <br />[] NO CHARGE <br /> <br />MAKE <br /> <br />MODEL <br /> <br />SERIAL NUMBER <br /> <br />oM <br />COND'SATE DRAINS <br /> <br />ClEANED <br />MAIN DRAIN <br />REPAIRED <br />MAIN DRAIN <br />CLEANED <br />PAN DRAIN <br />REPAIRED <br />PAN DRAIN <br />FURN, OR FAN COIL <br /> <br />REPLACED BELT <br /> <br />ADJUSTED BELT <br />REPLACED <br />PULLEY <br />ADJUSTED <br />PULLEY <br />CLEANED <br />BLOWER <br />REPLACED <br />BEARINGS <br /> <br />OILED MOTOR <br /> <br />OILED BEARINGS <br /> <br />CLEANED <br />HEAT EXCH <br /> <br />REPLACED <br />HEAT eXCH. <br /> <br />CLEANED OR <br />ADJ. PILOT <br /> <br />REPLACED <br />THERMOCOUPLE <br /> <br />REPAIRED <br />VALVE <br /> <br />REPlACED <br />VALVE <br /> <br />CLEANED <br />BURNERS <br /> <br />DUCT <br /> <br />REPAIRED <br /> <br />ADJUSTEO <br /> <br />THERMOSTAT <br /> <br />REPlACED <br /> <br />ADJUSTED .; <br /> <br />CLG TOWER <br /> <br />CLEANED <br /> <br />PUMP(S) <br /> <br />GREASED <br /> <br />REPAIRED <br /> <br />~LTERS DCLEANED' o REPLACED <br />LIMITED WARRANTY: All materials, parts <br />and equipment are warranted by the <br />manufacturers' or suppliers' written warranty <br />only. All labor performed by the above named TOTAL <br />company is warranted for 30 days or as MATERIALS ,_ <br />otherwise indicated in writing. The above named TOTAL I <br />company makes no other warranties, express LABOR I <br />or implied, and its agents or technicians are <br />not authorized to make any such warranties <br />on behalf of above named company. <br /> <br />U REGULAR <br />U SERVICE CONTRACT <br /> <br />o WARRANTY <br /> <br /><2!U Clj/JflJ <br /> <br />t:.~. <br />TRAIltl <br />CHARGE <br /> <br />TAX <br /> <br />. <br /> <br />! <br />I <br />I <br />I <br />I <br /> <br />TOTAL ~/~ <br />