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<br />~ola 81 \>, to TIt ( f 1 UU~U-VUt:.... t:.nvelope <br /> <br />?..,.v_~ <br /> <br />NEBS Inc., Groton, MA01471. To Order PHONETOLl FREE 1-800-225-6380. <br /> <br />.... <br /> <br />PRODUCT 6501 <br /> <br />KINSEY CENTRAL <br />HEAT & AIR-CONDITIONING <br />P.O. Box 2209 <br />7718 Fort King Highway <br />ZEPHYRHILLS, FL 33539-2209 <br />(813) 782-2300 <br /> <br />BILL TO <br /> <br /> <br />--r\ ~ e.~ ,,".Q;--eIL 4 <br />~I\t> e S' Co ~t"')f.,:) <br />-+> A-RSOL.) 5 <br />STREET .5 0 -0/ S 1r;?7A ST <br />>c~ , E+; \ \ ~ <br />PHO~ ~5?- 1 t'j ~ t./ <br /> <br />TECH ICIAN '__I A.to. <br />Cl" .....1 1,1"'''fl.-( <br /> <br />WORK TO BE PERFORMED 7' ~ -I 5' L/ ~ <br /> <br /> <br />/.J e. L,L) U J-' rr <br /> <br />.r C//~ <br /> <br />(r ~." <br /> <br />, <br />....; <br /> <br />-.) <br /> <br />'v <br /> <br />IJ <br /> <br />...J .,) <br /> <br />HVAC <br />SERVICE ORDER <br />INVOICE <br /> <br />THIS WORK IS TO BE <br /> <br />D C.O.D. <br /> <br />MAKE <br /> <br />MODEL <br /> <br />NAME <br /> <br />ee.c..c...G) "" <br /> <br />SERIAL NUMBER <br /> <br />CALL BEFORE <br /> <br />AUTHORIZED BY <br /> <br />~ '/2. I <br /> <br />QTY. <br /> <br />MATERIALS & SERVICES <br /> <br />UNIT PRICE <br />I <br />1 <br />I <br /> <br />REFRIGERANT R- <br /> <br />LBS. <br /> <br /> <br />.. <br /> <br /> <br />... <br /> <br />.. <br /> <br />1 <br />I <br />I <br />1 <br />.m I... <br /> <br />FILTERS <br /> <br />.1..........1........ <br />I <br />.j .. <br />I <br /> <br />... ..... <br /> <br />> <br /> <br />FILTERS <br /> <br />'. <br /> <br />BELTS <br /> <br />1 <br />TOTAL MATERIALS <br /> <br />~~ :., ,.;":;, <br /> <br /> <br />.,. . . RATE , <br />I <br />I <br />I <br />I <br />I <br />: <br /> <br />. . <br /> <br /> <br />MATERIALS & LABOR MAY BE <br />CONTINUED ON OTHER SIDE <br /> <br />TOTAL LABOR <br /> <br />TERMS <br /> <br />CHECKED <br />MOTOR <br />CHANGED <br />MOTOR <br />REPLACEO <br />BELT <br /> <br />.If..... ... . ......~ ...........71.................... ::~~::: <br /> <br />..... .~....~ ........ CONTACTOR <br /> <br />~ Ii? 7.r;. c/v ~mVSTART <br />I 1&~jjG~ .. ~~~:~:UN <br />1 ..........m.....~m <br />: -r- .~~. ......ll$'~~~ ~~!:~!E:~~TOR <br />l . tf;;;~~ ~~;:"ro, <br /> <br /> <br /> <br /> <br /> <br />EXP. VALVE <br /> <br />REPLACED <br />CAP. TUBE <br /> <br />CLEARED <br />CAP. TUBE <br /> <br />REPAIRED <br />COIL LEAK <br /> <br />REPAIRED <br />COPPER CONN. <br /> <br />Dr/'1/91- <br /> <br />PR~ISElf <br /> <br />D A.M. <br />D P.M. <br /> <br />A,MQVt4T ..... <br />I <br />1 <br />I <br />I <br />I <br />I <br /> <br /> <br /> <br />AMOUNT <br />I <br />I <br />I <br />I <br />I <br />: <br />I <br />I <br /> <br />. <br /> <br />ENVIRqNMENTAl.. C <br /> <br />WORKPEAFORMEO aTv. <br /> <br />'fYPi!IDt$"OSI'l;lpN :<.. . <br /> <br />D RECOVERED <br />D RECYCLED <br />D RECLAIMED <br />[J RETURNED <br />[] DISPOSAL <br /> <br />o DISMANTLED <br />D CHANGED OUTIREPLACED TOTAL $ <br /> <br />'.. OESqRIPTION OF WORt< PEf\FoFiMEO .. <br /> <br />.. . <br /> <br />1 >1 <br />PL ~ "bu <br />tJ t {; <br /> <br />. <br /> <br />I <br />I .. <br />1 <br />1 <br />1 <br /> <br />1 <br />I <br />I <br /> <br />. -: <br /> <br />..."" <br /> <br />. . ,. <br /> <br />~L'rR~~(~~-";;A <br />?~ 7..~ f ,f' er-~ ,. rr j' <br />...... ~.. (4~, ~ -y-- <br />~4Z.WJ5~rWii'/K <br /> <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 <br />company is warranted for 30 days or as <br />otherwise indicated in writing. The above named <br />company makes no other warranties, express <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 />D REGULAR D WARRANTY <br /> <br />D SERVICE CONTRACT <br /> <br />I hlrwe authority to order the work outlined abovB which has been satisfactorily completed. I agree that <br />Seller relalns title to equipment/materials furnished until final payment Is made. If payment is not made <br />as agreed, seller can remove said equlpmenVmsterials at Seller's expense. Any damage resulting from <br />laid removal shall not be the responsibility of Seller. <br /> <br />~~~ <br /> <br />~2f/p~ <br /> <br />vU cyew <br /> <br />D CHARGE <br /> <br />MAKE <br /> <br />MODEL <br /> <br />SEAIAL NUMBER <br /> <br />CONDENSING UNIT <br /> <br />LEVELED <br /> <br />CLEANED COIL <br /> <br />CHECKED <br />CHARGE <br /> <br />REPAIRED <br />LEAK IN COIL <br /> <br />REPAIRED <br />l.EAK IN COPPER <br /> <br />It REF. <br /> <br />"" .\, CLEANED COIL <br /> <br />LEVELED COIL <br /> <br />ELECT. HTR. <br /> <br />REPLACED LINK <br /> <br />AEPLACED KlIX. <br /> <br />REPAIRED WIRE <br /> <br />R~PLACED CONT. <br /> <br />1764 <br /> <br />D NO CHARGE <br /> <br />./ <br /> <br />COND'SATE DRAINS <br /> <br />CLEANED <br />MAIN DRAIN <br /> <br />REPAIRED <br />MAIN DRAIN <br /> <br />CLEANED <br />PAN DRAIN <br /> <br />REPAIRED <br />PAN DAAIN <br /> <br />FURN. OR FAN COIL <br /> <br />REPLACED BELT <br /> <br />ADJUSTED BELT <br /> <br />REPLACED <br />PULLEY <br /> <br />ADJUSTED <br />PULLEY <br /> <br />CLEANED <br />BLOWER <br /> <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 />THERMOCOUPl.E <br /> <br />REPAIRED <br />VALVE <br /> <br />REPLACED <br />VALVE <br /> <br />CLEANED <br />BURNERS <br /> <br />DUCT <br /> <br />REPAIRED <br /> <br />ADJUSTED <br /> <br />THERMOSTAT <br /> <br />REPLACED <br /> <br />ADJUSTED <br /> <br />CLG TOWER <br /> <br />CLeANEO <br /> <br />PUMP(S) <br />; GREASED <br /> <br />REPAIRED <br /> <br />~ <br />~ <br /> <br />MATERIALS I <br /> <br />TOTAL 1 <br />LABOR <br /> i <br />TRAVEL I <br />CHARGE I <br />TAX I <br />I <br /> <br />TOTAL :< S? sjC)o <br /> <br />~; <br />