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<br />---~-~~~ - '---~.--/~' -'-}--- ~~ <br /> <br />~~ / // ~ 11::> <br />;;;. .l.~{ . <br /> <br />KINSEY CENTRAL /'-';7ouL/y <br />HEAT & AIR-CONDITIONH i r; fi ~ r; ~ <br />P.O. Box 2209 <br />7718 Fort King Highway <br />ZEPHYRHILLS, Fl 33539.220' \ <br /> <br />(813) 782-2300 <br /> <br />BILL TO <br /> <br />-- <br />i=.sL. <br /> <br />OflKS//\c <br />NAME--r- (l-r- <br />- J €AU OlA 'elL- <br />STREET~ /;LI .- u_ ... ~ L .s.7 <br />>~. UdJ 3S5 'i6 <br />PH2!J/ Q ;2 - 5 'I I '-I <br /> <br />CALL BEFORE <br /> <br />TECHNICIAN <br /> <br />AUTHORIZED BY <br /> <br />WORK TO BE PERFORMED <br /> <br />QTY, <br /> <br />"'D <br /> <br />UNIT <br /> <br />MAl <br /> <br />.........."..., <br /> <br />REb~'R~J*-/eu~? ... .".. ,....".? : <br />/j/i./c :".IJ.?A"!-' i/ <br /> <br />, <br /> <br /> <br />: <br />I <br />,/",...,...... I <br /> <br />I ' , <br />/ <br />{" <br /> <br />)/~,~V' <br /> <br />,}.- ~ <br />.u.....,'."... <br />y ,....,. <br /> <br /> <br />I <br /> <br />I <br />,.>.":/~ / I <br />-:r I <br />.'~' ~~<-~'-"I <br />- I <br /> <br />I <br /> <br />I <br /> <br /> <br />.::;./ <br /> <br />.' <br /> <br />I <br /> <br />FILTERS <br />I.....,'. .... ....,..,...""....,. <br /> <br />> <br /> <br />FILTERS <br /> <br />.....,. <br /> <br />BELTS <br /> <br />I <br />TOTAL MATERIALS <br /> <br />IHRS. <br /> <br />LABOR <br /> <br /> <br />I <br />I <br />I <br /> <br />! <br /> <br />TOTAL LABOR <br /> <br />I <br /> <br />1 <br /> <br />. <br /> <br />MATERIALS & LABOR MAY BE <br />CONTINUED ON OTHER SIDE <br /> <br />TERMS <br /> <br />. <br /> <br />:3~1/9t, <br /> <br />Pij6M1 SED <br /> <br />D A,M, <br />D P,M, <br /> <br />AMOUNT <br /> <br />I <br />I <br />I <br />! <br />I <br /> <br />....,.. <br /> <br /> <br /> <br />I, <br /> <br />AMOUNT <br />I <br />I <br /> <br />I <br /> <br />: ' <br />[ <br />I <br />I <br />I <br />I <br /> <br />I have authority to order the work outlined above which has been satisfactorily completed. I agree that <br />Seller retains title to equipment/materials furnished until final payment is made. If payment is not made <br />as agreed, seller can remove said equipmenVmaterials at Seller's expense. Any damage resulting from <br />said removal shall not be the responsibility of Seller. <br /> <br />_" L-- <br /> <br />I <br />/ I ,-/:j'/ <br />j:::.: ~ L_-"'--' _-<...</C-/ l-l..!.-/ <br /> <br />-.J. ~::...- <br /> <br />'Cv$TOMER SIGNATURE <br /> <br />~ <br /> <br />j( <br /> <br />DATE <br /> <br />.'" ....., <br /> <br />HVAC <br />SERVIC:E ORDER <br />INVOICE <br /> <br />RECOMMENDATIONS <br /> <br /> <br />2;~;'~~~~~~ <br />;E~>~ lfpC2! ~,) t :::~:~CEE: ~,~: <br /> <br />l,( / ,,/ G /., (', !c{ ~:>'<.,j. [~I</<' REPLACED CONT <br />"I {I.. f.. <br />IX:: , I / - ': 1 l'~ U -€ r fto I ,., . - ,uO I <br />' FILTERS <br />LJMITSJ;> )IlfA fI!SA.-N.T;V:,A II '!late rials, parts <br />~~rn6rit~1'€ r-'wM~nted 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 />THIS WORK IS TO BE <br /> <br />D C,O,D. <br /> <br />MAKE <br /> <br />MODEL <br /> <br />SERIAL NUMBER <br /> <br />\ <br /> <br />t"u!::t"V <br /> <br />OTY, <br /> <br />D RECOVERED <br />D RECYCLED <br />D RECLAIMED <br /> <br />[J RETURNED <br /> <br />L DISPOSAL <br /> <br />DISMANTLED <br />- [J CHANGED OUT/REPLACED TOTAL $ <br /> <br />DESCRIPTION OF WOI1K PERFORMED <br /> <br />. -7 1']1/ // <br />.~ ....,. .(C' /"J..... .,f(~ ,', J' ./ <br />..-. ~ 1"-1- ,/ <br />['<f'---'!I fC" cLL, <br />E.-' <br />7/"'/1 n .,' ,- <br />_./ C' "",' (...'?> <br /> <br />t-f/c: <br /> <br />+ <br />I <br /> <br />~ -:;.r/ ~-. <br />w=~.,.,...~. <br />2Zi!f1.2 ~t. 7~~ <br />I I ' - ,- ~) _-v-- <br />TLp.w -,' Z<iI, <br /> <br />L .,......,. dJ..~;<~=~~~=() <br />: <br />I <br />I <br />I <br />I <br /> <br />S1~ <br />-.; <br /> <br /> <br />I <br /> <br />: <br />I <br />I <br /> <br />D REGULAR <br />D SERVICE CONTRACT <br /> <br />D WARRANTY <br /> <br />CYU cyew <br /> <br />D CHAF1GE <br /> <br />MAKE <br /> <br />MODEL <br /> <br />SERIAL NUMBER <br /> <br />CONOENSING UNIT <br /> <br />LEVELED <br /> <br />CLEANED COIL <br />CHECKED <br />CHAFIGE <br />REPAIRED <br />LEAK IN COIL <br />REPAIRED <br />LEAK IN COPPER <br /> <br /># REF. <br /> <br />CHECKED <br />MOTOR <br /> <br />CHMIGED <br />MOTOR <br /> <br />REPLACED <br />BELT <br /> <br />ADJUSTED <br />BELT <br /> <br />REPLACED <br />CONTACTOR <br /> <br />REPL. START. <br />~! <br /> <br />REPL. START. <br />CAPACITOR <br /> <br />REPLACED RUN <br />CAPACITOR <br /> <br />CLEANED OR <br />ADJ. GONTACTOR <br /> <br />REPAIRED <br />WIRING <br /> <br />REPL"-CED FUSE <br /> <br />REPLA.CED <br />COMPRESSOR <br /> <br />EVAPORATOR COIL <br /> <br />REPL4.CED <br />EXP. VALVE <br /> <br />ADJUSTED <br />EXP. VALVE <br /> <br />AEPL4.CED <br />CAP. "rUBE <br /> <br />CLEA::=jED <br />CAP. -.UBE <br /> <br />REPA RED <br />COIL LEAK <br /> <br />REPA RED <br />COPPER CONN <br /> <br />CLEAI\IED COIL <br /> <br />LEV"~ED COIL <br /> <br />ELECT. HTR. <br /> <br />REPL,:I,CED LINK <br /> <br />TOTAL <br />MATERIALS <br />TOTAL <br />LABOR <br /> <br />TRAVEL <br />CHARGE <br /> <br />1.", ,<\ f) <br />jL~ e.::. <br /> <br />D NO CHARGE <br /> <br />n..., <br /> <br />CONO,SATE DRAINS <br /> <br />CLEANED <br />MAIN DRAIN <br />REPAIRED <br />MAIN DRAIN <br />CLEANED <br />PAN DRAIN <br />REPAIRED <br />PAN DRAIN <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 />BEARrNGS <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 />ADJUSTED <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 />l"" CLEANED <br /> <br />REPLACED <br /> <br />., '" "..,....." <br /> <br />TAX <br /> <br />I <br />I <br />I <br /> <br />,~t'J 75:0-0 <br />I <br />I <br />I <br />I <br /> <br />TOTAL 70 75T~ <br />