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<br />.~~ <br /> <br />INDUSTRIES. INC <br /> <br />FAt <br />67901181h'A0. <br />Largo, FL 33773' <br />(727) 541,6648 Fax 544-3825 <br />Toll Free 1-800-833-5665 <br /> <br />~7"::j~~1RDER <br /> <br />FT. MYERS OFFICE <br />1222 Hem,ngway Drive <br />Fort Myers. FL 33912 <br />(941) 267,6833 <br />Fax (941) 2676887 <br />Toll Free 1,'300,833,5665 <br /> <br /> <br />STATE CERTIFICATION <br />;400FING CONTRACTOR CCC.:155597 <br />:lOOFING CONTRACTOR qc 'X)610""O <br />3PECIALTY CONTRAC"OR OS?5.t.t <br />SPECiALTYCQNTRACTon see J450;'.1 <br />HeME IMPROVE CONT He :)Q01]09 <br />'6TAllMENT SALES .-oR 0(,48544 <br /> <br />STREET <br /> <br /> <br />--96 <br /> <br />DATE j:;. fI <br />PHONE gi 3 - 780 -710D <br />ZIP CODE <br /> <br /> <br />NAME <br /> <br />CITY, STATE <br /> <br />~. '~.~ 1~' _ rf(iu <br />CL- ~ I. liDO. to/I-f) ~lIi(,:,ObO,O%D~4ffi~ <br /> <br />C OS A- L-- r::- ' ,1 <br />Lv II} IE; t>-DU.L ~~ ~i " l' C~Y-< <br />~~-~~~< <br /> <br /> <br />AMOUNT OF ORIGINAL CONTRACT <br /> <br />DOLLARS {/J /7, fs'OD ,OD <br /> <br /> <br />'-0-- <br /> <br />AMOUNT OF ADJUSTMENT TO <br />ORIGINAL CONTRACT (+ or -) <br /> <br />DOLLARS $ <br /> <br />LESS DEPOSIT <br /> <br />BALANCE DUE <br />(PER PAYMENT TERMS ON ORIGINAL CONTRACT) <br /> <br />"BUYERS RIGHT TO CANCEL: THIS IS A HOME SOLICITATION SALE, AND IF YOU DO Nor WANT THE GOODS OR SERVICES. YOU MAY CANCEL THIS AGREEMENT <br />BY PROVIDING WRITTEN NorlCE TO THE SELLER IN PERSON. BY TELEGRAM, OR BY MAIL. THIS NorlCE MUST INDICATE THAT YOU DO Nor WANT THE GOODS OR <br />SERVICES AND MUST BE DELIVERED OR POSTMARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER YOU SIGN THIS AGREEMENT IF YOU CANCEL <br />THIS AGREEMENT. THE SELLER MAY Nor KEEP AlL OR PART OF ANY CASH DO'NN PAYMENT' <br /> <br /> <br />DATE <br /> <br />r <br /> <br />RCHASER /ncu-Ltl'.;f a...+ ;1 <br />;1 ;4' ~;' :#- // <br />PURCHASER ..i\,:- ;6 - ("\..-('('..; .' J----' . -l.:c;/ <br /> <br />DISTRIBUTION: WHITE: Original CANARY: Customer PINK: Salesman <br /> <br />~ <br /> <br />~ <br />