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<br />OWNER: Mr. <br /> <br />c; ~ C/ t1 <br /> <br />INSTALL..ATION AGREEMENT CONT. NOrAK3 71 7 DATE tllur/oo <br />. CG C033977 · CC ~042787 SOURCE -#BtJ: PRODUCT ~or <br />1-800-282-3572 Phone # ( ~) 7l?2- 47 Z C} <br /> <br />E'S~IZ LAST NAME !J:rf(J/.JS6I.. J <br /> <br />ADVANCED MOBILEHQME SYSTEMS <br />AMS IV,INC. <br />13764 W Rena Drive · Largo, FL 33771 <br /> <br />& Mrs. <br /> <br />Address: b '2 "'2../ A- 6 ~re. oS r City: Z c.p Ivy (ll-J It l .! <br /> <br />Zip "3 3 S''Ill Lot # <br /> <br />Park OA-I<.s I t) ~ <br /> <br />County () a.S' c. 0 Home-Own ~ Rent Land-Own <br />Address . <br />(out of Florida): AJ I\- City State Zip <br />~INC. (UAMS") proposes to furnish all materials and labor for the job(s) specified below: <br />~ CIon/I:; If;;',~:....:, "'-"'S t<oor <br />_ 1=L~H PA-_ R_o~ <br />~ Pe~MII <br />L I ~ e. T7 J1;1 e f--D Do ,. r (', ^'" .,.,.; <br /> <br />Rent ~ RIP # <br /> <br />Phone # ( _ ) <br />(Out of Florida) <br /> <br />C.()SfW/Ll CALL. n ~c.,/....ecJ(Jt.-O.- IAJ:r~.v <br /> <br />~ATE GAS VENT C. 111.~ ~RNING UNIT HAS OR WILL BEEN REMOVED BY CUSTOMER c-. "'YYI..~ <br />INIT. INIT. INIT. INIT. <br />Q SEE ADDITIONAL SHEETSFOR ADDITIONAL SPECIFICATIONS INCORPORATED INTO THIS AGREEMENT <br /> <br />AMS REQUIRES A 30% NON-REFUNDABLE DEPOSIT, WITH THIS AGREEMENT AND BALANCE DUE ON COMPLETION <br /> <br />CONTRACT AMOUNT S Cl6H~W I-/t;AJfJ~('.1J ~/A..~o/ ~ (U.S. DOLLARS $) S / ~30, ~ <br /> <br />, Sales Tax S ItJ9. YO <br />Jot39.ro <br /> <br />Deposit Amount S b~ D. ~ <br /> <br />Balance Due on Completion S { :1 3~, fa <br />A separate written warranty relating to the Weather-Lokā„¢ Roof system will be mailed when contract price is paid in full and a completed <br />application for warranty is received. A copy of the form of this warranty is available upon request. ~ <br />AMS is authorized to furnish all materials and labor required to complete the work described in the above proposal, for which I/We agree to <br />pay the full amount specified in said proposal, and in accordance with all terms of this Agreement. <br />THE UNDERSIGNED ACKNOWLEDGES THAT BEFORE SIGNING HE HAS READ, UNDERSTOOD, AND RECEIVED A COMPLETED, LEGIBLE <br />COpy OFTHIS AGREEMENT AND OF EVERY OTHER DOCUMENT INITIALLED OR SIGNED BY ME DURING CONTRACT NEGOTIATIONS, AND <br />AGREES TO BE BOUND BY ALL THE TERMS THEREOF, INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE SIDE. <br />This Agreement shall be binding upon the Buyer's written acceptance hereof in the space provided below or upon the AMS's commencing <br />performance. Upon such acceptance or commencement of performance, this Agreement shall constitute the entire contract and be binding <br />upon the parties hereto, there being no covenants, promises, warranties or agreement, written or oral, express or implied, except as herein set <br />forth or as created by applicable law. <br />BUYERS RIGHT TO CANCEL <br /> <br />THIS IS A HOME SOLICITATION SALE, AND IF YOU DO NOT WANT THE GOODS OR SERVICES, YOU MAY CANCEL THIS AGREEMENT BY <br />PROVIDING WRITTEN NOTICE TO THE SELLER IN PERSON, BY TELEGRAM, OR BY MAIL. THIS NOTICE MUST INDICATE THAT YOU DO NOT <br />WANT THE GOODS OR SERVICES AND MUST BE DELIVERED OR POSTMARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER <br />YOU SIGN THIS AGREEMENT.IFYOU CANCEL THIS AGREEMENT, THE SELLER MAY NOT KEEP ALL OR PART OF ANY CASH DOWN PAYMENT. <br /> <br />NOTICETO BUYER: THE TERMS AND CONDITIONS ONTHE BACK HEREOF ARE PART OFTHIS AGREEMENT. <br />(INIT.)$" e. #(. a... X EVERYTHING PROMISED AS PART OF THIS CONTRA T IS COVERED IN THE ABOVE. <br /> <br />ACCEPTED AND AGREED: BY AMS REP. <br /> <br />~ &. AA.rA- m. a ~~ SOCIAL SECURITY #~ 'i J - I ~ - ~6 .!:J-S <br /> <br />CHK# <br />CASH <br /> <br />ISO 3 <br /> <br />TOTAL $ <br /> <br />Date <br /> <br /> <br />x <br /> <br />SOCIAL SECURITY # <br /> <br />(BUYER'S SIGNATURE) <br /> <br />Date <br /> <br />19 <br />