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<br />ADVANCED MOBILEHOME SYSTEMS INSh~LLAT!O~~ AGREEMENT CO NT. NO. LW~ 01 10 DATrn7fj/?--I-. - V3 <br />. AMSEM-1, Inc. CG 0033977 - CC C042787 souRcEI2t:.r PRODUCT jL/J <br />13764 W. Rena Drive- Largo, //27CC'p 1-800-282-3572 Phone.# (tY3 ) 7f"Z-: r/f</' <br /> <br />OWNER: Mr. LJA J & Mrs. LAST NAME ~ j?..A;U(!....!::- <br /> <br />Add,es., ~~OJSfe.... ZIPJ-c<<-Lot. _P.'k2l$~ <br /> <br />County ~_ Home-Own Land-Own Rent RIP # <br /> <br />~~r~;~IOrlda): U 101 kI-:>M City 9A.h~ () State.a Zip ~{57 Phone # (/Ji!l )Uf - i 5-)'2-- <br />(Out of Florida) <br />o AMSEM-1, INC. (UAMS") proposes to furnish all materials and labor for the job(s) specified below <br /> <br /> <br /> <br /> <br />'h.( <br />o ELIMINATE GAS VE T_ <br />INIT. I NIT. I NIT. INIT. <br />o SEE ADDITIONAL SHEETSFOR ADDITIONAL SPECIFICATIONS INCORPORATED INTO THIS AGREEMENT <br /> <br />AMS REQUIRES A 30% NO~-REFUN~E DEPOSIT, Tf:l THIS AGREEM ~T AND B~~~9= ~UE ON CO~P.LETION <br />CONTRACT AMOUNT $ BtAY L} /~~_/.. ., 1_ cjdtfrn'oO<<./i.ff's $) $ L.-~ / t0J <br /> <br />Sales Tax $ . /7'7,' Pi) <br /> <br />CHK # .:;'1-> -Cj TOTAL $ ;;;"'0-'97/ UO <br /> <br />CASH W Deposit Amount $ ~W ' 2-6 <br /> <br />- Balanc.e Due on Completion $ b <l../I / :2-,~- <br />A separate written warranty relating to the Weather-Lok™ 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 l!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 /> <br /> <br />BUYERS RIGHT TO CANCEL <br /> <br />x ' <br /> <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 OFTHETHIRD 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 />~cfrIQJHO BUYER:THE~ AND CONDITIONS ONTHE BACK HEREOF ARE PART OFTHI..S AGREEMEN...T. <br />x..:i...b.. X ~ EVERYTHING PROMISED AS PART OFTHIS CO CT 1?5 ~ D IN.:~ BO'" <br /> <br />TED AND EED: BY AMS REP.. U. 'A /;fd <br /> <br />SOCIAL SECURITY # ;:~.-'f--. D'le ~I/ 2:- <br /> <br />SOCIAL SECURITY # -'{.'- , t' ,J Date I>Y~,i;,L <br /> <br />