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<br />_If!"~~ <br />~NE GAS & AlC INC. <br />Sales, Service & Installations <br />4441 Allen Road Zephyrhills, FL 33541 <br />(813) 782.5013 <br /> <br />BILL TO <br /> <br />NAME h J 'rh <br />STREET <br />_3B3t.Y <br />:'TY 2 }/.' / J (; <br /> <br />f5 A 15' r I '..s r- c.. f:' f./ ",e L.// <br />DATE <br />C ~ S Y E -<loSr 6- 2-6..3 <br /> <br />PROMISED <br /> <br />PHONE <br /> <br />CALL BEFORE <br /> <br />TECHNICIAN <br /> <br />AUTHORIZED BY <br /> <br />WORK TO BE PERFORMED <br /> <br />QTY. <br /> <br />MATERIALS & SERVICES <br /> <br />UNIT PRICE <br /> <br />REFRIGERANT R. <br /> <br />I <br />I <br />I <br />.4/~ <br />/lr,ar : <br />L6,#j~?ice!JvT <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />LBS. <br /> <br />/(!lrt/n <br /> <br />S TON <br />/0 KIA..! <br />C~,v1/ L~rL <br /> <br />FILTERS <br /> <br />> <br /> <br />I <br />I <br />I <br />I <br />I <br />TOTAL MATERIALS <br /> <br />FILTERS <br /> <br />BELTS <br /> <br />HRS. <br /> <br />RATE <br />T <br />I <br />I <br />I <br />I <br />: <br /> <br />LABOR <br /> <br />I\IATEPIALS & LABOR MAV BE <br />CON"CINJED ON OTHER SIDE <br /> <br />TOTAL LABOR <br /> <br />TERMS <br /> <br />. A.M. <br />PM. <br /> <br />AMOUNT <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />: <br /> <br />AMOUNT <br /> <br />: <br />I <br />I <br />I <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 equipmenVmaterials furnished until final payment is made. If payment is not made <br />as agreed. seller can remove said equipment/materials at Seller's expense. Any damage resulting from <br />said removal shall not be the responsibility of Seller <br /> <br />CUSTOMER SIGNATURE <br /> <br />DATE <br /> <br />HVAC <br />SERVICE ORDER <br />INVOICE <br /> <br />G,vr~cr <br />rC;(J ve~/ 'c/c <br /> <br />THIS WORK IS TO BE <br /> <br />C.O.D <br /> <br />MAKE <br /> <br />MODEL <br /> <br />SERIAL NUMBER <br /> <br />\. <br /> <br />ENVIRONMENTAL CHECK LIST <br /> <br />WORK PERFORMED QTY. <br />RECOVERED I <br />RECYCLED I <br />.-+--- <br /> <br />TYPEIDISPOSITION <br /> <br />. <br /> <br />RECLAIMED <br /> <br />RETURNED <br /> <br />_ _ DISPOSAL <br /> <br />DISMANTLED <br />CHANGED OUT'REPLACED <br /> <br />TOTAL $ <br /> <br />DESCRIPTION OF WORK PERFORMED <br /> <br />1\1 ~ -' \l tttf- <br />o C1 <br /> <br />- <br /> <br />g <br /> <br />*' <br /> <br />.. <br /> <br />,s <br /> <br />J <br /> <br />- <br /> <br />J <br /> <br />RECOMMENDATIONS <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 />, REGULAR <br /> <br />- WARRANTY <br /> <br />... SERVICE CONTRACT <br /> <br />czru~ <br /> <br />CHARGE <br /> <br />MAKE <br /> <br />MODE <br /> <br />SERIAL NUMBER <br /> <br />CONDENSING UNIT <br /> <br />LEVELED <br /> <br />CLEANED COIL <br />CHECKED <br />CHARG>= <br />REPAIRED <br />LEAK IN COIL <br />REPAIRED <br />U;:AK IN COPPER <br /> <br />t1 REF <br /> <br />Ct-cECKED <br />MOTOR <br /> <br />CHANGED <br />MOTOR <br /> <br />REPLACED <br />BELT <br /> <br />ADJUSTED <br />BELT <br /> <br />REPLACED <br />CONTACTOR <br /> <br />REPl START <br />RELAY <br /> <br />REPl. START <br />CAPACITOR <br /> <br />REPLACED RUN <br />CAPACITOR <br /> <br />CLEANED OR <br />ADJ CONTACTOR <br /> <br />REPAIRED <br />WIRING <br /> <br />REPLACED FUSE <br /> <br />REPLACED <br />COMPRESSOR <br /> <br />EVAPORATOR COIL <br /> <br />REPLACED <br />EXP. VALVE <br /> <br />ADJUSTED <br />EXP VALVE <br /> <br />REPU\CED <br />CAP TUBE <br /> <br />CLEARED <br />CAP TUBE <br /> <br />REPAIRED <br />COIL LEAK <br /> <br />REPAIRED <br />COPPER CONN <br /> <br />CLEANED COIL <br /> <br />lEVELED COIL <br /> <br />ELECT HTR <br /> <br />REPLACED LINK <br /> <br />REPLACED KLlX <br /> <br />REPAIRED WIRE <br /> <br />REPLACED CONT <br /> <br />FILTERS I <br /> <br />7~o -8/RS <br /> <br />NO CHARGE <br /> <br />WORK PERFORMED <br /> <br />COND'SATE DRA'NS <br /> <br />CU::AI\lED <br />Mll..IN DRAIN <br /> <br />f1EPAIRED <br />MA:N DRAIN <br />CLEANED <br />PAN ORAl'\! <br />RI::PAIRl::D <br />PAN DRAIN <br /> <br />FURN OR FAN COIL <br /> <br />REPLACED BELT <br /> <br />REPI"ACEC <br />PULLEY <br />ADJUSTED <br />PU,--LEY <br />CLEANED <br />BLOWER <br />REPLACED <br />BEARINGS <br /> <br />Oi LED 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 />CLEANED : REPLACED <br /> <br />TOTAL SUMMARY <br /> <br />TOTAL I <br />MATERIALS I <br />TOTAL I <br />LABOR -------I <br /> : <br />TRAVEL I <br />CHARGE I <br />TAX I <br /> I <br />TOTAL 7"/~t) : 00 <br />