<br />/' i
<br />(.. I.. ,) Ml)ch<lnkal Contractor information: CO";;~i::t"r PiC'. u>, C~I"~/ ~ -.J
<br />iG:~~ca', FRiES'T7\PTS A Ie. O-";Jrel: if3~qSoo22 I
<br />1,c.1<Y~'iS 1'7 ll6 vALE: I'fC~DI<... F:3d gI3q(t~ q'ng ---l
<br />L"..:.L..~:_2......e'r.oc l<:S';6 ~E. j::. L- .3~'C ':O"!r';lC-:')I:: :
<br />
<br />
<br />~E~D;~-~:
<br />
<br />
<br />~/.____ ik1~d/gt'~ ~~LAI'A~ !;---.-
<br />~--.--~,Ahf' ~e-V ('1~ /~~)tI~#L!--t:-J:_Jd12_
<br />, __/po I~'~ ~ d#.oI' ~~:
<br />~,' ;"-; --_.
<br />! ,:
<br />f -1
<br />r- l!-~
<br />
<br />-'
<br />" ,iI
<br />/,cm., ',,,,, ~ ;h~
<br />
<br />/ ;:'.,(."<) "'Lr:ltle~ ,H; 2/'1 -Zg-3 7R 3G?
<br />/
<br />
<br />i:"1l9Ck AppUcablot 0%)
<br />
<br />i:~J. 7~ I: ~-(C..fr~-2' U:-::.j~
<br />
<br />C::~f1~ j7~ ;' ~tf' C'"~(:er;:ttc-d !.~<:~(1;
<br />
<br />c.X'.~ 7"" (.'JA .;'~:!Cj~':i..""':n~f".~'
<br />
<br />Efjr'
<br />: ~:'
<br />
<br />t .
<br />
<br />~Q1/
<br />
<br />;;;'!:Ii t~ ~}(..
<br />
<br />:~~!i
<br />
<br />PERM~<J"
<br />
<br />:~~Il,j'~
<br />
<br />~W:e.:-ctr'1(.;
<br />
<br />: ;,fLrri~""
<br />
<br />'-_ ,:<:"....(ti... ~,
<br />
<br />COli!
<br />530 ,u,_
<br />,;J5
<br />/2-
<br />J3/J
<br />
<br />2) MisC. Contractor InformatIon:
<br />
<br />\, c.atKll' SIJO!C1.al CC..t.' &;btotal Seil ~,
<br />r . 1 ~~~~ ';':i~-;:. -
<br />
<br />Phcr.e #t. 1z.li
<br />f - So Fax 11
<br />~ L Contract~r j
<br />! - _' Cescnption I!tts J()~SZ;
<br />
<br />i~A,~~
<br />! -
<br />
<br />
<br />1 i --F""",..JfI{l :.:tXl ;:::.Y~
<br />
<br />~:
<br />
<br />!
<br />!c~T'o' I j
<br />~:~-'
<br />
<br />; J i
<br />
<br />r 11---.--:
<br />~) L3l:lo'x s~bto:"J <Ast: Subtotal ~I ~>
<br />
<br />,::,:,;,ti'lDa~v'
<br />!.;dd reS$ '.
<br />1'..,:0'. State ~~
<br />
<br />L E!ement #
<br />
<br />f*
<br />
<br />
<br />;:lI~tx.1( 'lwbtt;t,a! G::JS( I S-ubto!.ill :;eJ
<br />
<br />--^
<br />--v
<br />
<br />3) Mise. Contractor !nformation:
<br />
<br />Compary
<br />
<br />Addres.s,
<br />City, State Zip
<br />
<br />E!~r'ent ~
<br />
<br />Oho:~e #'
<br />
<br />:=ax #:
<br />
<br />=
<br />
<br />':cntr~o~ 11
<br />
<br />DI3SC'ior:Of'
<br />
<br />f
<br />i
<br />
<br />Bill To.
<br />
<br />Sears, Roebuck & Co. HVAC Unit # 5566
<br />3825 Forsyth Rd,
<br />Winter Park F!. 32791
<br />Telephone # 800.326..a138
<br />
<br />.yo rE ,~~ ;"tUI(1 T;'9i MUST r'n8tcro ::cr:t.~ct Cd"'eO a~d iotal on sa;escnecK.
<br />
<br />........ )~.t.,.-)) ~,....iJj\t'l~~
<br />
<br />::d t~d'3G :':0 0::00::: d ":l3!3
<br />
<br />3L2. 9r:~~::L:2.. ~ ";J"'! >~~:-=!
<br />
<br />A.o.>Qom.. vOl;
<br />
<br />:,tJtA 5.?Jes .. &(
<br />Suo - C'tnI ;;';:tr~:l
<br />
<br />~I~ o,e.c;
<br />
<br />,iIll. Sale! T iii<
<br />
<br />~.l.Jb '1",,jtJIl Ri1r;
<br />
<br />~
<br />
<br />~~o ',::.00& ',:i~
<br />.l~~". C'lSc.
<br />3t2te S.m '.\;1.
<br />
<br />Sub rClllI Rlr~
<br />iotallabor
<br />
<br />0"'''0 Total
<br />
<br />00po5rl
<br />
<br />i~lIlance '=.;~
<br />
<br />'-'-(,-"I~~.,-"
<br />"~'.1/,~
<br />
<br />"'er"""
<br />';:~;~:g2J't::~
<br />.,'.~F*r..."~,.,I.-'"'
<br />" "':oA"-.:.,
<br />
<br />.'~:.~,~
<br />Z_::J I f'l aoa: !,JOd.:J
<br />
|