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<br />(Fi:n 782.50U
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<br />BILLTO C,.'ry of
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<br />;J.~.# 57/0
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<br />NAME
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<br />STREET
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<br />CITY
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<br />PHON;..- I'
<br />( ; //.r:.~ ~/ .:} - 7 /Y../' ~ '7 ""7
<br />TECHNICIAN
<br />
<br />CALL BEFORE
<br />
<br />AUTHORIZED BY
<br />
<br />WORK TO BE PERFORMED
<br />
<br />.
<br />
<br />QTY.
<br />
<br />MATERIALS & SERVICES
<br />
<br />UNIT PRICE
<br />
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<br />
<br />I
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<br />
<br />REFRIGERANT R-
<br />
<br />LBS
<br />
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<br />.3
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<br />FILTERS
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<br />
<br />FILTERS
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<br />Hr'
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<br />
<br />,....
<br />,
<br />
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<br />
<br />TOTAL MATERIALS
<br />
<br />HRS.
<br />
<br />LABOR
<br />
<br />RATE
<br />
<br />:
<br />1
<br />I
<br />I
<br />1
<br />I
<br />
<br />r,,:ATERIALS & _ABQR 1\.'AY 8",
<br />CQ\JTINU!::D ON OTHER SID:::
<br />
<br />TOTAL LABOR
<br />
<br />TERMS
<br />
<br />f...:
<br />
<br />DATE
<br />3'-. Z/-t, i!
<br />PROMISED
<br />
<br />__ A.M.
<br />P.M.
<br />
<br />AMOUNT
<br />
<br />I
<br />1
<br />I
<br />I ?96~""r:~
<br />~, 1
<br />1
<br />1
<br />I
<br />1
<br />I
<br />I
<br />I
<br />1
<br />I
<br />1
<br />1
<br />1
<br />1
<br />1
<br />1
<br />,
<br />I
<br />I
<br />1
<br />I
<br />Yco ?O
<br />I
<br />I
<br />
<br />AMOUNT
<br />1
<br />1
<br />I
<br />I
<br />1
<br />1
<br />I
<br />1
<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 equipment/materials 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 />I CUSTOMER SIGNATURE
<br />
<br />DATE
<br />
<br />flU..5T'A/J
<br />.A'p,e /'/T~
<br />
<br />HVAC
<br />SERVICE ORDE,R
<br />INVOICE
<br />
<br />THIS WORK IS TO BE
<br />
<br />C.O.D.
<br />
<br />MAKE
<br />
<br />MODEL
<br />
<br />SERIAL NUMBER -.
<br />
<br />ENVIRONMENTAL CHECK L1~T .
<br />WORK PERFOflMED- 9'\Y.
<br />
<br />u__ RECOVERED
<br />
<br />__ RECYCLED
<br />__n RECLAIMED
<br />n RETURNED
<br />i DISPOSAL
<br />
<br />_,_,'L~
<br />
<br />DISMANTLED
<br />:= CHANGED OUT/REPLACED
<br />
<br />TOTAL $
<br />
<br />DESCRIPTION OF WORK PERFORMED
<br />
<br />.t-$ T~
<br />
<br />Q.#""'.4/~_
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<br />/' 2 .x ,...z
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<br />
<br />:x 2'6
<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 />n SERVICE CONTRACT
<br />
<br />WARRANTY
<br />
<br />~nu c]}u
<br />
<br />CHARGE
<br />
<br />o NO CHARGE
<br />
<br />MAKE
<br />
<br />MODEL
<br />
<br />SERIAL NUMBER-_"^__.__ :
<br />
<br />.~~" t
<br />..~ r
<br />
<br />CONDENSING UNIT \ COND'SATE DRAINS
<br />
<br />.
<br />
<br />LEVELED
<br />
<br />r~~1
<br />I' 'dY:~>JI
<br />(7 ! J
<br />:-:I(lr.+~ -
<br />(dr'. n ... EVAPORATOR COIL
<br />t.:. REF lACED
<br />J ________} EXPVA~E
<br />\ J i ...-l. !~:~~~:!
<br />(Ii. c:1_-r-- --;.j CAP TUBE
<br />I ~Jd.- f----' g~~~~ruE~E
<br />I 4) /II REPAIRED
<br />'I "5 .t: f ;~ UA-J ~~J ~ r~ lh ~~~~,L::;
<br />..." COF PER CONN
<br />RECOMMENDATIONl ,h .V~, CLEANED COIL
<br />-< - .',/' 1) r~~ COIL
<br />1- lok <P .MECT HTR
<br />1- I ~)Cl.'-! r-..ACED LINk
<br />J - lok 10 .,. ~~KLlX
<br />
<br />f~s~f
<br />
<br />CU:ANED COIL
<br />
<br />1--_ ~~~D
<br />
<br />REF'AIRED
<br />LEAK IN COIL
<br />REPAIRED
<br />LEAK IN COPPER
<br />
<br /># REF.
<br />
<br />CHI::CKED
<br />MOTOR
<br />
<br />CHANGED
<br />MOTOR
<br />
<br />REPLACED
<br />BELT
<br />
<br />AD..IUSTED
<br />BELT
<br />
<br />~EPLACED
<br />CONTACTOR
<br />
<br />flEPL. START
<br />i!IIHAY
<br />
<br />REPL. START
<br />CAFlACITOR
<br />
<br />REPLACED RUN
<br />CAPACITOR
<br />-.CLEANED OR
<br />ADJ CONTACTOR
<br />REPAIRI~D
<br />WIRING
<br />
<br />REF'LACED FUSE
<br />
<br />REPLACED
<br />COMPRESSOR
<br />
<br />REP,'l,IRED WIRE
<br />
<br />REP_ACED caNT
<br />
<br />~ CLEANED
<br />1 MAIN DRAIN
<br />t ~~~~I~~~IN
<br />t ~~~__.. _^~,_ -;--
<br />I REPAIRED
<br />PAN DRAIN
<br />i FURN:.OR 'FAN COIL ~
<br />REPLACED BELT i
<br />
<br />ADJUSTED BELT
<br />REPLACED
<br />PULLEY
<br />~B~~~~ED ---_....J
<br />
<br />CLEANED
<br />BLOWER
<br />REPLACED
<br />BEARINGS
<br />
<br />OILED 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 />PUMPIS)
<br />
<br />GREASED
<br />
<br />REPAIRED
<br />FILTERS I -l CLEANED L. REPLACED
<br />
<br />TOTAL
<br />MATERIALS
<br />TOTAL
<br />LABOR
<br />
<br />TOTAL SUMMARY
<br />
<br />I
<br />I
<br />I
<br />I
<br />TAX r /Ll t:! : ';'
<br />
<br />TOTAL/2 9/ <:;Ic'o
<br />
<br />TRAVEL
<br />CHARGE
<br />
<br />.-t-
<br />
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