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<br />STREE:S-j,{s__ .~;; "'/~~ -~~-~'~"-----
<br />
<br />CITY --'1' .J /. /
<br />> .c.._ - /"LLL-::
<br />
<br />PHONE, -7 c) /') _ '. ~:l- _. ',,/' CALi BEFORE
<br />/.1..) ^ ",:) U " '-,f (., )'
<br />------ 1--
<br />~HNICIAN -. . ,. ..,,,.., AUTHORIZED BY
<br />-4 J/ '7 &~C. .c-:-:~ :)
<br />'. ......._-----"----..
<br />WORK TO BE PERFORMED
<br />
<br />'-----
<br />
<br />QTY.
<br />
<br />_._------,.~--~_._--, --.---..------
<br />
<br />MATERIALS & SERVICES
<br />
<br />REFRIGERANT R.
<br />
<br />LBS
<br />
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<br />
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<br />FILTERS
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<br />
<br />FILTERS
<br />
<br />BELTS
<br />
<br />UNIT PRICE
<br />-I---
<br />
<br />HRS,
<br />
<br />TOTAL MATERIALS
<br />
<br />/~' L<
<br />
<br />,,:'.l; ,-
<br />
<br />7-
<br />
<br />\1ATERIA!...S & LABOR r.1AY BE
<br />CONTINUED ON OTHER SIDE
<br />
<br />TOTAL LABOR
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<br />TERMS
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<br />DATE
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<br />PROMISED
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<br />AMOUNT
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<br />
<br />,HVAC
<br />SERVICE ORDER
<br />INVOICE
<br />
<br />THIS WORK IS TO BE
<br />
<br />C,OD,
<br />
<br />MAKE
<br />
<br />MODEL
<br />
<br />SERIAL NUMBER
<br />
<br />\.
<br />
<br />ENVIRONMENTAL CHECK LIST
<br />
<br />A.M.
<br />P,M,
<br />
<br />RECOVERED
<br />
<br />WORK PERFORMED QTY
<br />
<br />TYPE/DISPOSITION
<br />
<br />~-_.; RECYCLED
<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 />..() .. ...5' Co,.." A'./ c? c~"T" L5'c )(
<br />
<br />If e. /{
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<br />1<' C'o .,r
<br />
<br />.--
<br />( (.
<br />
<br />".-- ~j ,,/ ...
<br />
<br />REPLACED
<br />EXP VALVE
<br />ADJUSTED
<br />EXP VALVE
<br />-., ~~~\A0kE~
<br />CLEARED
<br />CAP TU3E
<br />. .c' ~~LR~~~
<br />.-~; .y~-;. .///0 OO::R(IR~~ci"'" j..
<br />COPPEF: CONN
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<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 />) 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 />3S agreed. seller can remove said equipmenVmaterials at SelJer'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 />[1 REGULAR
<br />L.. SERVICE CONTRACT
<br />
<br />r, WARRANTY
<br />
<br />cy,~ C~
<br />
<br />.~~.
<br />
<br />CHARGE
<br />
<br />- NO CHARjjE
<br />
<br />MAKE
<br />
<br />MODEL
<br />
<br />'..~
<br />
<br />SERIAL NUMBER
<br />
<br />/
<br />
<br />"" '-- ".
<br />
<br />,,'--u
<br />
<br />CONDENSING UNIT
<br />
<br />COND'SATE DRAINS
<br />CLEANED
<br />MAIN DRAIN
<br />REPAIRED
<br />MAIN DRAIN
<br />CLEANED
<br />PAN DRAIN
<br />REPAIRED
<br />PAN DRAIN
<br />
<br />LEI/ELED
<br />
<br />CLEANED COIL
<br />CHECKED
<br />CH/\RGE
<br />REPAIRED
<br />LEAK IN COIL
<br />REF'AIRED
<br />LEAK IN COPPER
<br />
<br />FURN. OR FAN COIL
<br />
<br />1i REF
<br />
<br />REPLACED BELT
<br />
<br />/
<br />
<br />CHECKED
<br />MOTOR
<br />
<br />CHANGED
<br />MOTOR
<br />
<br />REPt_ACED
<br />BELT
<br />
<br />ADJUSTED
<br />BELT
<br />
<br />REPLACED
<br />CON--ACTOR
<br />
<br />REPL START
<br />RELAY
<br />
<br />REPL START
<br />CAPN:':ITOR
<br />
<br />REPL'\.CED RUN
<br />CAPACITOR
<br />
<br />CLEAr~ED OR
<br />ADJ, CONTACTOR
<br />
<br />REPAI9ED
<br />WIRIN3
<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 />-
<br />
<br />ADJUSTED BELT
<br />
<br />REPi..ACED
<br />PULLEY
<br />
<br />ADJUSTED
<br />PULLEY
<br />
<br />CLEANED
<br />BLOWER
<br />
<br />REPLACED
<br />BEARINGS
<br />
<br />OILED MOTOR
<br />
<br />REPU,CED FUSE
<br />REPLACED
<br />COMPfiESSOR
<br />
<br />EV,WORATOR COIL
<br />
<br />DUCT
<br />
<br />REPAIRED
<br />
<br />ADJUSTED
<br />
<br />THERMOSTAT
<br />
<br />REPLACED
<br />
<br />CLEANED COIL
<br />
<br />ADJUSTED
<br />
<br />LEVELED COIL
<br />
<br />ELECT HTR
<br />
<br />CLG TOWER
<br />
<br />REPLACE:D LINK
<br />
<br />CLEANED
<br />
<br />REPLACED KlIX
<br />
<br />REPAIRED WIRE
<br />
<br />PUMPIS)
<br />
<br />REPLACE] CONT
<br />
<br />GREASED
<br />
<br />REPAIRED
<br />
<br />FILTEllS
<br />
<br />1 - CLEANED
<br />
<br />~ REPLACED
<br />
<br />,.",.. ,
<br />
<br />TOTAL l'
<br />MATERIALS I
<br />TOTAL !
<br />LABOR
<br /> I I
<br />TRAVEL I
<br />CHARGE I
<br /> _..~ /l'
<br />TAX , ,?'.../ (.~ r /1
<br /> .,L_ / ':'~'t: < .,;'
<br />TOTAL - i l_-~ ":'.;' . I
<br />, I
<br />
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