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<br />CONT. NO. \.1.oJ c.:. ';\ G ""\ DATE <j/;j '()S
<br />SOURC : 5' 'I. PRODUC1;;:>}l '
<br />Phone # ( ) 70 L - ;;'2 7?'
<br />/ /'1/< E-ma~J3
<br />. &: M~ L.L/ j LAST NAME 5rt.il~!.-,
<br />Ii' Ci ~Clly: aY~y'/LII/ll- riFt. ZIp;;L fAll,'/,/'! Pork ;//A
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<br />Hom~wn 1./ ';:,' Rent _ Land-Own V Rent _ RIP #
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<br />INSTALLATION AGREEMENT
<br />CRC 1326592
<br />1-800-282-3572
<br />
<br />
<br />AMSEM-1, Inc.
<br />ADVANCED MOBILEHOME SYSTEMS
<br />13764 W. Rena Drive · Largo, FL 33771
<br />
<br />OWNER: Mr.
<br />Add....s: 5(:) '1/
<br />~5/:L;
<br />
<br />County
<br />Address
<br />(out of Florida): -- City State _ Zip Phone' ( - )
<br />a AMSEMw1, INC. ("AMS") proposes to fumijsh all materials and labor for the job(s) specified below:
<br />
<br />(Out of Florida)
<br />
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<br />o CUSTOMER AGREES TO PROVIDE A NE~ ROOF GAS VENT, PRIOR TO ROOF INSTAlLATION. UPON COMPLETION HAVE SYSTEM
<br />STARTED BY LICENSED GAS CONTRACTOm AT CUSTOMER EXPENSE. INIT. INIT. --
<br />CJ ELIMINATE GAS VENT _ _ ipGAS BURNING UNIT HAS OR WILL BEEN REMOVED BY CUSTOMER
<br />INIT. INIT.
<br />Q SEE ADDITIONAL SHEETSFOR ADDITiONAL SPECIFICATIONS INCORPORATED INTO THIS AGREEMENT
<br />AMS REQUIRES A 30% N~EFUNDABLE EPOSIT, WITH THISA~~EEMENT AN? ~1\-ANCE DUE ON COMPLETION \
<br />CONTRACT AMOUNT $ /. -, v41 II; .' tl\(."OOLLARS $) $ .:Jj 7 t1tJ / IJ/J
<br />
<br />,...., -
<br />?; '1 Sales Tax $ - <;"......
<br />CHK,/I'1? TOTALS ~:'-7try)/ N
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<br />Deposit Amount $ I~ ~t7zj I ~..v
<br />
<br />Balance Due on Completion $ 'I' '2.. (l 0 /''1,)
<br />IlHOt.DEl\ I~ AlIoI.m o..n ,)
<br />A separate written warranty relating to the Weath r-Lok™ Roof system will be mailed when contract price is paid in full and a completed application
<br />for warranty is received, A copy of the fOfm of this, warranty is available' upon request.
<br />AMS is authorized to furnish all materials and Ia . r required to complete the wOfk described In the above proposal, for which I/We agree to pay the
<br />full amount specified in said proposal. and in ace dance with all terms of this Agreement.
<br />THE UNDERSIGNED ACKNOWLEDGES THAT EFORE SIGNING HE HAS READ, UNDERSTOOD, AND RECEIVED A COMPLETED, LEGIBLE
<br />COpy OF THIS AGREEMENT AND OF EVERY HER DOCUMENT INITIALLED OR SIGNED BY ME DURING CONTRACT NEGOTIATIONS, AND
<br />AGREES TO BE BOUND BY ALL THE TERMS T EREOF, INCLUDING THE TERMS AND CONDITIONS ON THE REVERSE SIDE.
<br />This Agreement shall be binding upon the Buyer's itten acceptance hereof in the space provided below or upon the AMS's commencing performance,
<br />Upon such acceptance or commencemenl of perf rmance, this Agreement shall constitute the entire contract and be binding upoo the parties hereto,
<br />there being no covenants, promises, warranties agreement, written or oral, express or implied, except as herein set forth or as created by applicable
<br />law, ' BUYERS RIGHTro CANCEL
<br />THIS IS A HOME SOLICITATION SALE, AND I YOU DO NOT WANT THE GOODS OR SERVICES. YOU MAY CANCEL THIS AGREEMENT BY
<br />PROVIDING WRITTEN NOTICE TO THE SELLE IN PERSON. BY TELEGRAM. OR BY MAil. THIS NOTICE MUST INDICATE THAT YOU DO NOT
<br />WANT THE GOODS OR SERVICES AND MUST e DELIVERED OR POSTMARKED BEFORE MIDNIGHT OF THE THIRD BUSINESS DAY AFTER
<br />YOU SIGN THIS AGREEMENT. IF YOU CANCEL IS AGREEMENT, THE SELLER MAY NOT KEEP ALL OR PART OF ANY CASH DOWN PAYMENT.
<br />
<br />1'<IQ'fICE TO BUYER: THE TERMS ND CONDITIONS ONTHE BACK HEREOF ARE~~ F. THIS AGREEME.. rJ;tTO './
<br />(lNIT.) X@(.S X EVERYTHING PROMtSED.AS PART OFTHI~,~ C~D ~,. A/E.
<br />
<br />AqCIZPTED AND AGREED: BY AMS R~<::.:f;~~ .
<br />" ' ,/',' ~-f ',." -"'J. ,
<br />X .../,,~,'~.>:_; /;"/ . _,'~.:.'i-t>i--1r'(]"LiI...i SOCIAL SECURITY # ,:1..,<.. -.-. ,L,..r...... Datej' .. 1=' 20 0_
<br />~ -:--~ .('~,,:.;; ,M' _" '-
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<br />_"^I.A' C"'C(""IIDITVJf t- _____ Date___--..-..-- 20_
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<br />INIT.
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<br />INn'.
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<br />AccOUNT ~EA
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<br />11Io. YR
<br />E)(JI'IRATION o.re
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<br />CASH
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