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<br />2007-01-131 <br /> <br />12:14 <br /> <br />(1854) 813-838-9008 <br /> <br />Ins Sales/CGC1508417 <br /> <br />P 4/4 <br /> <br /> <br />4!:.~~<1dL (..5,. <br /> <br />4l;l'::e" II', J.:'-:If: <br />;qp'. _ <br />_.___-r_,.~~:~~:::- .~.;yl) <br /> <br />.....,...... . <br />:.;: ': Mati's <br /> <br />';/"};'r:/ c 7 <br /> <br />Iflcaf/one: The Environmental ~rotef?~.ion Agency (E~~L~~s requested that <br />t~I,~at~ customers that 8 leed based paint hazard may exist in dwellings buin <br />~ pamphlet EPA 747-K-99-001 for details, <br /> <br />';10""':", <br />f..!I! 011)' <br />011 II: Ill~ <br />... .. ~ .j>" <br />~.. ~!l <br /> <br />'Tax <br /> <br />Labor <br /> <br />.~~~~~; ..:'J) . <br /> <br />~:'O <br /> <br />., <br />, <br />~:'!:):'~J , <br /> <br />"'-.r...:}..!!" <br />;*!~ <br />..-.......----. ......:0 ... <br />,.-::::. / ::.>, ~ /'7/ HH Total I'" <br />C " _..~ - :'~:::..-r:w: <br />~,_.c___, ~ ;;';';':~~;:'i..':.'iii.iil.;~::,"~::' <br /> <br /> <br />"E.iiili'" ""'" "" """'"'' ,mni;"j i' t, ",., ,:'" '; i """', ;'''', '; ':' ). ;;, -, i" :~:, oJ <br /> <br /> <br />~' <br />''l <br /> <br />"Tax <br /> <br /> <br />- ~ ... .... - .~ .. .~ .'. .. . . . ". <br />......Ilr.".. ...._. ... ..... . "" "e ,.' =" <br /> <br />.. ..., . <br />... -. ...........- <br />.......":.~_'!:'....:.~r.....;...'t <br /> <br />upon re.'~bl~"iIRbUity of Contlllc<<>r which Is antIcIpated to be ' <br /> <br />Ion date Is _/ :j-.; . . __ . [fill in date}. <br />/ <br /> <br />)", //1'- <br /> <br />[fll/ In date]. <br /> <br />NOTICE TO CUSl" MER <br />Allltem,s listed in th s contract and specification sheet(s) are 10 be Installed undQr conditions agr....d upon at tim.. of purchase and at the price appearing on this <br />contract form, This ssumes sound existing substructures, superstructure and points of attactllllef'\ts. Extra labor or matarlal Inoldent to Installation necessitated <br />by defeclive substr ctures, sup.;.rstructur". points of attachment. or the moving of fixtures or appliances to be billed at extra cost to customer. <br /> <br />DO NOT SIGN T IS CONTRACT UNTIL COMPLETE AND YOU HAVE READT11E TERMS AND CONDITIONS CONTAINED ON THE <br />REVERSE SID OF THIS CONTRACT. BY SIGNING BELOW, YOU ARE ACKNOWLEDGING THAT you I1AVE READ, UNDER- <br />STAND AND A REE TO THE TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS CONTR~CT. YOu ARE <br />ENTITLED TO ...l.COPY OF THIS CONTRACT A~ ~EI TJ_ME OF S(IGNA. TURE. . <br /> <br />WITNESS OUR HI~D(S) AND SEAL(S) BELOW THIS ",-:;1 e."-OAY OF ....._,\,..'/ ~ -' dc:e.'~. <br />I' <br />I <br />j <br />Owner <br /> <br />\(/''-C---''. ~.- ____,..,_~,w,~~:.) <br /> <br />I '. "', '. _..-.-'~~.- ___t.. ." ...- ,..' ~._- <br />~, " -' ~,',o:::::' ,-,-- (Seal) <br /> <br />(Seal) <br /> <br />. ~f6t9~Q <br /> <br />Spouse <br /> <br />........ .........-: .'. . bi~_ ... c. ~ .:;~ 'iH~ifir'~Jili."""" ~ ',-_. ..__.._w_....~. ..,. ".'......... ._~ -_..... ... ."" ,.c_~i:'-'." ,.o. ...; ~:::::.,', <br />..~,'II.~r:id'_"~'9t" ....lii.............""*....=.!!ftIC:""'~~~~.~.~~. ~I:( . ',,", <br />"em... .~......._...,Jt~'......_.,. ,"" ..~..~r>~'"~lf,..:N...",...._".~~, <br />'.. . ,...._!..~tlt:t1~~~~.l..~ ... :~NII8'f:;::.:;:=:.::::.::t::t::.:.:;.:J::;:;~'J;:~.;:;.:.~:-~::':1::~;;;::::.;.::::.:,:~' <br />"~~.~....::: =;. ;::::..,'::':::: 4: :.-'" ........,:....,.....,...;........~....:....._::....,...~ ';...-':"T...,..:.....,..............................._.......................""IIII........i-'I'...................................,......,.....! :':;.(!-'" .::....~ " ...~....r......:!' ...l..'!'.'!I':;p....r' <br /> <br />(Seal) <br /> <br />;.M~';riMt. ~.~ . ~.. <br />;,~:t6~. <br />:'_IIN~~. <br />::..;.::.: :;". 1! ':. ~ .\ .- . ... . ~ H <br /> <br />... <br /> <br />FILE COpy <br />