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<br />~. <br /> <br /> <br />WORK ORDER#/SERVICEMAN <br />DATE/TIME TAKEN <br />TAKEN BY <br />DATE/TIME PROMISED <br />CUSTOMER#/LOCATION <br />PHONE# <br />ROUTE/SEQ <br /> <br /> <br />PROPANE GAS <br />AND A/C INC. <br />813-782-5013 <br /> <br />Service Ord~r /Proposal <br /> <br />Am,,;;a <br /> <br />LASTS AND LASTS AND LASTS. <br /> <br />Sales, Service & Installations <br />4441 Allen Rd. · Zephyrhills, FL 33541 <br /> <br />NOTES: <br /> <br />~/lK <br /> <br />JACOB, DR <br />38188 MEDICAL CTR AVE <br /> <br />15177 <br />07/11/08 <br />JM <br /> <br />KB <br />13:48 <br />03 <br /> <br />10100 <br />813-788-1266 <br />EST <br />7fO "06 2/ <br /> <br />JACOB, DR <br />38188 MEDICAL CTR AVE <br /> <br /> <br />ZEPHYRHILLS <br /> <br />FL 33540 <br /> <br />ZEPHYRHILLS <br /> <br />ESTIMATE <br /> <br />REFRIGERANT R, <br /> <br />LBS <br /> <br />FILTERS <br /> <br />Changed Monthly <br /> <br />FILTERS <br /> <br />Changed Monthly <br /> <br />REGULAR <br /> <br />o WARRANTY <br /> <br />LIMITED WARRANTY: All materials, parts and equipment are warranted by the manufacturers' <br />or suppliers' written warranty only. All labor performed by the above named company is warranted for <br />30 days or as otherwise indicated in writing, The above named company makes no other warranties, <br />express or implied, and its agents or technicians are not authorized to make any such warranties on <br />behalf of above named company. <br /> <br />OCASH OCK# <br />o DEBIT 0 CREDIT 0 OTHER <br /> <br />f have authority to order the work outlined above which has been satisfactorily completed. I agree that Seller <br />retains title to equipment/materials fUrnis,'led until final payment is made. If payment is not made as agreed, <br />seifer can remove said equipment/materials at Seller's expense Any damage resulting from said removal shall <br />net be the responsibility of SeHer. NET 30 DAYS A 1 1/2% SERVICE CHARGE Will BE ADDED MONTHLY TO <br />ALL UNPAID BALANCES OVER 30 DAYS. NO REFUNDS <br /> <br />DATE COMPLETED <br /> <br />TECH <br /> <br />CUSTOMER SIGNATURE <br /> <br />:?ll~ o/ou <br /> <br />DATE <br /> <br />FL33540 <br /> <br />UNIT PRICE AMOUNT <br /> <br /> <br />tU' <br /> <br />, <br />i 2o/J <br /> <br />iao <br /> <br />~o <br /> <br /> <br /> <br />---L--.i <br /> <br />TOTAL SUMMARY <br /> <br />SERVICE <br />CALL <br /> <br />TOTAL <br />MATERIALS <br />MAINTENANCE <br />PROG, ,10% <br /> <br />J <br />I <br /> <br />TAX <br /> <br />i <br />~ <br />! <br /> <br />TOTAL :?.J/jS;~O <br />