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. _ <br /> UNIT COST $ ( (-)C SALESMAN Te 4 <br /> DOWN $ ON COMPL. $ 6 DATE HAJO _ _ / ' <br /> CUSTOMER NAME Mb-ad jvIHP NAME _ 41_ 0 <br /> _ <br /> ADDRESS S 7G: ::), (l) L Cf dliS • 41't-e LOT# <br /> CITY -- 2ph ZIP 7 3 .: 5 / PHONE : 7,',? 74 <br /> NEW CON PMT# WAR. REGULAR 5 YR. <br /> JOB DESCRIPTION <br /> (4: ■-,), ADDON <br /> STRAIGHT COOL CHEAT <br /> NEW EQUIPMENT MODEL # SERIAL# <br /> PA CKA GE_ AA-4 - 5- 4e 1 /2 14 / S S -1 : -. 1-1 / 6 / 9- <br /> CONDENSOR Q.-SIP-40K <br /> AIR HANDLER Q <br /> !.. - 2011_, <br /> OLD EQUIPMENT__ MODEL/ SERIAL# <br /> PACKAGE__ Fr iit <br /> CON,DENSOR <br /> AIR HANDLER_ <br /> — — <br /> COIL <br /> HEAT FN NEW UNIT ,.5 K.VV. WIRESIZE <br /> DISCON NEEDED A/H VERT A/H HORIZ <br /> AM SIZE_ _ X . , X SCUT HOLE SIZE <br /> DUCTWORK MODIFICATIONS <br /> _ <br /> S UP P L Y RETURN <br /> _______ <br /> B.T.U. ' . SEER COP <br /> ______ _ <br /> ORDEREDB Y FROM FOR <br /> _ <br /> COMMENTS/SUPPLIES .54 ,c6_ ityid- C? IN) 5-1— / 11 .S—vckt, i / <br /> -- T-1 / <br /> l o c -,- fc co --cti\k- - <br />