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— ;.4.5 3; ,>: i ti —� : Ron lerna's Heating & Cooling, Inc. i , / <br /> 1 .. ^. a a�-..� tv_ . 5, - , 19121 US Hwv 41 North • FL 33549 f v r <br /> Local (813) 948 -6355 • Fa 13) 949 -9266 <br /> Toll Free (866) 323 -COOL • L eland (863) 859 -0062 <br /> 1 ic 5 %) 1 e12-- 4CAC 1813676 - Qualifying #QB26202 I Bonded & Insnr <br /> o <br /> www.IemaAir. m " <br /> 1 x 7 . - 0 A . No CV.F44.er- °--- 1 ? A.; R t <br /> bc -1, .".- • r ° ,AsiM1lS.' - NAME e 14 t Ai 61I_am({ rd nu � � <br /> ) <br /> STRE g DATE ORUCRED <br /> , •� i tlt.�c X (..a ?q 2. � '-�3,, `- ,--- / / , <br /> CITY STATE Z DATE SCHEDULED <br /> ter .95. -:;I'' 6 :.elr --- 'Z <br /> ' +� -t.: -t .:'" °� cl. -- � / 1 _.I/f i <br /> r / <br /> 24 t s I � MAKE MODEL SERIAL NUMBER <br /> _ x � . ,r - f "� 4 , {+I1,t . t :914A1A 0zsrho s4 `1 ol e l .s e <br /> PHONE <br /> 9,c . � -° :�rf -esr €, � f P�t� `1 - t t S- ,, .1 0 <br /> CELL PHONE <br /> etc !€;,€ 1,4- 5t 5L0 <br /> ! SUBDIVISION r" n ❑ TECO <br /> pyW 4. �` # 0 4 °N ) I , t4--t re+4. 0 PROGRESS <br /> I .- ORIGINAL Leal u ; j �� ORIGINAL COMPLAINT ❑ ENERGY <br /> LAKELAND <br /> 4 <br /> � P � A . f1.5 1 , r \O ❑ ELECTRIC <br /> ADDITIONAL PARTS LISTING TOTAL PARTS -} , ; 1 ❑ WITH LACOOCHEE <br /> ON BACK OF PART 3 <br /> �, ` °' ' �' :; ❑ OTHER' <br /> ❑ COMPRESSOR Vie• / t/2 ._ ) Z 1 , ; ; 1 DE SCR IPTION OF WORK PARTS <br /> ❑ SUCTION 1 (DC PSI ! ITC. 1 <br /> ❑ HEAD et PSI <br /> ❑ VOLTS AMPS i I n .-, R ,-- ; K 1 t " q <br /> El ELECTRICAL CONNECTIONS 1 . Y'is � � ,., 'L- €e� --f`; 9. .'• , - i°-E i `4. . : .�-e. e 13 4 4 . :,., .' -'---- ° <br /> ❑ CONTACTS TIGHT & CLEAN �� , q 3 <br /> ❑ OIL LEVEL & CONDITION ; ::: /S} l-?" € _ - i' ., , t'! € :s \ �. -- t , i Ce 4`^1r'n^ y <br /> ❑ SUPER HEAT , k L] <br /> ❑ SUB COOLING, <br /> ❑ LIQUID LINE TEMP. , <br /> ❑ SUCTION LINE TEMP. <br /> STATIC PRESSURE POS. _ NEG. <br /> ❑ CONDENSER COIL 11110111111 1 1 111111111111111111111111111111111111111111111111111 1 <br /> CLEAN COIL & CHECK FIN COND. <br /> ❑ ENT •F LVG _ °F 4001M7661 SERIAL 1 1 NUMIRO DE SERIF 11 DE SERIE <br /> ❑ REFRIGERANT PF4MNA0l6TOOABAA MFG CODE / CODE DE FAB / CODIOO DE MFG ' <br /> ❑ LEAK 0 CHARGE <br /> ❑ FAN &MOTOR L il' ' <br /> ❑ VOLTS AMPS _ 1 I <br /> ❑ ELE CONNECTIONS �� <br /> ❑ CONTACTS TIGHT & CLEAN <br /> O FAN PULLEYS (ADJUST BELT) - — H � i' ni i , if. . 1 , . i d I II 1 II , iii : I <br /> — G CHECK LUB BEARINGS & MOTOR X11 �� 1� 1111 11� 1E 1111 111 <br /> ❑ CFM <br /> ❑ EVAPORATOR COIL — <br /> ❑ CLEAN COIL & CHECK FIN `0210X67401' SERIAL 01 NI ERO DE SERIE 1# DE SERIE <br /> ❑ CONDENSATE AREAS _ <br /> ❑ INSPECT & CLEAN DRAIN PAN PH19N14024000ABAV MFG CODE / CODE DE FAB / CODIGO DE MFG <br /> ❑ INSPECT & CLEAN DRAIN <br /> ❑ AIR FILTERS 111 N uu rr 1 11`` 11111' 111 1IIU�� <br /> h�'��1■Iu II 1 1 NI' 1 <br /> I <br /> ❑CLEANED ❑REPLACED <br /> FILTER SIZE <br /> ❑ HEATING ASSEMBLY (Ir.-1 !? 0 BURNER 8 HEAT EXCHANGER / S 1F 4C) e t ? 7 C 94 + ! Z 7 a/ fik ,f <br /> ❑ FUEL SUPPLY & PRESSURE , } I • <br /> ❑ PILOT ASSEMBLY PARTS WARRANTY W y & ARRIVE - S I DEPART 3 '�' ALL PARTS AS ❑ FLAME ADJUSTMENT MANUFACTURER SPECIFICATIONS <br /> F ARE WA AS PER <br /> ❑PRIMARY RELAY & FLUE LABOR GUARANTY : * CANCELLATIONS * <br /> I ❑ FAN &LIMIT SWITCH OPERATOR ❑BLOWER ASSEMBLY THE LABOR CHARGE AS RECORDED ERE RELATIVE <br /> TO THE EQUIPMENT SERVICED AS NOTED. IS GUARAN- <br /> ❑ RV VALUE TEED FOR A PERIOD OF 30 DAYS. ALL CANCELLATIONS ARE SUBJECT TO ANY PERMIT <br /> ❑ STRIP HEAT FEES INCURRED BY SAID COUNTY. APPLICABLE FEES <br /> 0 DEFROST CYCLE AND LOGGED GRAIN LINES ARE NOT BREAKERS <br /> W ARRANTY WILL BECOME THE FINANCIAL RESPONSIBILITY OF <br /> ❑ELECTRICAL COMPONENTS ISSUES. <br /> ❑ RELAYS ❑ CONTRACTORS PURCHASER AND /OR PROPERTY OWNER. <br /> ❑ OVERLOAD ❑ PRESS. SWITCH WE DO NOT, OF COURSE GUARANTY OTHER PARTS <br /> ❑ THERMOSTAT THAN THOSE WE SUPPLY IF REPAIRS LATER BECOME / t <br /> ❑ OK ❑REPLACE NECESSARY DUE TO OTHER DEFECTIVE PARTS. TECHNICIAM ; - TECH. 52 : +c" - <br /> ❑ RELOCATE BE CHARGED SEPARATELY. SIGNATURE t ,. i -- I / „ - 4 < .� f4J 3�, <br /> WILL BE <br /> EQOIPMENT QHEC1 r 1ST z - TERMS: DUE UPON COMPLETION - SUBTOTAL $ + ®,_ R <br /> TYPE i m SYSTEM CHANGED I I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO 50 (DEPOSIT) $ <br /> ( ! P OUT (OR �. — ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL <br /> Z +^ <br /> REFRIG - QTY. REPLACED) vE RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL <br /> DISMANTLED? 14( FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT TAX <br /> R RECOVERED? Y HO QTY. YES No MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE <br /> E I r . REFRIGERANT DISPOSAL SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES TRIP <br /> ' RECYCLED? YES NO QIY - - -- -- . R . ESULTi.o . FRROM THE REMOVAL NOT RECEIVED I CHARGE $ <br /> R ( ■ f ' OUR PERSONNEL RECOMMEND: — UNPAID BALANCE. RETURNED CHECKS SUBJECT TO ALL APPLICABLE C/C FEE <br /> I FEES. <br /> G RECLAIMED? YES NO QTY. I +3°/- <br /> R 1 1 1 1 :., 1 .4 -- / ;�' x{ . ",/ <br /> RETURNED TO /4 ,s „ '''.1 A THIS SYSTEM? YES No QTY. f • " ^ € ”' X •° � ') t '•P gE ' Li, ^✓ J }" .. $ o ff ,_ / f <br /> N AUTORQED SIGNATURE S "` i <br /> T DISPOSAL <br /> OWNER'S INITIALS ABO DERED WORTS ,HAS BEEN COMPTED AND I ACKNOWLEDGE RECEIPT OF MY COPY. <br /> NON USABLE YES NO QTY. J . AECE� I DECLINED � 13.a / _ # <br /> DISPOSAL _ `( y l"' ! X s - l;, e'- .= ,^t^p' I 4.r , / <br />