Laserfiche WebLink
09- 20 -'10 15:45 FROM- T -550 P0006/0006 F -745 <br /> OI1. L.LC 2040 Weaver Park Drive - Clearwater, FL 33765 <br /> 0 , <br /> Hurricane Shutter Manufacturer Corporate 727-451-ROLL (7655) - Fax 727-467-0910 <br /> License #CGC - 1513024 AGREEMENT Agreement# 1676 <br /> Representative 60A ) A 1,7 G / Date . ? .. _..c/2 . 02 4 0 Page 1 of ( <br /> Estimated Time of Installation 2. y weeks Referred by <br /> Customer Name PbP kT Li1E H ? S// / 41.EY Home Phone $/3 -7290 + /,9y <br /> Address 5903 YOIQk .$I41 k t= he • Work Phone <br /> City Z f1MYA /LL.5 State 1 t. Zip 239/2 Cell Phone <br /> Job Address Email <br /> Condo / Assoc. j i ls�GL t 1 )2? &44 Requires Association Board Approval /,;;1 Yes El No <br /> • <br /> I Number of Openings Products hciiiier& l.JR /Yi1 A046601JA) 51/0714 <br /> High Work Elevation Color EiWhite olvor 0 Beige Ej Bronze <br /> w l. S• . ) / ' ii, s.A A �] .. 11/ ' .0 ___• .. w � � r r 4 , .:l J A ,, , , �^_'. ^ . it I <br /> / "7Jr t AG.... C, ; �A/ .)g..... (91.160A.T 4 10,40k I ....../- ..�i /2/ 2. . r... ..... .. . .. .......... . _...,.,. <br /> .. . .. .*- . 7 7?1L . P.. ( . ......1820 • • •-••-. - .... - <br /> .. .. fr... iW5 ( o.S.7 . . P,eRM. /7. I,1 0.11. /!?eQ. .... .........., <br /> .. . - . . .... ..• - ...... <br /> . �AI�L.e . ..... . <br /> .. .. .,.r... - I _ .. <br /> VISA. Wyy o020 q sel .1 Z4? _ rQoN <br /> x. /..it.. .... ..... ... . . <br /> . I $D e otpr d rT .. . ... . .. <br /> Additional Information <br /> p s o. o <br /> Terms Cash Finance Contract Amount $ /c 2) a°'s' • . <br /> : • ... <br /> .. 1 oeposic $ • /$D. !• /D' �'� c� tg� P ®rmll teat� ( :) $ • . • A Cbst to'Ownier . . <br /> r o <br /> 2 Design Payment $ ` � / Q, .30 Notico Or Commencement $ 13:06 • • <br /> 3 Upon Installation $ /t� / L/ c/o 4' PERMIT (1 Administration Fee $ 4840 <br /> AOC:WI P (Not Including permit) Sub Total $ <br /> Financing /Terms <br /> ,,. 11 all payments payable to RoliShield LLC <br /> Buyer's Signature Vim- Date p- 2j -- /o <br /> Buyer's Signature D e r .. 0 _, 4 --/0 <br /> Representative Signature - Accepted By <br /> This order becomes an AGREEMENT only when it is accepted by SELLER at his home office. as reflected by the acceptance and signature of a company officer. Execution of this <br /> AGREEMENT by BUYER constitutes authorization for RoIISMeId, LLC. To obtain BUYER's credit report from a credit- reporting agency. An interest charge of 1.5% per month will be <br /> added to accounts not paid at installation. Additional terms & condition are on the reverse side of this AGREEMENT. <br />