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. , <br /> R ol.L.OSHIELD , LLC 2040 Weaver Park 0 0 a Drive - Clearwater, FL 33765 <br /> Hurricane Shutter Manufacturer Corporate 727-451 -ROLL (7655) - Fax 727 -467 -0910 <br /> License #CGC - 1513024 AGREEMENT Agreement # 2115 <br /> Representative Of-)A.1 N 44(V C/ Date // Ab /20/0 Page 1 of 1 <br /> Estimated Time of Installation 3 LJK /920M AptAptiotteeks Referred by <br /> Customer Name ft12f4 p W(12 Home Phone 3/3 - 7R2 — 5 7 777 <br /> Address 5129 ,i Jff y C r Work Phone <br /> City Z./FPH Y/2WLLS State FL Zip 3554/2 Cell Phone <br /> Job Address ,Svt /6 F rnail <br /> Condo / Assoc. / ,e.)pp4 aQ zZat. equires Association Board Approval LY No <br /> j Number of Openings Products �/�/7 , OLLd )AJ _54/0 - s — <br /> High Work Elevation dN Color K1, hite Ellvory EBei ElBronze <br /> 'r 0 /J ; A. A . / ' i „ - ..i l i : . 4 /i I g _4 far _” 0 <br /> wEa._ __REAP_ P_ sLiAi. & 61ASS -_ k,__ COY642. AEAZ c-vr_.c, cis .. . <br /> -&01 rte. __ ,M/ /t..aq'e— eA AU/ _._co/S.T -DL -: OLulo_A L iyCJ7 . ,, _ l!tetelJ_U/_-4.L <br /> A-941.86444 A./ ± ___ low4s. <br /> e2 ..__ _cam R/610_7_s/4 . _ moo -_ k/w_G___ i !t-1 <br /> ._ buravae_o. .._iip 1...__ L2. L.L.. a . 67P/ r .661_474J <br /> . .rsga J o_ rc2.. ._v_ Le!(, L/ Z p <br /> per. t rs <br /> ,us7aMga-- AIAY__.euc., _c_o_�u2 AC __ 8Y UQ o, L7ft.Y . . _ __ <br /> R/ 'col! /9 ? 2o/G . <br /> _ 110/201/ 6, g -/7-2.0/.0 M . .. <br /> Additional Information <br /> Terms Cash Finance Contract Amount $ # 34 ° ° <br /> 1 Deposit $ Wee) CQ Gg , 3g5"7 Engineering & Permit(s) $ iNectialgria <br /> 2 Design Payment $ / / 70 , ° a Notice Of Commencement $ 13760 /,QG40,066 <br /> 3 Upon Installation $ oA <br /> '1 �,0, Administration Fee $ 4$.60 / AZZ,(,� F /1 <br /> y <br /> (A1s4'including permit) Sub -Total $ / �j y0, <br /> Financing / Terms CO6 <br /> Make all payments payable to RollShield LLC <br /> Buyer's Signature \,(s.-..2.„,„ A . ° Date (1 .- f C( -- t <br /> Buyer's Signature Date <br /> Representative Signatur s ,>r � Ld t ', Accepted By 6C-t) <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 RollShield, 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 & conditions are on the reverse side of this AGREEMENT. <br />