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3LIA , iT 7 r -iR .- ,,, ,T')_- CF1PT;ON Pr-'ICE AMOUNT I Ron Ierna's Heating & Cooling, Inc. <br /> © s. <br /> • / eiht $ !.n SJ4 AlAr 19121 US Hwy 41 North • Lutz, FL 33549 / -1 =' <br /> I Yeift to tga /gait_ z...- At it 4-nr Local (813) 948 6355 • Fax (813) 949 9266 <br /> Toll Free (866) 323 -COOL • Lakeland (863) 859 -0062 <br /> ' ' z #CAC 1813676 • Qualifying #QB26202 • Licensed, Bonded & insured <br /> W f LAW www IemaAir.com <br /> NAME DATE <br /> �► S i Q . B� .-.1 t'2/ 24/ (0 <br /> DATE ORDERED <br /> • <br /> / 4 7 / - i1K.oa7 STREET 4241 0 ! <br /> CITY _ ZIP DATE SCHEDULED <br /> „ <br /> IA) Le. -4 .. _ . >� _� a . - 3 5 / / <br /> kJ / '-, ♦ _ - : ta/ MODEL SERIAL NUMBER <br /> � f ,.. 33! ,, 2__ t f Ct 7 eri `61zI 15491 <br /> N _' 64S R�v4 -Ce PHONE . <br /> A/ <br /> ".`. t AIRIPIMII <br /> WORK PHONE <br /> j CELL PHONE <br /> { I'G ii"- A(� kd.Np . • .I BDIVISION <br /> ❑ PROGRESS <br /> ORIGINAL COMPLAINT ENERGY <br /> ❑ LAKELAND <br /> ELECTRIC <br /> 0 L -- 1...3, L r _ _ . , ,< :.. ❑ FPNL <br /> AoDmoNAL PARTS LISnNG1 TOTAL PARTS 4 ❑ WITHLACOOCHEE <br /> ON BACK OF PART 3 ❑ OTHER <br /> ❑ COMPRESSOR DESCRIPTION OF WORK <br /> ❑ SUCTION PSI PARTS <br /> ❑ HEAD PSI ' <br /> ❑ VOLTS AMPS W ,'Q A " t`' <br /> • <br /> ❑ ELECTRICAL CONNECTIONS ( _ k CW 41.1 ir,,i ql_ irJ 1171 A- %Az, LeeD Scum"- ' S-R.') <br /> ❑ OIL LEVEL & CONDITION ( � <br /> • <br /> 0 SUPER HEAT ,,� • Fu ti <br /> Rol-N I IJcs ex LED -- C ,• t�WSrt•fAS <br /> ❑ SUB COOLING <br /> ❑ LIQUID LINE TEMP. r E i I <br /> ❑ SUCTION LINE TEMP. lwri 'y� 1am Y /� ��i � �{ � slu , <br /> STATIC PRESSURE _ POS. _ NEG. � Mr , � [ s � <br /> ❑ REFRIGERANT N J ' * j A -(AC'•' r 7 C C' ' ''id �7 `rrrt Li ' p ` - . ' , e <br /> ❑ FAN MOTOR GE <br /> ❑ VOLTS AMPS t.J i r ['Li 11 3 ` G' S k�`^LZ <br /> ❑ ELECTRICAL CONNECTIONS ¢ L <br /> ❑ CONTACTS TIGHT & CLEAN <br /> B NJA'C� <br /> ❑ FAN PULLEYS (ADJUST BELT) Ft/4.014- <br /> ❑ CHECK LUB BEARINGS & MOTOR <br /> ❑ CFM <br /> ❑ EVAPORATOR COIL 0 0 LVeNJ Pic L j - <br /> El CLEAN COIL & CHECK FIN f ^ <br /> 1 <br /> 0 TEMP • <br /> ❑ CONDENSER COIL <br /> ❑ CLEAN COIL & CHECK FIN COND. <br /> erg '. f l j� p o i ` �b ay I a Le' 173-17.- <br /> Ttir(�4 rTC •�' � <br /> ❑ CONDENSATE AREAS L L ( A�' i 0 ,r4' keV...air <br /> ❑ INSPECT & CLEAN DRAIN PAN <br /> ❑ INSPECT & CLEAN DRAIN <br /> ❑ AIR FILTERS <br /> w. <br /> FILTER SIZE vS� P; Ir1I"� �� Z' w x / <br /> ❑ CLEANED ❑ REPLACED t Z ~ X Y/ <br /> ❑ HEATING ASSEMBLY . c.iw Q6 c ST -ATla <br /> ❑ BURNER & HEAT EXCHANGER �/ <br /> ❑ FUEL SUPPLY & PRESSURE PARTS WARRANTY ARRIVE 3.1 'S 3 DEPART d( `. )- 7 <br /> ❑ PILOT ASSEMBLY ALL PARTS AS RECORDED ARE WARRANTED AS PER <br /> O FLAME ADJUSTMENT MANUFACTURER SPECIFICATIONS. <br /> ❑ PRIMARY RELAY & FLUE LABOR GUARANTY zY CANCELLATIONS zt <br /> ❑ FAN & LIMIT SWITCH OPERATOR THE LABOR CHARGE AS RECORDED HERE RELATIVE <br /> ❑ BLOWER ASSEMBLY TO THE EQUIPMENT SERVICED AS NOTED, IS GUARAN- <br /> ❑ STRIP HEAT TEED FORA PERIOD OF 30 DAYS. ALL CANCELLATIONS ARE SUBJECT TO ANY PERMIT <br /> ❑DEFROST CYCLE DIRTY/CLOGGED AIR FILTERS, TRIPPED BREAKERS FEES INCURRED BY SAID COUNTY. APPLICABLE FEES <br /> ❑ ELECTRICAL COMPONENTS AND CLOGGED DRAIN LINES ARE NOT wry WILL BECOME THE FINANCIAL RESPONSIBILITY OF <br /> ❑ RELAYS ❑ CONTACTOR ICES- PURCHASER AND / OR PROPERTY OWNER. <br /> ❑ OVERLOAD 0 PRESS. SWITCH WE DO NOT OF COURSE GUARANTY OTHER PARTS ' <br /> ❑ THERMOSTAT THAN THOSE WE SUPPLY. F REPAIRS LATER BECOME ® p.re. i <br /> TECH. #2 + <br /> ❑ OK ❑ REPLACE NECESSARY DUE TO OTHER DEFECTIVE PARTS, THEY TECHNICIAN A <br /> ❑ RELOCATE WILL BE CHARGED SEPARATELY. TECHNICIAN 1 O of C !' y,� <br /> EC,.JIPv"EN T CH CK _tc TERMS: DUE UPON COMPLETION - 3USTOTAL. $ <br /> Z. �+ <br /> , <br /> TYPE SYSTEM CHANGED I 1 1 I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK ARO DO SO <br /> REFRtG OUT (OR ' ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL (DEPOSIT) $ <br /> QTY- REPLACED) YES NO RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL <br /> n 7 DISMANTLED? I I i I FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT TAX $ <br /> R RECOVERED? YES NO QTY. YES No I MADE AS AGREED, THE SELLER SHALL HAVE THE RIGHT TO REMOVE <br /> E i r-- REFRIGERANT DISPOSAL f SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES TRIP <br /> E RESULTING FROM THE REMOVAL THEREOF. PAYMENTS NOT RECEIVED $ <br /> R RECYCLED? YES NO WITHIN THIN 1D DAYS ARE SUBJECT TO A SERVICE CHARGE OF 1.5% ON CHARGE <br /> 1 <br /> I OUR ^ PERSONNEL RECOMMEND UNPAID BALANCE. RETURNED CHECKS SUBJECT TO ALL APPLICABLE GC FEE <br /> G RECLAIMED? YES NO QTY - <br /> FEES % <br /> E �, l 4 +3 / <br /> R RETURNED TO I- I t �`y 31°C4241"1"1 ._ $ <br /> A THIS SYSTEM? YES NO QTY. V< "1 <br /> N <br /> T DISPOSAL SIGNATURE <br /> I 1 OWNER'S INITIALS ABOVE ORDERED WORK HAS BEEN COMPLETED AND I ACKNOWLEDGE RECEIPT OF MY COPY <br /> I NON USABLE YES NO QTY. PTED DECLINED ) �J /� <br /> DISPOSAL 4�qj / 20 / J , <br />