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f POINT POINT PRINTING, LLC • (813) 792 -2710 076664 QUANTITY FI.I . � �� �, _ Ron Ierna's Heating & Cooling, Inc. ( f . . 610. 19121 US Hwy 41 North • Lutz. FL 33549 i • L I iid � I Local (813) 948 -6355 • Fax (813) 949 -9266 Toll Free (866) 323 -COOL • Lakeland (863) 859 -0062 c #CAC 1813676 • Qualifying #QB26202 • Licensed, Bonded & Insured$ 1 -* CLAIM 1 1 2 n w .IemaAir.com -t. ` 6.--14 ° _ �l NAME (. ! 1(1. 1• q t A ` � ST / i , ■ DATE DE l �� 1 I P - j°�,� 1 J � C �=• 1 _ STAT DATE SCHEDULED 1 l — — – -- c Cy Lam} 1.� MAKE MODEL SERIAL NUMBER ,,i .6i : \ • C13 I \ • ; C -fin �. I .1. �. • , - - 1 _ WORK PH•NE I I CELL PHONE 1 SUBDIVISION -- ❑ TECO ' _ ❑ PROGRESS r - ! ORIGINAL COMPLAINT ENERGY f ` — ❑ LAKELAND ELECTRIC 1 or e - 1 �.. ❑ WITHLACOOCHEE 1 I ADDITIONAL PARTS LISTING 1 TOTAL PARTS –> 1 - - - -. 1 S '0 � —__ _ - -_. ❑ OTHER —. - - , ON BACK OF PART 3 1 COMPRESS - DESCRIPTION OF WORK PARTS ECTRICAL CONNECTIONS T 1 ,J � CONTACTS 11G T & CLEAN a .� OIL LEVEL & CO DITION _. `- ._ ` _L - .._. - --- - -- - - -- __. - - _ i__ - _ -- ---- - - - O SUPER HEAT 0 SUB COOLING _ _ LIQUID LINE TE P. _ • - -- - - - - - ---- - - --- -- - - -- - - -- - -- - - -- - -- - _ - - - - -- - - - -- SUCTION UNE T MP ■ STATICPRESSUR: POS. _NEC- - -- ❑ REFRIGERANT C LEAK G CHAR. E _ -_ - - -- r - -- .__ -. - _- - -_ —. . ❑ FAN & MOTOR - E: VOLTS •; PS - -t ELECTRICAL CO NECT1ONS ❑ CONTACTS T1GH & CLEAN D FAN PULLEYS (AI'JUST BELT) - - - - - -- -- - - -- - 1 ❑ CHECK LUB BEA • INGS & MOTOR j ' ❑ EVAPORATOR. C:11L tC — C CL EA N COIL & C ' ECK FfN - --- - - - -- - -- - - -- -- - - - - -- - -_- __ _. 10 CONDENSATE A- EAS INSPECT & CLE • DRAIN PAN I __ - INSPECT & CL DRAIN AIR FILTERS -- — — — T I O CLEANED ❑ -, PLACED I FILTER SIZE - -__ __ - - - - - - - - -- 1 ❑ HEATING ASSE BLY ' O BURNER & HEA EXCHANGER illIMIt _ - O FUEL SUPPLY & • RESSURE �" . •� J O PILOT ASSEMBL PARTS WARRANTY ARRIV. L� ` '— ■EPART / // « ■ ' ❑ FLAME ADJUS ENT ALL PARTS AS RECORDED ARE WA}IRANTFD AS PER I __ _ _ -._ MANUFACTURER SPECIFICATIONS. _ � -� O PRIMARY RELA & FLUE CANCELLATIONS :Y 0 FAN & UMIT SW; CH OPERATOR LABOR GUARANTY O BLOWER ASSE :LY THE LABOR CHARGE AS RECORDED HERE RELATIVE STRIP HEAT TEED FORA PERIOD OF 3CCDAD AS NOTED. IS GUARA:+- ALL CANCELLATIONS ARE SUBJECT TO ANY PERMIT I DEFROST CYCL FEES INCURRED BY SAID COUNTY. APPLICABLE PEES !� ❑ ELECTR - • PONE S DIRTYICLOGGED AIR O2 T8, TRIPPED BREAKERS TRA�R AND CLOGGED DRAIN LINES ARE NOT WARRANT" WILL BECOME THE FINANCIAL RESPONSIBILITY OF ❑ RELA ISSUES. ! u OVERL• • PRE •. SWITCH 7 ■ PURCHASER AND / OR PROPERTY OWNER. 1 ' • jt WE DO NOT, OF COURSE GUARANTY OTHER PARTS 1 _ - ! ..... ! D THERMOST • THAN THOSE WE SUPPLY. IF REPAIRS LATER BECOME O OK ❑ REP 4. • NECESSARY DUE TO OTHER DEFECTIVE PARTS, THEY TE CHNICIAN �1 .�, TECH. 42 - 1 ❑RELOCATE wlueE CHARGED SEPARATELY. SIGNATURE - L'51.- L i _ — - �,.�, - TERMS: DUE UPON COMPLETION - SUBTOTAL': $ J ' ' I I TYPE SYSTEM CHANGED F 1 HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO SO (DEPOSIT)1 $ �'1. OUT (OR ! ORDER AS OUTLINED ABOVE. IT IS AGREED THAT THE SELLER WILL — REFR!G G REPLACED) rs RETAIN TITLE TO ANY EQUIPMENT OR MATERIAL FURNISHED UNTIL DISMANTLED? , _ FINAL & COMPLETE PAYMENT IS MADE, AND IF SETTLEMENT IS NOT TAX i $ 1 YES MADE AS AGREED. THE SELLER SHALL HAVE THE RIGHT TO REMOVE L__ ° - -- R ECOVERE — R D? YES _ QN -. ' REFRIGERANT DISPCSAL SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY DAMAGES TRIP 1 - 1 RESULTING FROM THE REMOVAL THEREOF. PAYMENTS NOT RECEIVED t $ r F `-- , WITHIN 10 DAYS ARE SUBJECT TO A SERVICE CHARGE OF 1.5% ON CHARGE RECYCLED? res QTY ' - - - - - - -- I R f J (OUR PEROO RECOMALND UNPAID BALANCE RETURNED CHECKS SUBJECT TO ALL APPLICABLE C/C FEE I FEES. +3% G RECLAIMED? YES • QTY. _ ? - t 1 -- - - -: I R : I 1 x ' mot ,� / -I $ .-- " ' RE SY 70 A THIS STFM� QTY