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- fi . . .. _�...�._ _. ,. �. .. _ . ..._.,...��_ ,,,,��... w r �- _--- , <br /> . � l ,,.. <br /> D�de City (352) 588 A�� B(+00� 15873 Lake lola Rd. <br /> Tampa (813) 221 -5850 Dade City, FL 33523 <br /> Heat & Air, LLC � <br /> Pasco (727) 844 -9906 Lic. # CAC1814313 <br /> NAME CODE DATE TIME IN TIME OUT AGE OF <br /> 4 R , � , ❑ RESIDENTIAL EQUIPMENT <br /> ADDRESS APT. NO. <br /> ,: , , 0 COMMERCIAL <br /> CITY ZIP PHONE O.D. MAKE MODEI SERIAL <br /> CUSTOMER � � � / � � ,' ' I.D. MAKE MODEL SERIAL <br /> REQUEST � <br /> WORK PERFORMEO <br /> Make all Checks Payable to A-1 B Cool Heat 8 Air, LLC " �'''' � '• PRICE <br /> CHECKLIST � ' • � ' • ❑ R22 ❑ R410A <br /> coMPRESSOR I acknowledge that repairs have been performed in <br /> ❑ sucr._i PSIG a manner satisfactory to me. In the event payment <br /> ❑ DISC._/_PSIG is not made as agreed, purchaser agree to pay alt <br /> ❑ vo�rs �st of collection includin a reasonable amount as <br /> ❑ AMPS / RATED 9 <br /> ❑ �o o ao attomey's fees. Interest at the rate of 18% per <br /> ❑ ELECTRICALCONNECTIONS annum will be added to all delinquent balances. <br /> ❑ CONTRACTOR POINTS There will be a$20.00 charge for all retumed <br /> ❑ FAN A. /_RATED checks. <br /> ❑ SUPERHEAT <br /> ❑ SUB COOLING _ X ° . . <br /> CONDENSER COIL AUTHORIZED SIGNATURE <br /> ❑ c�enN 1 certify that I have performed services indicate and <br /> ❑ FIN CONDITtON installed parts listed. <br /> ❑ AMBIENT °F � <br /> REFRIGERANT 7ECHNICtAN SIGNA7URE <br /> O LEAK � � � � , � � <br /> v o.K. PRICE <br /> • • •-• <br /> FAN AND MOTOR PARTS WARRANTY <br /> O AMPS_/_RATED All parts as rewrded are wartanted as per <br /> ❑ CONTRACTOR POINTS � manu(acturer specifications. pARTS <br /> ❑ BLOWERASSM. CLEAN � LABOR GUARANTY SERVICE <br /> ❑ LUBRICATION <br /> ❑ TOTAL S.P The labor charge as recorded here relaUve <br /> � to the equipment service as noted, is �CHNICAL <br /> ELECTRICAL HEAT STRIPS guarenteed fa a period of 30 days. 'No SERVICE <br /> charge' wartanty work will be provided only SHOP <br /> ❑ INSPECT CONNECTIONS ❑ during normal woAcing hours. <br /> ❑ AMPS / RATED LABOR <br /> -- � <br /> EVAPORATOR COIL NO WARRANTY - <br /> oni N" •F ° ON DRAIN LINES. <br /> ❑AIROUT °F � A�� B COOL � � <br /> CONDENSATEAREA � HEAT � AIR, LLC <br /> ❑ INSPECTED PAN IS NOT <br /> O INSPECTED DRAIN � <br /> ❑ FLOAT SWITCH � LIABLE PAID BY: <br /> OWNER'S INITIALS <br /> AIR FILTER RECOMMENDED ACCEPTED DECLINED � ❑ CHECK # <br /> ❑ CLEANED CAUSED BY ❑ visA nnic ❑ annex v �iscv <br /> o�PE cEO SERVICE WATER LEAKS ❑ FINANCE Q CASH <br />