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<br /> Dade City (352) 588-9210 A-� B(',00� 15873 Lake lola Rd. �
<br /> Pa �� {813) 221-5850 H�eat & Air, LLC Dade City, FL 33523
<br /> (727) 844 -9906 Lic. # CAC1814313 '
<br /> NAME ° � l � " CODE DATE
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<br /> ADDRESS , ApT. NO.
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<br /> " •� �;-g"0.•i�y;.. ' �'��� ❑ COMMERCIAL
<br /> CITV 21P '�. " HONE O.D MAKE MODEL
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<br /> REQUEST �'� ° ° — � � I.D.• " E MODEL SERIAL
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<br /> Make all Checks Payabie to A-1 B Cool Heat 8� Air, LLC • •''�' � •� PRICE
<br /> CHECKLIST � '• • • ❑ R22 ❑ R410A
<br /> CoMPRESSOR i acknowledge that repairs have been perfoRned in
<br /> ❑ sucr /_pSIG a manner satisfactory to me. In the event payment
<br /> ❑ �isc. i PSIG is not made as a reed, urchaser a ree to a ail �
<br /> ❑ vo�rs — 9 P 9 P Y 'r �, , � �,.; -
<br /> O AMPS�/�_RATED �st of collection including a reasonable amount as �� ��~� '�a, r ;�-�
<br /> ��o 0 3o attomey's fees. Interest at the rate of 18% per
<br /> U ELECTRICAL CONNECTIONS annum will be added to all delinquent balances.
<br /> ❑ coNrRncroR aoiNrs There will be a$20 00 charge for all retumed
<br /> ❑FqNA. ! RATED CheCICS.
<br /> ❑ SUPERHEAT
<br /> ❑ SUB COOLiNG � X
<br /> CONOENSER COIL AUTHQRIZEO SIGNATURE
<br /> a aE^N I certity that I ha�e pertormed services indicate and
<br /> O AMBCE DITION .� installed partsa�ted.
<br /> — � _ , _, _,
<br /> REFRIGERANT TECNNICIAN SIGNATURE
<br /> U LEAK �
<br /> O O.K • �
<br /> • • � � �-. PRICE
<br /> FAN AND MOTOR i PARTS WARRAHTY
<br /> ❑ AMPS /�RATED � !UI parts as recorded are warranled as per
<br /> ❑ CONTRACTOR POINTS manWacturer specifications, pqRTS
<br /> ❑ BLOWERASSM. CLEAN �
<br /> O LUBRICATION LABOR GUARANTY SERVICE
<br /> O TOTAL S P The labor charge as recorded here relative
<br /> O to the equipment service as noted, is 7�CHNICAL
<br /> ELECTRICAL HEAT STRIPS guaranteed tor a period ot 30 days. •No SERVICE
<br /> O INSPECT CONNECTIONS ❑ cl�er9e' warranly work wi11 be provided only SHOP
<br /> a AMPS_/,RqTED during nurmatworking hours. �,qBOR
<br /> ❑
<br /> EVAPORATOR COIL NO WARRANTY
<br /> ❑ CLEAN �
<br /> U AIR IN •F ON DRAIN LINES.
<br /> U AIR OUT 'F � A�1 B COOL
<br /> CONDENSATEAREA � HEAT 8� AIR, LLC ��
<br /> D INSPECTED PAN
<br /> O INSPECTED DRAIN IS NOT
<br /> ❑FLOATSWITCH ❑ LIABLE PAIDBY:
<br /> AIR FILTER OWNER'S INITIALS FOR DAMAGES Q CHECK #
<br /> O CLEANED RECOMMENDED ACCEPTED DECLINED
<br /> O REPLqCED SERVICE CAUSED 6Y ❑ VISA M/C ❑ AMEX ❑ DISCV
<br /> '�'� WATER LEAKS O FINANCE ❑ cASH
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