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� <br /> Roo lerna's Heating & Cooling, Inc. <br /> 18843 US Hwy 41 North•Lutz,FL 33549 <br /> Local(813)948-6355 •Fax(813)949-9266 <br /> Toll Free(866)323-COOL•Lakeland(863)859-0062 <br /> #CAC1813676•Qualifying#QB26202•Licensed,Bonded&Insured <br /> i 4 www.IemaAir.com <br /> I. <br /> C i NAME DATE <br /> , , <br /> � �� STREE7 _ � DATE ORDERED <br /> / / <br /> CITV TAT �I�� DATE SCHEDULED <br /> � r <br /> EMAIL <br /> MAKE MODEL SERIAI NUMBER �4 1 � � � <br /> r' PHONE <br /> Y � � � <br /> WORK PHONE <br /> CELLPHONE <br /> ❑TECO <br /> ❑PROGRESS <br /> SUBDIVISION ENERGY <br /> ❑LAKELAND <br /> ORIGINAL COMPLAINT ELECTRIC <br /> �j_ O FPNI. <br /> / ❑WITHLACOOCHEE <br /> ApDITIONAL PARTS LISTING TOTAL PARTS-� Lw ' ../ ❑OTHER <br /> ON BACK OF PART 3 �y <br /> ❑COMPRESSOR DESCRIPTION OF WORK PARTS <br /> ❑SUCTION PS� <br /> ❑HEAD PSI <br /> �VOLTS_ AMPS_ <br /> ❑ELECTRICAL CONNECTIONS <br /> ❑OIL LEVEL 8 CONDITION <br /> ❑SUPER HEAT � <br /> ❑SUB COOLING <br /> ❑lIOUID LINE TEMP � <br /> ❑SIJCTION LINE TEMP <br /> STATICPRESSURE_POS._NEG <br /> 0 REFRIGERANT <br /> ❑LEAK ❑CHARGE <br /> ❑FAN 6 MOTOR <br /> 0 VOLTS_ AMPS <br /> ❑ELECTRICAL CONNECTIONS <br /> ❑CONTACTS TIGHT 8 CLEAN <br /> ❑FAN PULLEVS(A0.1UST BELn <br /> ❑CHECK LUB BEARINGS 8 MOTOR <br /> O CFM <br /> EVAPORATOR COIL <br /> 0 CLEAN COIL 3 CHECK FIN <br /> O TEMP Drop <br /> CONDENSER COIL <br /> O CLEAN COIL 3 CHECK FIN COND. <br /> ❑CONDENSATE AREAS <br /> O INSPECT 8 CLEAN DRAIN PAN <br /> ❑INSPECT&CLEAN DRAIN d � <br /> ❑AIR FILTERS �ei -"' II � <br /> O CLEANED ❑REPLACED <br /> FILTER SIZE <br /> ❑HEATINCi ASSEMBLY <br /> ❑BURNER 6 HEAT FJCCHANGER ❑NEW ❑EXISTING HOW YOU HEARD ABOUT U5: <br /> ❑FUEL SUPPLY 8 PRESSURE <br /> ❑PILOT ASSEMBLY PARTS WARRANTY ARRIVE DEPART <br /> ❑FLAME ADJUSTMENT ALL PAItTS A5 RECORDED ARE WARfUWTED A5 PER <br /> ❑PRIMARY RELAV 8 FLUE MANUFACTURER SPECIFIUTIONS. <br /> ❑FAN 3 LIMIT SIMTCH OPERATOR ��R OUARANTY st CANCELLATIONS tY <br /> O BLOWER ASSEMBLY THE UBOR CNAROE AS RECORDED HERE REUTIVE <br /> O STRIP HEAT TO THE EQUIPMENT SER1110ED AS NOTED,IS GUARAN- <br /> ❑DEFROST CVCLE Teeo voa�aeaioo oF ao wrs. ALL CANCELLATIONS ARE SUBJECT TO ANY PERMIT <br /> ❑ELECTRICAL COMPONENTS q�TyrcLOGOEDNII FlITERi,TRI�►ED�IIEAKEIIS FEES INCURRED BY SAID COUNTY.APPLICABLE FEES <br /> O RELAYS ❑corrrncTOR AND CLOOOED DRIUN IINEE ARE NOT WAIIRANTV yy�LL BECOME THE FINANCIAL RESPONSIBILITY OF � <br /> ❑OVERLOAD ❑PRESS.SWITCH issuca <br /> PURCHASER AND!OR PROPERTY OWNER. <br /> ❑THERMOSTAT WE 00 NOT,Of GOU118E GUAl1ANTY OTXEII�ARTi <br /> ❑OK ❑REPLACE TMAN TIIOiE YYE 7U►►LY.IF RE�NR9 LATER BECOME <br /> ORELOCATE NEC!lfARYWETOOTMERD[FEttNE�ARTi,TNEY TECHNICIAN TECH/{2 <br /> NALI�ECMAR6EDfE�ARATELV. SIGNATURE <br /> � -TERMS:DUE UPON COMPLETION- BTOt�u. S °✓p <br /> T1wE SvSrEM Ch�NOED O I HAVE THE AUTHORITY TOORDER THE ABOVE NpRKAND DO 50 (DEPOSin a <br /> REFRIG aiv RE(ueD) � Ho ORDER AS OUTLINED ABOVE.IT IS AGREED THAT THE SELLER VNLL <br /> RETAIN TITIE TO ANV EQUIPMENT OR MATERIAL FURNISMED UNTIL <br /> DI9.MN7LED'+ � � FINAL 8 COMPLETE PAYMENT IS MADE,AND IF SETTLEMENT IS NOT 7qX $ <br /> R RECOVERED� v� � 07v res no MADE AS AGREED,THE SELLER SHALL FIAVE THE RKiHT TO REMOVE <br /> REFR�6EMM DISPOSAL SAME AND THE SELLER WIIL BE MELD HARMLESS FOR ANV DAMAGES TRIP <br /> E � � RESULTING FROM TNE REMOVAL THEREOF PA'/MENTS NOT RECEIVED CHARGE a <br /> F RECre�eo7 ves No orv WITMIN 10 DAY!ARE lUBJECT TO AlERVICE CNAROE Oi 1.S%ON <br /> R R PERSONNEL XECOMMEND: UNPAIO BAIANCE RETURNED CHECKS SUBJECT TO ALL AVPLICABLE C/C FEE <br /> GRECUIMED� r� � pTy FEES. +3% <br /> e � � �f71'� <br /> R RETURNE0T0 <br /> n rHissrsrea� Es o orv Pi _F_/1.r�'' X S <br />