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; s:o o � S e �� abee AC & Heat - n �_ � f H�, �� Inc. 2�#�i� 1�e , �i TOLL FREE:855-833-2665 ccoo�� � MAIN OFFICE NORTH OFFICE 7924 Rutillio Ct. 6896 W.Grover Cleveland Bivd. "G�tt DOl" New Port Richey, FL 34653 Homosassa, FL 34446 NAME_ C_..-7(PI✓1Y1 I 1111c, � �Ov�'� �� PHONE�l3- ��-_ (DZ Zc� DATE I Z- i -(�_ ADDRESS 7 7.3v K S V I'�G,r.�¢ �.t .,� CITY Z-Z'�1'1 � y��,�S ,Q MECHANIC =�5�� COUNTY /4 ZIp S LI I CUSTOMER NO. JOB LOCATION �,r PHONE � EQUIPMENTMFG. � SERVICETYPE!yea,..� � STYLE LytSL E� MODELNO.�- UNITS/N �— NATURE OF WORKTO BE DONE �~''� S COMP S/N �� C COST SOURCE � J08 COMPLETE? YES NO QUAN. DESCRiPT10N I, i PRICE ITEM COST HOURS CHARGE �°" 5� Pf�-t � K�,J -1-- � � 7 � ��c�,..�i '� � -�-s�-�,� i'E 4 Yf f� ' � �M � 'V+crV � �i We Value This Opportunity to Serve You! EXECUTIVESAVINGS C SEE BqCK OF THIS TICKET FOR SPECIAL INFORMATION,AND PROBLEM SOLVING. AGREEMENTDISCOUNT All electrical parts are non-refuncfable. Su6 TOTA� Customer request replacement rather than repairs for de ` � Customer Si nature Pendabili't)I and/O�E+ffiCj@n�y, TOTAL BILLING MAKE CHECKS PAYABLE TO SEABEE AMOUNT COLLERED � BALANCE DUE CUSTOMER SURVEY 1. Was the representative clean in a � P�EASE INITIAL PARTS WARRANTY ppearance. z. Was the representative helpful in answering all your questions? A�� Parts as recorded are warranted as per 3. Was the service performed in a professional manner? �Yes _No manufacturer specfications. 4. Did the representative fully explain the services performed or any additional ��Yes _No services to be performed in a professional and non-pressuring manner? LABOR GUARANTEE 5. Was the work area left neat and clean? 'i.Yes _No �Yes _No The labor charge as recorded here relative 6. Would you recommend to your friends,relatives and neighbors? to the equipment serviced as noted, is 7. Overall,how would you rate the value you received from Seabee AC&Heat,Inc.�Yes _No guaranteed for a period of 30 days. Excellent� Good Fair Poor Customer agrees by signing that Seabee qC ��S &Heat,Inc.will not be held responsible for $30 CHARGE FOR RETURNED CHECK ' any mold or mildew damage. Warranry on thermosiats is only one year.Warranry as outlined is facto warran Customer d�SO agrees Yflat IY IS thelf 8:00 am to 5.90 pm.Warranty service at other tirries will inwr addi[ionar cost Thi�can not be modified un��5��bN�o al service houn Mon.thru Fri. responsibiliry to check and maintain their upon receipt A finance charge of 7'/�%per month will be chergty on all balances over 30 days,plus any atto 9 y ��e office.All accounts due iryofthisagreementisfecevaluewi[hattom �eYfeesand/orcourtcostsincurred.Totalliabil- drain lines on a regular basis.Seabee qC& eyfees notto exceed 7 pg6,p��pyymenu mus[be made to Seabee AC&Heat,Inc No warraM�,on drain Iines. ��nc.will not be held responsible for any I have authority to orcler the work,which has bean saasfactoriy performed,as ouNined above.It is agrety that the seller will reain title to any equipment or 9 material that may be fumished until final paymenc is made,and if settlement is not made as agreed,the seller shall have the right to rertwve same and the dama e resulting from a water leak. seller wi11 be held harmless forany damages resulting from the removal thereof. Customer understands that after January Youarenotobligatedtopaya�ymor�y��rousignehiswMractaedretumittotheseller. 1, 2010, manufacturers can no longer use BUYERS RIGHTTO CANCEL refrigerant R-22. This is a home solicitation sale,and if you do not wynY the goods or services,you may cancel this agreement b Customer agrees that they are responsible for Seller in person,by telegrem or by mail.This notice must indicate that you do not want the goocls and services,andvmust be delivered or posr upgrading existing electrical to code. marked before midnight of the third business day after you sign this agreement tf you cancel this agreement,the seller may not keep all or part of any cash down payment.Receipt ofthe foregoing Buyers Rightto Cancel is hereby acknowledged on the date listed atthe top ofthis agreement. Customer's Signature 1� �� i Date f Z'��-j � ..,�1:'a�c� y.� �c t� aF��ioztuatit�y .ta �iue y�c:, CAC 1815493