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` ,�� , <br /> C`. �w � <br /> 1�1 R �s� SERVICE OR <br /> � A/C <br /> � � • : .. vAC INVOICE <br /> ...�.� C � M p <br /> �Gn�`��:�,,�.� CAC05857sA N Y _ 17 5 9 0 <br /> l\rr ,,,XZ" 12231 HWY 301 DADE CITY <br /> �.s° DADE; CITY, FL 33525 ZEPHYRHILLS (8 3) 779 95 5 / <br /> ��� <br /> BILL TC�: Valle dale � � j •/� � ��"?G��G�c� <br /> _ ��Gc> ��%J11 .�.��'f ,� " <br /> - , � ���� � �. �-�y <br /> � <br /> � <br /> NAME: SPLIT SYSTEM PKG UNIT <br /> ADDRE��S: DATE: MODEL# <br /> CITY: SERIAL# <br /> ZIP CODE: <br /> PHONE: WORK: <br /> CELL: MODEL# <br /> RENTER: SERIAL# <br /> TECHNIC:IAN: <br /> DATE: <br /> PROBLEIVI REPORTED: ' <br /> BRAND: <br /> PARTS 8�LABOR <br /> ' PARTS ONLY <br /> START UP: <br /> 0 <br /> � <br /> CHECK# .�'�L / pUE: <br /> -�s+-i_� CASH: <br /> CREDIT C�1RD#: <br /> CARD TYPIE: � SUCTION PRESSURE: <br /> APPROVAL.CODE: LIQUID PRESSURE: <br /> EXPIRATION DATE: TEMP. DIFFERENCE: <br /> FILTER: <br /> I HqVE THE AUTHORITY TO ORDER THE WORK OUTLINED ABOVE WHICH HqS BEEN ���NING PROPERLY: <br /> SATISFACTORILY COMPLETED.I AGREE THqT SELLER RETAINS TITLE TO EQUIPMENT <br /> AND MATERIALS UNTIL FINAL PAYMENT IS MADE.IF PqYMENT IS NOT MADE AS <br /> AGREED,SELLI�R CAN REMOVE SAID EQUIPMENT AND MATERIALS AT SELLERS EXPENSE HAS WRiTTEN MqNUFACTURER'S WARRqNI'y ONLY. <br /> ANY DAMAGE RESULTING FROM SAID REMOVAL SHALL NOT BE THE RESPONSIBILITY LIMITED WqR�Ty.EQUIPMENT,pq►ZTS ANp Mq7'ERIAL <br /> OF SELLER. LL LABOR PERFORMED BY CHRIS'A/C HAS A ONE YEAR <br /> ARRANTY.CHRIS'A/C MAKES NO OTHER WARRANTIES <br /> � �01%.l�''✓L/ ,���t'� <br /> �'_'_� �_�_"L� TOTAL: � 75.00 <br /> CUSTOMER S NATI�, RE ��'�'�"'�'� <br /> ...�. � <br /> ' DATE: <br />