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, ` _�`-� ----- • _______.____'— <br /> . <br /> �� �` <br /> .�,�t� Accounting&Bflling: OPERATOR YES❑ No� EXISTING�DOOR:° �. YESm�.NOp = '- � � <br /> , �° � Precision Door Service 2 6 7 7$ _ ,, ,,,; ;�;� <br /> 13737 Automobile Boulevard ,TYPE::�'Sec. .D One Pc❑Wood�,Steel,,Q+!'f�ierglass r;;� - <br /> �1 Clearwater,FL 33762 MAKE MODEL .--. <br /> (888)626-3667 License#'s HEADROOM: �6��'" " � <br /> S ' �, C9806•C10151 HP 3/4 7/2 RAIL SIZE _ � <br /> GD13001•GDI09324l5195 ��y��� �. <br /> EXTRA REMOTES `� FLOORTO CEILING: ' �7 , <br /> ;c� pLC.c1� /3l :.;,,� <br /> +�jf, <br /> custom Name KEY PAD �� �SPECIAL ORDER �'�`: Y(�f r' ��' �-!/_i, <br /> �p��`J J'�`�+ � 2P�diyrh•'�/� ,�,�'��• SURGEPROTECTOR INSTALLDA7E:, • � '�� '"��PM�' <br /> Addresz Clty � State Z�P �qRBON MONOXIDE SENSOR �� � ���"�'�'�� <br /> 'There is a deposit of 50%required ori any special oider.door(s) <br /> � �� � "�� -�gj'� � � OPERATORTOTAL 'NIow2-3weekstoreriival. `_ • <br /> Home Phone Work Phone/Cell Phone <br /> 1 MODEL ��q w MODEL MODEL <br /> � / <br /> SIZE K � SIZE SIZE <br /> � INSULATED R- ` ! N INSULATED R- Y / N INSULATED R- / N <br /> WIND RATING , ! WIND RATING WIND RATING <br /> I COLOR h�� COLOR COLOR <br /> � GLASS Y I GLA55 Y / N LASS Y / N <br /> � PERMIT �! N /�Dy� PERMIT � Y I N PE IT Y I N <br /> I YEARS HARDWARE WARftANTY-PAflTS&LABOR ' /� YEARS HARDWARE WARRANN-PARTS&LABOR YEA ARDWARE WARRANTY-PARTS&LABOR <br /> iYEARS PANEL WARRANTY FROM MANUFACfURER YEARS PANEL WARflANTY FROM MANUFACTURER YEARS PANEL WARRANTY FROM MANUFACTURER <br /> � TRACK 15 LH TRACK 72 15 LH TRACK 12 15 LH <br /> � SYSTEM �/EXTENSION SYSTEM TORSION/EKfEN510 SYSTEM TORSION/EXTENSION <br /> iLOCK /OUTSIDE LOCK INSIDE/O S DE LOCK INSIDE/OUTSIDE <br /> IHAULAWAY I N HAULAWAY ' Y ! N HAULAWAY Y I N <br /> i TRIM / N IL TRIM Y I N TRIM Y / N <br /> I VERTICALFRAMING Y / VERTICALFRAMING Y / N VERTICALFRAMING Y I N <br /> HEADERBOARD Y � HEADER80ARD Y / N HEADERBOARD Y I N <br /> I SPRIN6 PAD 1' � SPRING PAD Y � N SPRING PAO Y / N <br /> � <br /> � <br /> IN0�` DOOR Nor�s: DOOR NO�' DOOR <br /> � TOTAL TOTAL TOTAL <br /> � OPENATOR OPEAATOR OPEAATON <br /> ITOTAL TOTAL TOTAL <br /> � ESTIMATE AGREEMENT TOTAL �3g�'' TOTAL TOTAL <br /> I ❑I fully understand the explanatlon and the total pilce(s)given to'me,�,•"„, � � <br /> h; <br /> ❑It has,been explalned,to me and I und'estand that my operator may liave been strained ocwom due to an unbalanced overhead ga�age dooc:The techNcian has informed me that there is no way � tomer Signature <br /> to defettihe longeve'ity of my operator due to this possible shain.I understand that there is no guarantee orwarranty on a strained/worn operator,i(not replaced at the time of my garage door. � <br /> �]I understand that my doar and my operator are cwo separate mechanlsms. Date <br /> GARAGE NEEDS TO BE FREE AND CLEAR 6'BACKAND WIDTH OF OPENING. IF NOTTHERE WILL BE A$75.00 PER HOUR CHARGE TO MOVE ITEMS. SALES TAX INCLUDED! <br /> I WE BEAT ANY WRITTEN QUOTE! : <br /> METHOD OF PAYMENT ❑Cash❑Cheek# (Makeahe<kspayabletoRreci4onDoorService',Feechargedforrewmedcheckil BIIIlfl9:N0Y TECNNiC�nMi' /yy77�'.� � � <br /> � Credit Card ❑Visa�MC❑Amex ❑Disc Account# Exp.Date Sec.Code Auth.Code DATE�a�/ � % <br /> I � <br />