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CMC 1249406,.Cr'C 1427670 '
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<br /> � . � a ' � I(�STALLATION �ORK ORDER (727) 5��-4200
<br /> ��, � , �/� � � (�13) 2�2-3737
<br /> ��fC� � O 6`rI �
<br /> Customer Name A { \�, at � �Call Slip# ���
<br /> /"c/� /qC `� �� �-
<br /> dr�� �� ( ) City State Zip Code
<br /> �
<br /> Ph6ne Phone ,. Scheduled installation Date
<br /> 11Ve hereby ree to furnish and you agre ay for all neces'sary equipm nt,materials and labor to instail the following ftems listed in accordance
<br /> with the, nditions and specifications set fort n the reverse side.
<br /> . . _. . .. . .. _
<br /> � •
<br /> . Option.#1 ��.��� Optio #2 , �� Option#3 �
<br /> U �
<br /> � . . ,W/ KW W/ � KW W/ KW
<br /> . �
<br /> — l� —
<br /> RICE $ /,;��� � $
<br /> PTIONS + " + " p� + - �
<br /> + - + - + -
<br /> + - �� + - '� + -
<br /> T AL � ,� $ � �` $ .
<br /> Warra : Comp.�arts�La r Warranty:_[��omp Parts�,Labor ; Warranty: Comp Parts Labor
<br /> Refrige t recovered and dis pos of as re quired b y law. Com pl te clean u p includin g use of floor savers to protect your home
<br /> and remova xisting e ' ni. All work completed is done in ccordance with existing codes and,permits, as required.
<br /> . � � . � �
<br /> � Hurricane Tie Downs ❑ frig. pipe( ) � Drain Lir1e_Reconnect_New ❑ Supply plenu Aecon New
<br /> Reconnect New
<br /> ❑ L'rfetime equipment slab ❑ efri ' e•cover ❑ New Plywood Deck ❑ Return plenu e�� New
<br /> ❑ Sound isolation pads ❑ Expansion valve ❑ Ceiling saver kit(pan&float) �emove existing equipment
<br /> ��A/H WhiplDisconnect ❑ Tape/Seal Du ( ) ❑ Main drain safety switch ❑ A/H Stand ❑ Coffin Box
<br /> C/U Whip/Disconnec ❑ T-stat Wir Reconnect_Ne ❑ Attic Liglit ❑New Outlet ❑ Insulate Return Box
<br /> �Digi#al T-stat � Conn.to exist.elect. ❑ Support attic equipment ❑ Vertical ❑ Horizontal
<br /> ❑ Flood Zone 1i40{ ) ❑ Crane/Stories Reach
<br /> Access � ) reaker Brand ize A/H Size C/U Wire Size A/H Size C/U
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<br /> .�- ";' /e-ilii on�iti:�nal'Money Ba' ri�ee
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<br /> AQDITIONAL: � , INSTALLED
<br /> AMOUNT: S
<br /> $
<br /> REBATES $
<br /> Initial ot responsible for any existing ductwork. � ( ��ed to home n ) `
<br /> s ,���=t�
<br /> By: � Date: y: � Date:
<br /> Cuslane� f�-,�^-� Company epresenlafi�
<br /> Terms: ❑ Cash ❑ Check# � #�� � �`i/� Exp�� ❑ Fnanced through:
<br /> Note:Beginning 2010,R-22 equipment will no longer be produced. Replacement parts and r frigerant will be avaitable,however,equipment cannot be mixed. 410A is the new refrigerant.
<br /> BUYER'S RIGHT TO CANCEL.This is a home solicitation sale,and if you do not want the g ds or services,you may cancel this agreement by providing written notice to the seller in
<br /> person,by telegram,or by mail.This notice must indicate that you do not want the goods or s rvices and must be delivered or posunarked before midnight of the third business day after
<br /> you sign this agreement.If you cancel this agreement,the seller may not keep all or part of a y cash down payment.
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