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� . .w. ...._ .........,__ .... : _�..__�__.�._..._,._ _. <br /> _ ,i <br /> '� a• �"'��, SERVICE INVOICE LOCATIONOFWORK YSCA Yes / NO <br /> . .': , � ' ,. , 1� NAME <br /> - - ;�� �48 � <br /> 'AIF`I'ECn SF.k'u iGES, I;tC. - ; A i r ��� ADDRESS ' <br /> 3SS35'CDUNTiY 2U 54 E � , <br /> � ' ZEPHRYHILi.S FL 3;�542 ,' � ,. �' � <br /> � iSl?i 779-75i�8 ''1 , � ` �� � 813-779-7508 WORKTOBEDONE-CODE <br /> ; � .. <br /> � �IG !i8io5;.°:1.i�y25 ' . . <br /> : ,':, � � CD P.O.BOX 1120•ZEPHYRHILLS FL 33539 <br /> r:-�,.t��;�+. i[,: .i�cis3yiit'�,;9�ai�:�� , .�� _ - _ <br /> - FL State Lic.#CAC1815498 �,� � (e ate <br /> � _ t� <br /> i ' `4��Sc�»���p�m� ERVICE COST ENVIRONMENTALCHECKLIST <br /> ` " •�'�L� � ' ��� � ' ---r• � TECHNICIAN <br /> I t WORKPERFORMED OTV. UNITPRICE <br /> , ',, � .,, ,. PHONE <br /> 4 J')��� t , .: „ , . r �_ � �� � J° �� U�C� 1DRCHUSAGE <br /> r,aPT[r,�;,1 pr; ' • STATE ZIP RECWMED <br /> 11;1•,'ILiYail!�:�. � ���-�irs�'�?.l��,i:�� V,�.(.: � \ �1 S �{ � C VACUUMPUMPUSAGE <br /> Il.i 1:C1i!Ju. •ki�"�� e \ {.. �� J <br /> � MAKE MODEL SERIAL NUMBER pTy, MATERIALS <br /> '� !C'�,.il� _ l- ..i:.d�lC Gt: � <br /> 1r�'1���� MAKE MODEL SERIAL NUMBER <br /> �, � • � .•. ( REFRIGERANTR. <br /> Si�7�):i:1 � <br /> il�:i�i�; ����'='S�i�7 � MAKE MODEL SERIALNUMBER <br /> Y..�� <c (S ` P`7 ��C��f �� <br /> i1�4lI' �ai�tjli:���'. - .i "itnr..:'�f`.J.� ii�icin�+: I . <br /> ;, :c:.� „ " ,,rt,F9.,t�,�;;r, s,���;+�p; � MAKE MODEL SERIALNUMBER <br /> �M°11 Ytl� ��;�1'1 ' .a.}+'L�� ;;��i'^i i �C� �l•! �� r�� <br /> , - ��,� C�•�+Cl'iiH� �+t,��'�:�iJ ' DESCRIP'TIONOFWORKPERFORMED <br /> ` ' i�IUQ ' ��°1 t� <br /> . 6?i�:c f`� e%i,'°;�1_C.;r,.,{:OL�9; �o:i:p:h;: � � r}— q e� �V J G ' � f V yJ <br /> �CCG('t:iid�ti•���I't� 1Y�6!IC' F,bi,;- ' `� <br /> ' f , - i :c�sr;F <br /> , . 71r,�i�1.f4�'aJ'-ci•u`c 1i: -., ,`� <br /> - . . i c:Jll J�.l „ � <br /> -`t� .. .,�t� . .....` <br /> �'�..._ _�... ,..`_{.�!�� . _ _.... , .,. � <br /> , G �L;uE•'Ji°h., <br /> i <br /> ,. , <br /> i <br /> �"ler�:ha�t Co;;, i - <br /> ,. 'THAr;k: 'r;;;i' ' � i <br /> ccr; a�,r,r,.� ,.E�( � �0 �• �Vn - � Q? S V'o �t�r�' <br /> , �. .. , .. , , <br /> , ❑o.k. u atvvw<- Time of Arrival: <br /> { ❑RELOCATE <br /> `' Time of Depar►ure: <br /> RECOMMENDATIONS I HAVE AUTHORITY TO ORDER WORK AS OUTLINED ABOVE.THIS INVOICE IS SUB.IECT TO A FINANCE CHARGE OF 1 1/2%PER MONTH. TOTAL SUMMARY <br /> ' ANNUAL PERCENTAGE RATE OF 18°/a WHICH IS ALLOWED BY LAW.I AGREE TO PAY ALL COSTS AND REASONABLE ATTORNEY'S FEES <br /> IF THIS INVOICE IS PLACED IN THE HANDS OF AN ATTORNEY FOR COLLECTION.CUSTOMER RECEIVED NOTICE OF CONSUMER TOTAL <br /> ' flIGHTS UNDER CONSTRUCTION INDUSTRIES RECOVERY FUND. MATERIALS <br /> TOTAL <br /> , LABOR <br /> SERVICE <br /> CUSTOMER'S SIGNATURE CALL CHG. <br /> � TAX <br /> f LIMRED WARRANTY:All materials,parts and equipment are warranted by the manufacturers'or suppliers'written warranty only.Ali d ��� ie <br /> , labor performed by the above named compeny is warranted for 30 days or as otherwise indicated in writing.The above named company <br /> makes no other warrantles,express or implied,and its agents or technicfans are not authorized to make any such warranties on behelf of above � � <br /> named company. TOTAL <br />