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State License# <br /> .�.I������c� CAC056871 � <br /> ���o R-r� � � �� Con������i� ��at�� �� � � ��� o <br /> co���NSO� �°�° <br /> �� � � � � <br /> �a�c���t�a��ax� , . � � � � <br /> Liquid psig ��E�'THR�� ` - <br /> suction psig 5�27 13TH AVEI�TiJ]E9 P+TEW ��R�' I2ICI��+�', �'L 3465�, � (727) 846-��g� • (��0} �4�-8�fl� <br /> Fan Amps NAME � E � �� SUBDIV oN <br /> Compressor Amps qpDRESS TONNAGE /P S/C PACKAGE <br /> Heat Recovery � ❑ ❑GAS -22 ❑aio-,a <br /> COf1tclCtOPS CITY / STAT� ZIP COND.MAKE YRD AIH MAKE Q� YR��j <br /> ..e.� �i <br /> Capacitors PHONE _ � ELL� _ ODEL# MODEL# <br /> � <br /> Safety Kit EMAIL �22 SERIAL� SERIAL# <br /> oil Motor RECOMMCiVDATIONS DESCRIPTIOfV► OF WORK • o <br /> Add Refrigerant <br /> Cond.Breaker � v � �� <br /> "Cond.Coil ������C- s <br /> Accumulator � �'�'� <br /> AIR HANDLER � <br /> � � " b .3 -�'. <br /> Fan Amps <br /> . <br /> Drain Tabs , � � ,�. <br /> K.W Size � ' <br /> Relays <br /> Duct System ; <br /> Tighten Electrical CUSTOMER SURVEY PLEASE INITIAL a �� �� � <br /> Unit Rusting 1. Was the representalive helpful in answering all your ques�ons �Yes — No <br /> A4tic Insulation Z, Was the service performed in a professional manner? �Yes _ No <br /> *Evaporator Coi <br /> 3. Did the representative fully explain the services . � -� • � � sue- <br /> Temp.Drop �— performed or any additional services to be performed ` / <br /> AIH Breaker# 7 V I HAVE THE AUTHORITY TO ORDER THE ABOVE WORK AND DO TOTAL ��� �O <br /> in a professional and non-pressuring manner. Yes — No <br /> SO ORDER AS OUTLINED ABOVE.IT IS AGREED THAT THE SELLER TRIP <br /> T•Stat ❑�Ig Merc�Zone 4. Was the work area left neat and clean? Yes _ No WILL RETAIN TITLE TO ANY E�UIPMENT OR MATERIAL FURNISHED CHARGE � � <br /> UNTIL FINAL 8�COMPLEfE PAYMENT IS MADE,AND IF BAIANCE IS <br /> PROT CTION 5. Would you recommend U.S.AlC&Heafing Yes — No NOT MADE AS AGREED,THE SELLER SHALL HAVE THE RIGHT TO <br /> REMOVE SAME AND THE SELLER WILL BE HELD HARMLESS FOR ANY TOTAL �O�5 GO <br /> Ev(U� M EfVT 6. Overall,how would you rale the value you received from U.S.Air Conditioning and Healing? DAMAGES RESULTING FROM THE REMOVAL THEREOF <br /> ALL SALES ARE FINAL.NO EXCHANGE/REFUND ETC. <br /> Excellent GOOCI_� Fair Poor I AGREE TO PAY ALL COST OF COLLECTION,INCLUDING DOWN PAYMENT <br /> UItP8VI0I@t SySteRl ATTORNEY FEES.STATUTORY RETURN CHECK CHARGES APPLY. <br /> Air Cleaning System pARTS WARRANTY�AII paAS as recorded are warranled as per manulaclurer specilications.We do nol guar- KE CHECKS PAY E:U.S.A/C&HEATING CORP. ❑C ❑CK.# <br /> anlee olher parts Ihan Ihose we install.II repairs laler become necessary due lo olher delecfive parts,they will /.� rl <br /> Il�hole House HEPA be charged separately.olhenvise 30 day warranty on all parts and labor. � •C•C./� L�� <br /> NEW EOUIPMENT:Federal Taz Credil will nol be acknowledged unless stated on lhe invoice.Musl meel Federal X — � <br /> Dehumidifier S stem uidelinesto ualil.One earlaborlromdateolinslall.Customerisres nsible�ore istere ui menllorwarranl. TE ICIAN'S GNATURE ❑FINANCE -�•s`'�`J <br /> � 9 Q Y Y Po 9 Q P Y �„�n„�;. <br /> 'PLEASE NOTE.There will be an addilional charge lor chemically trealed cleaning. BAI�,NCE DUE Q � <br /> NO WARRANTY EMERGENCYSERVICE.AIIPMAandwarrantyserviceisbetween8:00am-S.00pm,Monday-Fridayexcluding X _ UponCompletion <br /> �egal holidays.A�I other work subject�o additional charges. CUSTOMER AUTIIORIZED SIGf AT RE <br /> ON DRAIN LINES 1?112-INV �C� ��� <br /> TECHii TMN <br /> is . � <br />