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<br /> .� - �rr�1� �+�� �v�'�7� � ���j Servi�ed Serv��ed
<br /> Checked �'� Checked
<br /> - s .., ,., . - . Evap Coil Y / N Fan Blade Y / N
<br /> • , Drain Pan Y / N Fan Motor Y / N
<br /> ��a���n�..�'o P.eturn Supply High Low SH/SC S1zLC Pres %RH
<br /> ���� ����F I ___ I _�I_ --I !ns�.!Cle�n Drain Pan Y / N Condenser Coil Y / h�
<br /> ���'��''��+���+g�x��d E��or=. �' � , Safety Fiozt Switch Y � �: Ccntactor Y ' N
<br /> After • / Transformer Y / N �Compressor Y / N
<br /> DATE � / � / ��3 Circuit Board Y / N Defrost Board Y ! N
<br /> r� nn AHU Model S/N Blow2r Relay Y / N Liq.Line Drier Y / N
<br /> INVOICE#' G�J J � TimP In Time Out: Heat Sequencer Y / N Time Delay Y / N
<br /> Name St"�i'�1��'�,�..... � - �tii'�����. iti9��;��c--� CU Model S/N Fan Speed Sett Y / N En. recovery Y / N
<br /> i_ Heat Element Strip Y / N Reversing Valve Y / N
<br /> AddfeSS �� !�=�D 1'�1����r��L�L�'�,C°„� ��'{''.� PCK Model S/N Blower Cap Y / N Accumulator Y / N
<br /> a �,> •� � �-� . . . Blower Wheel Y / N Freon Charge Y / N
<br /> ��`#'���' A�� ��� � �`�`''�`�° Blower Housing Y / N Amp Rati�g Y / N
<br /> F� 1 (,` �� �r •y� � yy Horizontal Vertical Package Roof BlowerAmp Y / N [ 1
<br /> Home Tel _�� � ��`� � � .�.-rr�
<br /> g�� � A f � , o- Filters[size ] Y / N CU Amp. Y / N
<br /> Cefl(Fax: ;�����1 1' b °-��' t�,a s.? S/C HP Tons Thermostat Y / N [ 1
<br /> Email 6 DtJ�T SY5�°�N9
<br /> . . a
<br /> I` [ . � s�" Cover Y / N Power Scrub Y / N
<br /> FZeason for Today's Call: �l'1^��l�'fi`�-'v l�i�s��A-�L�� New Good Fair Poor
<br /> Ducts[ ] Attic Boot Seal Y / N
<br /> Good / Fair / Poor Y � N Duct Leaks Y / N
<br /> Service Res / Comm ` Clean/Check Residential Estimated Age Yrs Average Life Yrs Airfiow from each sg. Y / N Sanitization Y / N
<br /> Warranty es� Comm. Maintenance Highest Electric Bill:$ Month
<br /> Service Return Duct Cleaning Estimated Utility Overpayment: $ /5 Years __`';k``r= s_=f E�?�=�'_:'
<br /> Enroll in our Preferred Partner Program and save on this
<br /> '' "° __ " ! oram includes 20%Discount on
<br /> 1'` + ' ' '� /), - -, J � �� HVAC P,epairs. Pa;�s 8 Labor)
<br /> �' �:�,.'�=a°'�.:'8'4.., .�-"��_� �=�°�.al_j.�tas__� �` � ..�t�'-..,_- ���:� 's'i:' L_a� L M1
<br /> b_i . �� -1 _ � -- - . '"� ;-,," �° Subtatal $
<br /> ��� :'�,1.•1 l,,....?_��� �.�.`�'_-�`j 1`°;��?'��'�. ia,,;�.�%�,.{a,��„_ "`�"_ ��� .:�--''�_��.R'? I
<br /> �---`—I,t_.{.� ��;c-�.r1 '.°'�'S ��;°,�:\i�� ��`' �; � `.,qb'��+=./�.—��✓'''C�Li.�;���.� '-�,'� �. -i .yi.l''� :.-; I I OTa� �-
<br /> �� ��-��-.�- �l Accept Offer � Decline Offer
<br /> L—J �nrtials Inihals
<br /> 1 � A '" �� 6 �-------- ---=�__-------- -- ' �',``1��1 r-� FOF2Mf OF 6'Al'MEPBT
<br /> I ��1. �',;4 ��1�;�.1."�:� �� �� ;1��..���1 � ---- ------_- . - �j .� � � �'-' ash * _ heck
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<br /> ' �.d��`'.d� � 0 Sy'iF .� r C. C. tr
<br /> Credit C2rd _VISA _MC _AmEx
<br /> N3�it2 On CB�d
<br /> ���'�� �--�'�' c� = �� ``�Q� ,��
<br /> I he�e7y zuthonze fhe above work ro bs dor,e as sc ordered and oufGr,2d Card No
<br /> above !t is aoreed that tne se11=i will relair (itle [o an}�equrpment or `'�,�fh•� //
<br /> .-�""`""'-�,, ma(ena!unhl Imal and complet�paym=nf is m,ade Il the setflement is not Tota!Amount �rae � ����aaJ•� p
<br /> mads as apreed ;he sellerhas the nght ro remove eouipment and materral �� v uth Code EX IfBllOf1 �
<br /> �.�'�` �.e;.:e i S�CdC:3
<br /> r � � � 2nd!h,=se1ler�n;l De�eld harmless tor any daragee resulbno 'rom the ��
<br /> j I rer��•-,c eourpm<n; j �, �e���". ,'.�j•�- 9�, �� Pa`rts znd Labor VJarranty�
<br /> � � f � A �� i i� � 2;t q�i, � y � ' AI:part�as recorded are wzrranted as per manutadurerspeofications VJe do
<br /> �,s% � �/ �,/J � � � ti � 1 { �p,/ i���9,� r� not guarantee other parts than those we supply L' repairs later become
<br /> � °-��-�_° /`-"9-°�" ,�����' f � �� � Signature��Y�� ��- 'W��•^ � necessary tlue to other tlefec[rve parts,they will be chsrged separately
<br /> � '^- — I We gzrantee Ina;ali repairs are done noht If a re�air tzils dunn?the se2son
<br /> i i�chn�c�ar,'s Srgr,ature I -- Authorized by 1 hem�y ackwrvledge tfle sanslaGTOry cnmplciior,o1;PC a0ove CescnDetl wo A �
<br /> we will repzu it again absolutely free
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