Sheryll Chua

HVAC Service Order Invoice Your Logo Here NAME CASH CHECK STREET CREDIT CARD MC PHONE (Mobile/Home) STATE ZIP MODEL MODEL SERIAL # SERIAL # Visa Amex REFRIGERANT EXP. DATE FAN & MOTOR ENVIRONMENTAL COMPLIANCE CONDENSING UNIT UNIT INFORMATION MAKE CONDENSER COIL CREDIT CARD NUMBER PHONE (Work) MAKE COMPRESSOR PAYMENT METHOD CONTACT INFORMATION CITY CHECK LIST QTY DESCRIPTION PUMPS EVAPORATOR COIL DESCRIPTION OF WORK TOTAL $ QTY MATERIALS & SERVICES UNIT $ AMOUNT CONDENSATE AREAS AIR FILTERS HEATING ASSEMBLY RECOMMENDATIONS TOTAL $ LABOR DESCRIPTION RATE ELECTRICAL COMPONENTS AMOUNT THERMOSTAT TERMS TOTAL $ I have authority to order the work above which has been satisfactorily completed. I agree that Seller retains title to equipment/materials until final payment is made. If payment is not made as agreed seller can remove equipment/ materials at Seller’s expense. Any damage resulting from said removal shall be the responsibility of the Seller. CUSTOMER SIGNATURE DATE LIMITED WARRANTY: All materials, parts, and equipment are warranted by the manufacturers’ or suppliers’ written warranty only. All labor performed by the above named company is warranted for 30 days or as otherwise indicated in writing. The above named company makes no other warranties, express or implied, and its agents or technicains are not authorized to make any such warranties on behalf of above named company. REGULAR WARRANTY SERVICE CONTRACT THANK YOU FOR YOUR BUSINESS