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A06ress_or(al5 L! LD5�►L L SSSI Ref. #: / ^ /2Ct <br /> City:{ 64.9 1 S 3 o Assigned To: > <br /> Cate o Component: l Failure: r-- a <br /> Item #: Note: 'L- Action: <br /> Part #: Parts Description: Qty: Warrant /DOA Price: Amount <br /> Notes: v L �—r. �^ ) ,max.' o .=e <r t s <br /> tti r s,If r-e L/r' ul z . r� T <br /> L <br /> Labor Travel Total T.'OT <br /> Hours: Hours: Hours Labor Rale Amount <br /> AM <br /> Date: Tech: 03 Start:3:3 Stopy47 M ,SD J,2,< <br /> J <br /> AM AM <br /> Date: Tech: Start: PM Stop: PM <br /> Category: Component: I Failure: <br /> Item#: Note: I Action: <br /> Part#: Parts Description. Qty: Warranty/DOA Price: Amount <br /> Notes: <br /> Labor Travel Total T/OT <br /> H H rs Hours: labor Rata Amount <br /> AM AM <br /> Date: Tech: Start: PM Stop: PM <br /> AM AM <br /> Date: Tech: Start: PM Stop: PM <br /> Sometimes one sarvice call dcos not esofvo all spec9ic problems due to defame equipment or intermittent Subtotal Malona:s 5 <br /> prob:ems not present or which cannot be duplicated when our Service Tochnitoar.is at your premises.Some <br /> egmpment requires removal on one trip,in-house repair,and another trip for reirutskatan.Charges will be made <br /> M!leago flad�up S <br /> for each service call at rates in effect at time cif service.We,thol cannct warrant solutions to au problems S <br /> on one sorvice call.Til'Arrived-ar'd time'Deparled"recorded by our Service Technician will be the guideline Subtotal Labor <br /> used in recordation of repair time and charges. S Sales Tax 5 <br /> II is the customer's responsibility to audit and verily times recorded on the invoice by our Service Techrucian while Total Lato,!Travel $ Total Materials 5 <br /> heisoe is on your premises.We cannot and will not after any time charges billed after our Service Technician has <br /> -lett your premises 1 <br /> I understand&accept all terms&conditions as outlined on work er. <br /> (VJ <br /> X <br /> PLEASE PAY BY INVOICE-TERMS NET 1D"DAYS Total Invoice <br /> Visit us at www.servicestationsystems.com <br /> L x lflikJ L.¢ l <br /> APR 15 2016 APR 15 <br />