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o02, <br />PROPANE ESTIMATE WORKSHEET <br />Today's Date Who Took Order fyv (Lea-, <br />Mm <br />Estimate Date: I <br />Estimate Time <br />Arrival time ' - fb Departure <br />Customer Name <br />Address d <br />Zone Tax Code <br />M� Install Date <br />)M Anytime Install Time AM/PM / Anytime <br />Arrival time Departure time <br />Mailing Address <br />Home # A 25 IL3�4 110Z- Cell # <br />Email Address <br />N <br />E• -• •. <br />Work # <br />Email Statement Y/N <br />Driver Directions <br />How did you hear about A.D. - J104 <br />Switch out: Y / N Who? Tank(s) % <br />Delivery Requested: Auto / Will Call Propane Price Quoted $ <br />Install Price$ I, bq New Construction: Yes / No <br />Lease Price $ W5/qf-96 I yr free lease Yes j No / Deferred <br />Appliance: FRN em (CS GD/ HWT/SP/ BBQ/GEN /SHOP HTR/ HT PUMP/ HT/ <br />b1ba'u- fT"4 wakr- <br />Tank(s) 20 / 120H / 250 / 500 / 1000 Color / Tan /Green/Any <br />Blocks Slab/2/4/6 U/G Line Yes./mac) Total Ft. <br />Manpower CV3 2 / 3 4x4 045and 'Truck -/b�ag / Roll <br />Tank(s) S/N <br />WESROC # Longitude <br />Set with Gals. <br />C-Iti Estimator / Installer Notes L+ <br />