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PLEASE DO NOT BOOK CALLS WITH SERVICE TECH. <br />ALL CALLS TO GO DIRECTLY TO SERVICE DEPARTMENT 1-800-373-2546 <br />A Local Co by with A Plumbing, <br />B EA C O N PLUMBING Electrical and Heating <br />Staff You Can Trust and Rely On" <br />HEATING, ELECTRICAL, SEPTIC & MECHANICAL, INC. <br />customersupport@beaconplumbing. net <br />Contractor #BEA COPM956KS R611.0 109No cfreof ue f IRA non94 1.800.FREAKIN (I_800-373-951tR1 <br />JOB NO. , <br />ORDER/D�ATTE/94 <br />• <br />CUSTOMER(/PHONENO. <br />C206 <br />36 ° 2 3 <br />CUSTOMER EMAIL <br />"See reverse side for Terms and conditions" <br />SERVICE TECH <br />4 <br />DIAGNOSIS/SOLUTION <br />P. O. Numbers <br />INITIALS <br />I <br />ACCEPT <br />DECLINE <br />v ' <br />�( �• %� G i tie t ✓ ot.r t c P . LA_ 'r r y <br />} :vo—, <br />c�r.0 P­Tv-' <br />BEACON <br />RATE <br />TRIP <br />CHARGE <br />PAID BY: ❑ CHECK ❑ CASH <br />❑ BIZEX/ITEX/SATBART ❑ C.C. <br />INITIAL <br />Technicians Punch List: Did we .... <br />Call beforehand p <br />Give the price up front before completing any work <br />Invite you to share your experience for an added discount <br />Provide you with a copy of the invoice <br />Complete the job to your satisfaction <br />SUB <br />TOTAL <br />�JQ 77 <br />�"�j7E /< < <br />CHECK # <br />TAX RATE i <br />C.0 # <br />TAX <br />Y <br />EXP. UTH. # <br />❑ 30 DAY <br />BILLING <br />❑ 10 DAY AUTH. <br />BILLING BY <br />I Hereby decline to have the above work be performed at the stated flat rate price. <br />Signature: <br />TOTAL <br />�{%� 7 (ter _ , <br />v <br />THANK YOU <br />BEACON PLUMBING,, HEATING, <br />ELECTRICAL & MECHANICAL, INC. <br />AUTORIZATION TO PROCEED WITH THE ABOVE DIAGNOSIS/SOLUTION. I warrant and represent that I am the <br />owner/authorized renre SentAtiVe of tha nwnor/tenant of fhn nremiece of which {he ....�.L rof...........A .. I.,..,..:.. r.. I ,J,..... <br />Ain TCC / =0AAC'- <br />, __. ...__....- .......... ... ....N�.,,���.,.,.,,.. ..���.a�.��., ...a ��� o�orenceu a ovals w uc uune. <br />By signing below, I authorize and direct Beacon Plumbing to perform the Diagnosis/solution using such materials and <br />labor as Beacon Plumbing deems necessary and prudent. I agree to pay in full the amount specified for services <br />rendered or will be subject to additional collection costs (see reverse). I HAVE READ THIS AGREEMENT, <br />INCLUDING THE TERMS ON THE REVERSE SIDE AND HAVE BEEN PROVIDED WITH A DUPLICATE. I <br />AUTHORIZE BEACON PLUMBING TO PROCEED WITH THE ABOVE DIAGNOSIS/SOLUTION AT FLAT RATE OF <br />$ plus any ap licable saLw tax an service charge. ALL SALES ARE FINAL. <br />Authorized Signature-Al- <br />k, <br />Pleas 'Prihf Name <br />I CERTIFY THAT THE WATER PRESSURE MEASURED TO BE PSI. <br />If pressure exceeds 80PS1 all work performed will not be warrantied. This only applies to work done on potable water systems. <br />IMPORTANT - the terms and conditions on the reverse side of this form are part o <br />Payment in full upon completion unless otherwise noted below. <br />12R of- 5- <br />ACCEPTANCE OF WORK PERFORMED: I find the service and materials <br />rendered and installed in connection with the above work mentioned to <br />have been completed in a satisfactory manner. I agree that the amount set <br />forth in this contract in the space labeled "TOTAL" to be the total and <br />complete flat rate/minimum charge. I a knowle S ve read and <br />received a legible copy of th' c f L SALES AR AL. <br />Acceptance Si ature <br />this agreement. PLEASE READ THEM CAREFULLY. <br />