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![Service Order
Date Ordered: __________
Service: [ ] Service [ ] Install [ ] Repair [ ] Home [ ] Shop
Pickup: [ ] Pickup [ ] Delivery
Warranty: [ ] Warranty [ ] Contract
Name: ______________________
Address: ______________________
City, State, Zip: _______________
Date Received: __________
Service Requested: ______________________
Part # Description Price Amount
Service Performed
Time Material
Time Limit: __________
Material: __________
Labor & Service: __________
Tax: __________
Hours: __________
Total: __________
Cash on Completion of Work
I hereby accept above performance and charges, as being satisfactory and acknowledge that equipment has been left in good condition.
Customer's Signature: ______________________ Date: __________
Technician's Signature: ______________________
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