****FILL OUT ALL BOLD PRINT BOXES!****
****PLEASE LEAVE ALL BOXES IN ITALICS ALONE!****

HI-TECH UNLIMITED

Service Invoice
Name: Date:
Street/Apt#: Phone#:
City/State/Zip: MAKE:
Nature of Serv. Req.: MODEL:

SERIAL#:
THE DEPOSITED PROPERTY IS NOT INSURED OR PROTECTED TO THE AMOUNT OF THE ACTUAL CASH VALUE AGAINST LOSS OCCASIONED BY THEFT, FIRE, OR VANDALISM. AUTHORIZATION OF SERVICE RELEASES HI-TECH UNLIMITED FROM ALL CLAIMS OR LIABILITY WITH NO EXCEPTIONS.
QUAN. PART NUMBER PART DESCRIPTION PRICE AMOUNT



































--SERVICE PREFORMED--
Total Parts:

TAX:
Tech. Charges:
Service Call Charge:
Removal & Inst.:
TOTAL:
Estimate Customer's OK Revised Estimate Time & Date Called By Whom Approved By
$




1.5% PER MONTH FINANCE CHARGE ON ALL PAST DUE INVOICES. TERMS C.O.D.

AUTHORIZED SIGNATURE

X_________________________________
CHARGES IF NOT REPAIRED, If equipment is returned at customers request before authorized service is preformed, a diagnosis and handling charge of....

$49.95

will be made
ESTIMATED CHARGES INCLUDE SHOP LABOR AND PARTS.
IF UPON CLOSER SHOP ANALYSIS ADDITIONAL REPAIRS ARE NEEDED YOU WILL BE CONTACTED FOR AUTHORIZATION TO COVER ADDITIONAL CHARGES.
ACKNOWLEDGEMENT: I HEREBY AUTHORIZE REPAIRING, SERVICING, INSTALLING, OR MAINTAINING THE HEREIN STATED EQUIPMENT AND GUARANTEE THAT IT IS USED IN COMMERCIAL, NON RESIDENTIAL, INDUSTRIAL, OR GOVERNMENTAL ESTABLISHMENTS ONLY AND NOT FOR PERSONAL, FAMILY, OR HOUSEHOLD USE. I HAVE READ AND UNDERSTAND THE ABOVE ESTIMATE AND TERMS AND AUTHORIZE THE REMOVAL OF THE ABOVE DESCRIBED EQUIPMENT FOR PURPOSES STATED. I ALSO UNDERSTAND WHEN AUTHORIZED REPAIRS ALONG WITH NECESSARY MATERIALS ARE COMPLETED, AN EXPRESS REPAIRMAN'S LIEN IS HEREBY ACKNOWLEDGED ON ABOVE SET TO SECURE THE AMOUNT OF REPAIR THERETO AND I AGREE TO PAY ALL ATTORNEY AND COLLECTION FEES INCURRED BY HI-TECH UNLIMITED.
YOUR UNIT WILL BE SOLD IN 90 DAYS IF NOT PICKED UP.
GUARANTEE: WE ARE PLEASED TO GUARANTEE ALL MATERIALS LISTED ABOVE FOR 90 DAYS UNLESS OTHERWISE SPECIFIED. CUSTOMER WILL BE CHARGED ONLY FOR LABOR REQUIRED.

Thank You

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