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****FILL OUT ALL BOLD PRINT BOXES!****
****PLEASE LEAVE ALL BOXES IN ITALICS ALONE!****
HI-TECH UNLIMITEDService Invoice
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Date: |
| Street/Apt#: |
Phone#: |
| City/State/Zip: |
MAKE: |
| Nature of Serv. Req.: |
MODEL: |
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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 |
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| --SERVICE PREFORMED-- |
Total Parts:
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TAX: |
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Tech. Charges: |
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Service Call Charge: |
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Removal & Inst.: |
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TOTAL: |
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| Estimate |
Customer's OK |
Revised Estimate |
Time & Date Called |
By Whom |
Approved By |
| $ |
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| 1.5% PER MONTH FINANCE CHARGE ON ALL PAST DUE INVOICES. |
TERMS C.O.D. |
AUTHORIZED SIGNATUREX_________________________________ |
CHARGES IF NOT REPAIRED,
If equipment is returned at customers request before authorized
service is preformed, a diagnosis and handling charge of....
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$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.
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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.
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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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