PL-11-19-2816 DropBest Gas Contractors
Propane and Natural Gas Installation and Services
3200 West 14 AVE.
Hialeah, Florida 33012
bestgascontracto@aol.com
Ph 786.200. 3001
Name
Service Address:
Day Phone ( )
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Billing Address:
Terms: ❑ COD ❑ CHARGE
Meter#:
INVOICE/ WORK ORDER
Prepared by:
Approval:
Account #
City • ' ""�' _`': ' 6-�4 'State
Work Phone Pager
Current Reading
City
State
Date:;9
Date Promised'.Ann/PM
Zip
Other Phone
Zip
Index:
Previous Reading / Date
IN UCTIONS:
Installation Type:
New Installation
❑ Temporary Off
❑ Final ❑ Appliance
❑ COMMERCIAL [RESIDENTIAL
0 Turn On
❑ Restore
❑ PUE (Pick Up) Service
MERCHANDISE / APPLIANCE INFORMATION:
Qtv 1 Make/Description Model # Serial #
WORK PERFORMED: ''-,�
CITY PART NO./DESCRIPTION PRICE
❑ REWRITTEN Date Work Order
CUSTOMER: I HAVE WITNESSED THE NOMETEf TEST OPERATING` WC,
LOCKUP WC, TEST AT �' WC TESTED /0 MINUTES,
I HAVE ALSO BEEN INSTRUCTED ON THE SAFE USE OF APPLIANCES AND RELATED GAS
EQUIPMENT PLUS I HAVE SNIFFED THE GAS ODOR AND CAN READILY DISTINGUISH ITS
ODOR. I HEREBY ACCEPT ABOVE PERFORMED SERVICE AND CHARGES AS BEING SATISF-
ACTORY AND ACKNOWLEDGE.THAT EQUIPMENT HAS BEEN LEFT IN GOOD CONDITION-
CUSTOMER
SIGNATURE. DATE:
SERVICEMAN.- f• ' DATE:
TIME IN: TIME OUT:
EQUIPMENT SET
TRIP CHARGE
GAS
CODE PERMIT
SECURITY DEPOSIT
—HOURS LABOR
PARTS/MATERIALS
MERCHANDISE
SPECIAL DELIVERY
LEASE FEES
WRITE-OFF REINSTATMENT
;I SUBTOTAL
SALES TAX
TOTAL AMOUNT
. b 0
OFFICE USE ONLY Amount Collected: Check Number: Amount $:
Cash Amount $
Money accepted by: Service: Office: