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- WORK ORDER / INVOICE
2005 E. Indian School o
Phoenix, AZ 85016
STORE NUMBER:
dRd.
'Cji`�"Fri'•{*
CUSTOMER NAME:`
CELL PHONE:
•-AM%PM
ADDRESS: WORK PHONE:
CITY STATE, ZIP:
1 i
HOME PHONE
TECHNICIANS NAME:
` I �, S �- EMAIL: s
TRANSACTION
ACCESS: ❑ YES. El No
••eMail address ls`requlred for Equipment Protection Plan &,Leslie's Rewards METHOD OF ' •
0- ® ON sTiMEr
IN
❑ ESTIMATE ONLY (GOOD FOR 30 DAYS) As a courtesy while we were here,
we performed a 6 point water. analysis "
HOW ► I WE DO?
The results indicate your pool water is:complete,,
9
❑ IN BALANCE
online
❑ OUT OF BALANCE - Please
take a sample of your water to your local - i I l a'
Leslle's, store fora -complete analysis and. '
prescription.' -
- i MATEFfi.ALS
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TOTAL
COMPLETION
DATE'
•
•_ - d .
BREAKDOWN
DATE:;
NASSAU CO,UNTY.H2806350' 'H280635Q1 H28663502. H28063503'. H28063504 SUFFOLK COUNTY 44003-H
TEcwlcuN:` a 'i t
WARRANTY LABOR 90 DAYS
AZ.RES ROC 122732 AZ C_ OMROC 256424 -CA 755161 CT-PLM.0284528-SP FL CPC057127.. NC 28806-SP-SP
RegulaW by Tire T s DepL Of tke.s g & Rej.Wfte P.O. BOX 12157,
NJ' 13VH04768200 ' -NV 35903 PA PA067663 TX TICL232
Austin TX7B711, 1 a00 Bg19202 572 d63{599.w.w.ficensasate.b uywmplan s
�' 3.—�.
ii•► Owner acknowledges receipt of a completed, legible copy,`of the Agieement including the TERMS. AND CONDITIONS on, reverse side hereof.' .cc��'`
LESLIE'S PROVIDES MECHANICAL INSPECTIONS .ONLY AND DOES NOT EVALUATE THE: POOLS ELECTRICAL SYSTEM .OR SAFETY+ '
*Items tested: total.& -free chlorine, pH, alkalinity, hardness and cyanuric acid. Free Wafer Testing: fora complete water test analysis and. care instructions, please take a 'water sainpje to -your nearest Leslie s,location:,'
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