HomeMy WebLinkAboutFAI15-0023 2019 Alarm and Extinguisher Service INVOICE ,Y i 9 i:
SQUYRES Fire Protection PO Box 3176 • Chico,California 95927
Lic.No. 275206 Phone(530)345-1012 • Fax(530)345-1630
BILL TO: WORK DONE AT:
❑ ANNUAL 0 NEW CUSTOMER ORDER NUMBER BUYER'S NAME BUYER'S PHONE TERMS MONTH DAY YEAR
❑ SEMIANNUAL 0 EMERGENCY NET 10 DAYS
❑ QUARTERLY 0 OTHER
UNIT EXTENDED EXTENDED
DESCRIPTION QUANTITY PRICE NON-TAXABLE TAXABLE
SUBTOTAL
REMARKS: 0 LEFT PINK COPY 0 MAIL PINK COPY TAX %
TOTAL
The Purchaser agrees:(1)That the title to each and every item of merchandise of this purchase shall remain in Squyres F.P. until full payment shown herein
above, including drayage and carriage (freight)and insurance has been made; (2)that if payment is not made as herein above stated full payment shall
become immediately due; (3)that if full payment be then not made on demand, Squyres F.P. may retake possession of each item of merchandise of this
purchase and the purchaser shall forfeit all rights thereto and interest therein; (4)that all money's therefor paid by the purchaser shall be retained by
Squyres as rental for use of said merchandise,and as liquidated damages;(5)that any collection fees necessary to enforce payment hereon shall be borne
by the purchaser;(6)that balances over 30 days old are subject to service charges of 1.5%per month(18%per annum);and(7)that purchaser acknowledges
receipt of copy and understands all of this agreement,including the fact that we exercise extreme caution,use only approved materials in servicing equipment
but assume no liability for malfunction.
SERVICEMAN DATE BY BUYER OR AUTHORIZED AGENT
RECEIVED IN GOOD ORDER AND ACCEPTED
LABOR HOURS X
PLEASE PAY FROM THIS INVOICE
ORIGINAL INVOICE
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INVOICE
SQUYRES
Fire Protection
''�1 Lie. No. 275206 PO Box 3176 • Chico, California 95927 Phone (530) 345-1012 • Fax (530) 345-1630
WORK DONE AT:
BILL TO:
9 ANNUAL ❑ NEW CUSTOMER ORDER NUMBER BUYER'S NAME
BUYER'S PHONE / TERMS MONTH DAY YEAR
❑ SEMIANNUAL 0 EMERGENCY NET 10 DAYS
❑ QUARTERLY 0 OTHER
UNIT EXTENDED EXTENDED
DESCRIPTION QUANTITY PRICE NON-TAXABLE TAXABLE
S
J r `
nq
SUBTOTAL f'
REMARKS: ❑ LEFT PINK COPY ❑ MAIL
PINK COPY TAX
TOTAL
t -..
The Purchaser agrees: (1)That the title to each and every item of merchandise of this purchase shall remain in Squyres F.P. until full payment shown herein
above, including drayage and carriage (freight) and insurance has been made; (2) that if payment is not made as herein above stated full payment shall
become immediately due; (3) that if full payment be then not made on demand, Squyres F.P. may retake possession of each item of merchandise of this
purchase and the purchaser shall forfeit all rights thereto and interest therein; (4) that all money's therefor paid by the purchaser shall be retained by
Squyres as rental for use of said merchandise, and as liquidated damages; (5) that any collection fees necessary to enforce payment hereon shall be borne
by the purchaser; (6)that balances over 30 days old are subject to service charges of 1.5% per month (18% per annum); and (7) that purchaser acknowledges
receipt of copy and understands all of this agreement, including the fact that we exercise extreme caution, use only approved materials in servicing equipment
but assume no liability for malfunction.
SERVICEMAN DATE BY BUYER OR AUTHORIZED AGENT
RECEIVED IN GOOD ORDER AND ACCEPTED
LABOR HOURS X
PLEASE PAY FROM THIS INVOICE
ORIGINAL INVOICE
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INVOICE 8253
SQUYRES Fire Protection PO Box 3176 • Chico, California 95927
Lic. No. 275206 Phone (530) 345-1012 • Fax (530) 345-1630
BILL TO: .,�" err WORK DONE AT:
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ErANNUAL 0 NEW CUSTOMER ORDER NUMBER BUYER'S NAME BUYER'S PHONE TERMS MONTH DAY YEAR
❑ SEMIANNUAL 0 EMERGENCY r i
1:31,r
QUARTERLY 0 OTHER 'r' .0 .%.-- — -7, -- - NET 10 DAYS f;
DESCRIPTION QUANTITY UNIT EXTENDED EXTENDED
PRICE NON-TAXABLE TAXABLE
111-411/4/404.4,, Aierz /41' „ci-44,
./ .../.. .. ..) ,./...Q.---4)0 ,
/1.-/ 1 id-ie
ri et... , 44 P_17:....- -) Cr,
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SUBTOTAL 40 //, ,,
REMARKS:` EFT PINK COPY D MAIL PINK COPY TAXZ °
4----TOTAL7,101/
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The Purchaser agrees: (1) That the title to each and every item of merchandise of this purchase shall remain in W.F. Squyres until full payment shown herein
above, including drayage and carriage (freight) and insurance has been made; (2) that if payment iS-not made as herein above stated full payment shall
become immediately due; (3) that if full payment be then not made on demand, W.F. Squyres may retake possession of each iterf of merchandise of this
purchase and the purchaser shall forfeit all rights thereto and interest therein; (4) that all money's therefor paid by the purchaser shall be retained by W.F.
Squyres as rental for use of said merchandise, and as liquidated damages; (5) that any collection fees necessary to enforce payment hereon shall be borne
by the purchaser; (6)that balances over 30 days old are subject to service charges of 1.5% per month (18% per annum); and (7)that purchaser acknowledges
receipt of copy and understands all of this agreement, including the fact that we exercise extreme caution, use only approved materials in servicing equipment
but assume no liability for malfunction.
SERVICEMAN - DATE ' BY BUYER OR AUTHORIZED AGENT
1- --� " �- RECEIVED IN GOOD ORDERAND ACCE TED
LABOR H S IX / / -
PLEAaaa.'''
SE-PAY FROM THIS INVOICE
ORIGINAL INVOICE
HIM gMMI:MIME 01104IEIs
Inti@PIEVEIMIN& D OMMTNIE laXPOR4
William F. Squyres, Jr. P.O. Box 3176
Fire Protection Chico, CA, 95927
Lic. No. 275206 0301345-1012
`r, -j ;r � PHONECUSTOMER NAME .37f3- '. ,." --.•
ADDRESS .4.,--716/P9 ?;.14'..,/ 1,94/'
i , , CONTACT .
NEW ANNUAL SERVICE V SEMI-ANNUAL SERVICE DISCHARGE HYDRO DATE Z
SYSTEM MODEL CARTRIDGE HYDRO Z K-GUARD HYDRO =`d.�'•^
0"-,
YES, NO N/A YES,,. • NO N/A
1. System charged r 7. Pull station operable -_"
2. Nozzles in place /1„„..- 8. Blow off caps in place _
3. Fusible links replaced ' 9. Cartridge replaced _
4. Fusible links date and temp. %' `
4' .",7 qty 10. Cartridge weight G
5. Energy shut-off device operable i 11. Grease accumulation Heavy Medium Light
6. Energy shut-off device location 4,r"' "IX- a) On appliances _
Exceptions b) In ventilation
DIAGRAM OF NOZZLE AND APPLIANCE PLACEMENT
1. Number of nozzles Duct Plenum Surface
2. Part number(s) Duct Plenum Surface
1 — .-- -----, -------____J
t`i INI i
1 . ....._...�
4.
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The fire suppression system(s)are installed in accordance with manufacturer's instructions, NFPA standards 96
and 17
(CURRENT ISSUE),chapter 20 UMC,article 10 UFC,and all applicable state and local codes.Note below and exceptions
above
REMARKS 1-7-f" "/( '' ,o'}
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Signature ....--.-.-.--.-....__
•
Signature -
Service Technician
`� J Customer
Signature
Fire Inspector
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