Custom Security Systems Service Ticket 001
///~S'~•n//`,e/x/'972 Service Ticket
Invoice No.:
Security Systems A Division of Alarm Center, Inc. Service No.:
Mailing Address: P.O. Box 3407, Lacey, WA 98509-3407 -
1-800-227-0945 Job No.:
Street Address: 4500 Third Ave. SE, Lacey, WA 98503
Name: / Phone Res.: Phone Bus.:
Address: City: ST: Zip:
Date Taken: Date of Service: - Technician(s) Assigned:
Date of Installation: Original Installer(s): Payment:
WORK REQUESTED:
PANEL VOLTAGE: REMARKS: ACCOUNT NO.: ( )
BATT VOLTAGE: - - -
AUX POWER DRAW: C.Arc ?4- 5,S r- k.q
73,
I authorize the above work to be done.
- X
Customer Signature Date
TE AL BA DE ON MO
TIME IN TIME OUT/'''-- -TOTAL HRS.
EQUIPMENT USED: SERIAL # PRICE - -
- - - MINIMUM SERVICE CHARGE $
ADDITIONAL LABOR $
TOTAL PARTS $ SUB TOTAL $
TAX $
- TOTAL $
CUSTOM'S LIABILITY I DISCLAIMER OF WARRANTIES: CUSTOM DOES NOT REPRESENT OR WARRANT: THAT THE SYSTEM MAY NOT BE COMPROMISED
OR CIRCUMVENTED: OR THAT THE SYSTEM OR SERVICES WILL PREVENT ANY LOSS BY BURGLARY, FIRE, HOLDUP, OR OTHERWISE; OR THAT THE SYSTEM OR
SERVICES WILL IN ALL CASES PROVIDE THE SECURITY FOR WHICH THEY ARE INTENDED. CUSTOMER ACKNOWLEDGES AND AGREES: THAT CUSTOM HAS MADE
NO REPRESENTATIONS OR WARRANTIES, EXPRESS OR IMPLIED, AS TO ANY MATTER WHATSOEVER, INCLUDING WITHOUT LIMITATION, THE CONDITION OF THE
EQUIPMENT, ITS MERCHANTABILITY OR ITS FITNESS FOR ANY PARTICULAR PURPOSE, NOR HAS SUBSCRIBER RELIED ON ANY REPRESENTATIONS OR
WARRANTIES, EXPRESS OR IMPLIED. CUSTOMER FURTHER ACKNOWLEDGES AND AGREES: THAT ANY AFFIRMATION OF FACT OR PROMISE SHALL NOT BE
DEEMED TO CREATE AN EXPRESS WARRANTY. AND THAT ZHERE ARE NANTIES HI H EXTEND BEYOND THE FACE OF THE AGREEMENT HEREOF.
CUSTOMER FURTHER ACKNOWLEDGES AND AGREES: THAT CUSTOM IS NOT AN INSURER; THAT CUSTOMER ASSUMES ALL RISK OF LOSS OR DAMAGE TO
CUSTOMER'S PREMISES OR TO THE CONTENTS THEREOF; AND THAT CUSTOMER HAS READ AND UNDERSTANDS ALL OF THIS AGREEMENT, PARTICULARLY
PARAGRAPHS 2 AND 3 WHICH SET FORTH CUSTOM'S MAXIMUM LIABILITY IN THE EVENT OF ANY LOSS OR DAMAGE TO CUSTOMER OR ANYONE ELSE.
RECEIPT OF COPY: CUSTOMER ACKNOWLEDGES RECEIPT OF A COPY OF THIS AGREEMENT.
Technician Signature: I certify that the above work has been NmOeted sa{isfactorily.
~ Customer Signature:
Date: - Print Nam#: - -
THE -
TERMS AND CONDITIONS SET FORTH ON THE REVERSE SIDE OF THIS SERVICE INVOICE ARE INCORPORATED HEREIN
AND BY REFERENCE MADE A PART HEREOF. o Alarm Center Inc. M MM) S 1 CSS ACI
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