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Southern Sky Technologies
Local 800-518-5409Fax 423-246-9981 www.southernskytech.com
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| Item | Description | Rate | Amount |
| 4 REC 2 DISH | $32.76 | $32.76 | |
| Special Instructions | Please collect $32.76 cash Shannon Wallace sale | ||
| Balance Total $32.76 Sales Tax: $0.00 Total: $32.76 Paid: $0.00 Balance Due: $32.76 | |||
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Customer Installation Approval I have authorized the completion of an installation and/or service at my home and have found the work to be done in a reasonable satisfaction. A $25.00 service charge may be applied for all return checks. Customers Initials:___________________ Customer Comments: |
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Signature________________________________________
Date_______ | ||
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Southern Sky Technologies
Local 800-518-5409Fax 423-246-9981 www.southernskytech.com
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| Item | Description | Rate | Amount |
| 4 REC 2 DISH | $32.76 | $32.76 | |
| Special Instructions | Please collect $32.76 cash Shannon Wallace sale | ||
| Balance Total $32.76 Sales Tax: $0.00 Total: $32.76 Paid: $0.00 Balance Due: $32.76 | |||
|
Customer Installation Approval I have authorized the completion of an installation and/or service at my home and have found the work to be done in a reasonable satisfaction. A $25.00 service charge may be applied for all return checks. Customers Initials:___________________ Customer Comments: |
||
| Access Card Numbers: | ||
| 1) | ||
| 2) | ||
| 3) | ||
| 4) | ||
| Receiver Numbers: | ||
| 1) | ||
| 2) | ||
| 3) | ||
| 4) | ||
| Serial Numbers: | ||
| 1) | ||
| 2) | ||
| 3) | ||
| 4) | ||
| Model Numbers: | ||
| 1) | ||
| 2) | ||
| 3) | ||
| 4) | ||
Signature________________________________________
Date_______ | ||