HomeMy WebLinkAboutDBV 2020 01Jan 30 FireMaster Service Request Fire Extinguisher at B-4.pdfSERVICE ORDER REQUEST
Customer • New Bill To (If Applicable)
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y MASTER PROTECTION, LP
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CONTACT PHONE 800-522-7150 CONTACT PHONE
Payments should ONLY be remitted to: FireMaster Department 1019, P.O. Box 121019, Dallas, TX 75312-1019
SRO #
Customer PO #
Refile Date
P B O
GOV AGENCY
Tech ID_
6711 ������
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Billing Instructions or Re -File Notes
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QTY
Ext Tye
MINT
6Y
RCH
HY
HYR
2.5
5
6
9
.10
13`_
15
17
20
30
150
> Price
Extension
Clean Agent
Clean Agent
CO2
CO2
Dry Chem
i
Dry Chem
Dry Chem
DC Cart
K Class
Water Pressure
Total Ext Count
OTY
Additional Services
Part #
Price
Extension
OTY
Material
Part#
Price
Extension
Conductivity Test
EX01006
Band Assembly
EX10001
n
Emerg Light Insp
EE01003
;� '
Chem ABC\BC
EX12000
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Exit Light Insp BB
EE01000
Chem CO2
EX12001
Ext Annual Svc
EX01001
Chem Clean Agt
EX12002
Fire Train Class
SF02000
Ext 51b New
EX11003
Fire Train-Bulx Prop
SF02001
Ext 101b New
EX11009
Fire Hose Inspection
EX05001
Gauge
EX10003
Hazmat Fee
EX00005
Hanger
EX13005
Ext Installation
EX06001
Horn\Hose Asbl
EX10004
Labor Hourly
EX00000
Misc Material
EX10000
Minimum Svc
EX00002
O Ring
EX10007
Monthly Walk Thru
EX01009
Pull Pin
EX10008
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Trip Charge
EX00010
`
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Tamper Device
EX10010
Valve Stem
EX10011
t
Verification Col
EX10012
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S r'
I
f `ter
Service Rep Name and Number Date
LICEN�NMB_ER
Authorized Agent / Buyer (Please Print and
Date
Subtotal Labor
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Subtotal Material
29
Tax
%
Final Amount Due,%-—
CALIFORNIA ONLY
I ACKNOWLEDGE THAT ALL REPLACED PARTS HAVE BEEN OFFERED FOR RETURN AT THE TIME OF EXTINGUISHER SERVICE (INITIAL)
I APPROVE THE SERVICING OF SOME OR ALL PORTABLE FIRE EXTINGUISHERS REFERENCED ON THIS WORK ORDER MORE THAN 30 DAYS PRIOR TO THE DATE
SERVICE IS DUE (INITIAL)
CUSTOMER SITE COPY
P1692* (02/19