[ YOUR LOGO ]
[ YOUR COMPANY NAME ]
[ Street Address ]
[ City, State ZIP ]
[ Phone ] · [ Email ]
License #: [ ___________ ]
[ City, State ZIP ]
[ Phone ] · [ Email ]
License #: [ ___________ ]
Bill to
Customer name
Street address
City, State ZIP
Phone / Email
Service address (if different)
Property name / contact
Street address
City, State ZIP
Site contact phone
Service details
Service date ____________________
Technician ____________________
Equipment make ____________________
Model ____________________
Serial # ____________________
Install year ____________________
Refrigerant type R-__________
Refrigerant added __________ lb / oz
Description of work performed
| Description | Qty / Hrs | Rate | Amount |
|---|---|---|---|
| Labor — diagnostic / service | __ | $ ____ | $ ____ |
| Parts — itemize below | __ | $ ____ | $ ____ |
| Part #: __________________ | __ | $ ____ | $ ____ |
| Part #: __________________ | __ | $ ____ | $ ____ |
| Refrigerant (R-____, ____ lb) | __ | $ ____ | $ ____ |
| Trip / dispatch fee | 1 | $ ____ | $ ____ |
| Subtotal | $ ____ | ||
| Sales tax (___ %) | $ ____ | ||
| Deposit / amount paid | ($ ____) | ||
| TOTAL DUE | $ ____ | ||
Payment terms
Net 30 days from invoice date. Make checks payable to [ YOUR COMPANY NAME ]. Late payments subject to 1.5% monthly service charge. Returned-check fee: $35. Accepted: check, ACH, Visa / Mastercard / Discover, AmEx.
Warranty
Labor warranted 90 days from completion. Parts per manufacturer warranty (typically 1–5 years). Warranty void if equipment is serviced by others, neglected, or damaged by power surge / lightning. Refrigerant recovery and recharge handled per EPA Section 608.
Customer signature / date
Technician signature / date