Invoice

QUANTITY DESCRIPTION UNIT PRICE LINE TOTAL

Service Call 75.00











Due and payable upon receipt
3% service charge for credit card payments

SUBTOTAL
75.00
Customers Signature___________________________ Date__________
SALES TAX


GRAND TOTAL
75.00

Date: August 27, 2014

Please make all checks payable to: HR Foam and Insulation LLC

THANK YOU FOR YOUR BUSINESS!
By signing this Agreement, it is understood and agreed that HR Foam and Insulation LLC and or HR Foam and Insulation LLC 's insurer will be held harmless for alleged
or actual damages/claim as a result of mold, algae or fungus. It is understood that HR Foam and Insulation LLC and its insurers will exclude all coverage ,including
defense, damaged related to bodily injury ,property damage and clean-up caused directly or indirectly or in while or in part of action brought on by mold ,including fungus
and mildew regardless of the cost, event, material, product or workmanship that may have contributed concurrently or in any sequence to the injury or damage that
occurs.

IN THE WITNESS WHERE OR Buyer(s) acknowledge receipt of this agreement on the day and year written above. We have and understand and accept the terms in
this Agreement.
H R Roofing Solutions
A Division of H R Foam and Insulation LLC
1910 S Stapley #221 Mesa, AZ 85204
AZ ROC K-42 285490
Phone 480 516.5761
Phone 602 501 5049 Fax 480 656 2534

BILL TO JOB DESCRIPTION
Company: Mission Village Townhomes
Name: Jack Mercer
Address: PO Box 71956
City/State/Zip: Phoenix AZ
Phone 602-867-3500
Email Address
Service Call Unit 4