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Invoice

QUANTITY DESCRIPTION UNIT PRICE LINE TOTAL


Repair Flashing on Storm Collar 275.00










2 year workmanship warranty area repaired
Due and payable upon receipt
3% service charge for credit card payments

Sub Total
275.00
Customers Signature___________________________ Date__________
Tax
22.00

GRAND TOTAL
297.00

Date: September 29, 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 480.840.1588 Fax 480 656 2534

BILL TO JOB DESCRIPTION
Company: Youngker Realty
Name: Don Youngker
Address: P.O. Box 12081
City/State/Zip: Glendale, AZ 85318
Phone 602 791 8942
Email Address don@yrpmaz.com
1919 W Northview Phoenix, AZ

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