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011�V1ItT'Pi Ile ECOWATER SYSTEMS <br /> RC.Rem 290,Fr.hlont,t.E 690204280 <br /> 420 N.H 321 E.Norfolk Ave. 4630 19th St 1216E.461 10333 S.1020 92 <br /> fr�mam Notral( cokm6ue ($r9nC I>d8nd Omah6 KOar <br /> ♦02.721.3724 402.9'/1.1860 402.6844661 302.364.680 X 3714 300423hv.. <br /> 1488-ECO-WATER 0-888420-0263) Good: <br /> www.ecowatern braska.com Acct.# <br /> k, -IT r'r-.r .! 1'Qr� <br /> Marne f(t„ .i M- r". :i .i atom./ Main Ph.#30,1-VS' i 4 Date 1 7^/ 7 <br /> Service Address !2/ .Si. ttJic/ - _ City (fZ4iPA& state 440 Zip by 0 <br /> Billing Address j i •/, ®, f City State Zip <br /> Salesperson R (r K 1641 svgniemr# <br /> Email ... a tf 0# 3G j 385 • <br /> Directions <br /> • <br /> • WATER ANALYSIS • • RECOMMENDATIONS OR ORDER • <br /> Hardness(lime) g•P•S• • Qty. Description Equipment Mode{ �Price <br /> • Iron(rust) P•P•m• / Rldl GQ9Y.J � �*/•Qr <br /> (acid) O - . `o <br /> T.D.S.(total dissolved solids) p.p.m. <br /> Nitrates p.p.m. - <br /> • PLUMBING AND ELECTRICAL • <br /> Preplumbing: Yes No <br /> • <br /> Pipe; Copper CPVC Galvanized Per WORK SPACE • <br /> Size: 1 ', 'A 7 's /"' <br /> Drain: Floor Standpipe c.� <br /> Electrical Location: • <br /> Q <br /> Bypass: Q <br /> Softener Location:-- g 7 �•C � <br /> RO Location:eat `ig d- ad Maker: ❑Yes ❑No <br /> 1 aucet: Color _ Location <br /> Date of Install Re:quested:Qtl�y 4I <br /> 1 <br /> • METHOD OF PAYMENT • <br /> Cash: $_ <br /> Check#: $ .�••�- <br /> Credit Card#: HOW DID YOU HEAR ABOUT ECOWATER? <br /> Financing: 0 <br /> w u <br /> Warranties are included as provided on the EcoWater warranty Acceptance Date,---2=Z-7--- <br /> brochure. Any other warranties, products or services other than customcr X <br /> normal installation must be recorded on the original signed <br /> agreement. X_ Initial • Salesperson <br /> E I TB lydr1 <br />