280 Connecticut Ave (2^nd Flr) Norwalk, CT 06854 Ph: (203) 653-4643 Fax (203) 653-4698 www.TheComputerSupportPeople.com
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Street:									Ph:
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PROBLEM DESCRIPTION / WORK COMPLETED AND REMEDY									BILLABLE :       YES               NO
How did you hear about us? □I saw your Car □Sign on Window □Google □Yahoo □A Friend
REPLACEMENT PARTS USED / EQUIPMENT INSTALLED
QTY	DESCRIPTION									OTHER
DATE OF SERVICE		TIME ARRIVED			TIME DEPART		TRAVELING CHARGE		Current rate is $125/hr CT: 1hr min charge applies NY: 2 hr min charge plus traveling charge applies. The Client agrees to pay for all legal fees and other costs, including reasonable attorney's fees and court costs, relating to the non-payment of services or contract payments, disputes or any other business related matter between the Client and TCSP
1							YES             NO
2							YES             NO
3							YES             NO
4							YES             NO
CUSTOMER SIGNATURE			DATE		TECHNICIAN SIGNATURE