Service Ticket No. : ST01098524
AGREEMENT

Vendor shall not be responsible for the improper operation of any inspected equipment that, after the technician has left the premises, has been discharged, vandalized, tampered with, or damaged. User acknowledges receipt of copy.

This report was reviewed with:
Print Name : Skip
Signature :
Signature of Skip
Skip
ST01098524 - By signing above, I agree to the terms & conditions & acknowledge that work has been completed per this order, on this date & time
Date : 7/30/2026
Koorsen Fire & Security.
Technician : Todd Carlson
Signature :
Signature of Todd Carlson
Date : 7/30/2026