(a) Business name, address, and telephone number of service dealer.

(b) Service dealer's State registration number(s), and indicated as such.

(c) Date of invoice.

(d) If the set or appliance is removed from a home, home office or private motor vehicle, the address of the location where the set or appliance was repaired, and the state registration number of the service dealer.

(e) Name and address of the customer.

(f) A description of the set or appliance repaired or serviced, including make, model number and serial number.

(g) A summary of the customer's description of the problem associated with the set or appliance.

(h) A statement of total charges.

(i) Itemization of each part placed in the set or appliance including a description by class and type where possible, indicating any part within warranty that was replaced, and the charge levied for any part or parts not covered by warranty.

(j) Itemization and description of labor or technical services performed within warranty or for which a charge was levied.

(k) An itemization and description of all other charges.

(l) If any used or exchanged parts, including, but not limited to, modules or panels, are supplied, the invoice shall state that fact, indicating which parts are used or exchanged and the charge levied for each part. If a picture tube is installed, the description of such replacement picture tube shall conform to the requirements as hereinafter provided.

(m) Complete and legible signature, or employee's number, of person filling out the invoice and indicated as such.

(n) Complete and legible signature or employee's number of the person performing the actual repair on the set or appliance and indicated as such.