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XinseyCentral <br /> Heat & Air-Conditioning, Inc. <br /> P.O. Box 2209 <br /> Zephyrhills, Florida 33539-2209 <br /> (813) 782-2300 CA-CO58626 <br /> PHONE�r//� DATE OF ORDER <br /> NAME VY 77 DATE PROMISED <br /> v� -e e <br /> ADDRESS /' 7 Z APARTMENT <br /> CITY <br /> MAKE MODEL SERIAL NO. <br /> ❑ ESTIMATE <br /> NATURE OF ❑ CASH <br /> SERVICE <br /> REQUEST ❑ CHARGE <br /> QUAN. PART NO. DESCRIPTION PRICE AMOUNT <br /> 15T°d�C'�: <br /> I <br /> SERVICE PERFORMED TOTAL <br /> -MATERIAL <br /> TECHNICAL <br /> SERVICETIME <br /> u <br /> A charge of 1.5%will be made on all unpaid balances after 30 days,which is an annual percentage rate TAX <br /> of 18%applied to past due balances.Customers liable for any charges incurred in collecting this bill. <br /> ti <br /> . As" <br /> - _, DATE COMPLETED ON COMPLETION y TOTAL <br /> ?�i*WWI CASH OF WORK I <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br /> i <br />