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<br />.'orn <br /> <br />r <br />,,- <br /> <br />- <br /> <br />Kinsey Central <br /> <br />Heat & Air-Conditioning <br />7722 Fort King Highway · P.O, Box 2209 <br />Zephyrhills, Florida 33539-2209 <br />(813) 782-2300 <br /> <br /> <br />r /l--t/~ <br /> <br />MAKE MODEL <br /> <br />SERiAl NO. <br /> <br />NATURE OF .-I'\.. <br />SERVICE --V <br />REQUEST <br /> <br />QUAN. PART NO, <br /> <br />DESCRIPTION <br /> <br /> <br />SERVICE PERFORMED 16/ cJ ~ 11- ;Z 6 -- #- CJC'J I (} <br />05~6()(J - OJ ~?/ <br /> <br />TOTAL <br />MATERIAL <br /> <br />TECHNICAL <br />SERVICE TIME <br /> <br />u-a~l'f- -'? <br /> <br />/l4{~ i J~ <br />CASH <br /> <br />TOTAL <br /> <br />7~~1 <br /> <br />DATE COMPlETED <br /> <br />g~ :~~ETIDN -+ <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE <br /> <br />PRICE <br /> <br />TAX <br /> <br />DATE OF ORDER <br /> <br />DATE PROMISED <br /> <br />APARTMENT <br /> <br />o ESTIMATE <br />o CASH <br />o CHARGE <br /> <br />AMOUNT <br /> <br />00 cJD <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />. I <br />L C{:? leD <br />