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<br />~ ~'. ~ -:-::_____c <br /> <br />Kinsey Central <br /> <br />Heat & Air-Conditioning <br />7722 Fort King Highway · P.O. Box 2209 <br />Zephyrhi1\s, Rorida 33539-2209 <br />(813) 782-2300 <br /> <br />NAME <br /> <br /> <br />ADDRESS <br /> <br />CITY <br /> <br />SERIAL NO. <br /> <br />~TIMATE <br />o CASH <br />o CHARGE <br /> <br />MODEL <br /> <br />MAKE <br /> <br />NATURE OF .-I'.. <br />SERVICE LV <br />REQUEST <br /> <br /> <br />fA-,J/ - <br />~.-I, <br /> <br />PRICE AMOUNT <br />-r::- <br />_____- l-d~QQt~)'O <br />J-- <br />\ <br />\ <br />----\-- <br />\ <br />-\- <br /> <br />__ .- --- ---- ------1- <br /> <br />________________ _---- _---L- <br />I <br />-- ------ -- -I-- <br /> <br />I <br />I <br />I <br />I <br />\ <br />I <br />----1- <br /> <br />+-- <br />_L-- <br /> <br />TOTAL <br />MATERIAL <br /> <br />QUAN. PART NO. <br /> <br />DESCRIPTION <br /> <br />(' <br />"'- <br /> <br />---"-'-- ~----- <br /> <br />SERVICE PERFORMED <br /> <br />TECHNICAL <br />SERVICE TIME <br /> <br />--- <br /> <br />TAX <br /> <br />7~ 1pu1 <br /> <br />DATE COMPLETED <br /> <br />CASH ON COMPLETION -'" <br />OF WORK -r <br /> <br />TOTAL <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE <br />