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<br />..~,.,..,..~~.: :.:'"'~.. ":~"'~~1~o;;~~'~~?~l')......-7.:;-' ~~._~'_l.~~.) ".~~.I:...~ <br /> <br /> <br />, , <br /> <br />Kinsey Central <br /> <br />Heat & Air-Conditioning <br />7722 Fort King Highway. P.O. Box 2209 <br />Zephyrhills, Rorida 33539-2209 <br />(813) 782-2300 <br /> <br /> <br /> <br />DATE PROMISED <br /> <br /> <br />APARTMENT <br /> <br /> <br />MAKE MODEL SERIAL NO. <br /> STI MATE <br />NATURE OF ~ o CASH <br />SERVICE <br />REQUEST o CHARGE <br />QUAN. PART NO. OESCRIPTION PRICE AMOUNT <br /> I <br /> I <br /> :<;?~O 1t:hJ <br /> I <br /> I <br />C I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br /> I <br />SERVICE PERFORMED TOTAL I <br /> MATERIAL <br /> TECHNICAL <br /> SERVICE TIME <br /> TAX <br />. 7Ud ~I DATI: COMPLffiD CASH g~ ;~~~ETI0N ~ I <br /> TOTAL ;lilSol &f) <br />/' <br />TECHNICIAN CUSTOMER'S SIGNATURE <br />,to. <br /> -- ..--------~--_._..- <br />