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<br />~ <br /> <br />..,~' <br />,." <br />-' <br /> <br />~,'''''r'''iP.1"'!l<f' .', <br /> <br /> <br />. _ \". ;,,-,>~ r'o <br /> <br />. ;~'!:*:.~"""j~'1.~:~-:~'I;,:.;"l'e' .':" '~'.~i"~ ::~; ~-~'~.Jlt\"~':"'-~'-~_~-Oi.~;'~~ <br />;t~ '-' <br /> <br />. . ';" <br /> <br />KftlSe}i Central"" <br /> <br />Heat & Air-Conditioning , <br />7722 Fort King Highway · P,O. Box 2209 <br />Zephyrhills, Aorlda 33539-2209 <br />(813) 782-2300 <br /> <br />., <br />\ <br /> <br />..fti <br /> <br />NAME <br /> <br /> <br />APARTMENT <br /> <br />DAn: OF ORDER <br /> <br />DAn: PROMISED <br /> <br />AllORESS <br /> <br />CllY <br /> <br />.. <br /> <br />MAKE <br /> <br />MODEL <br /> <br />SERIAL NO. <br /> <br />~MATE <br />[J CASH <br />[J CHARGE <br /> <br />NATURE OF r.I'\. <br />SERVICE LV <br />REQUEST <br /> <br />QUAN. PART NO. <br /> <br />OESCRIPTION <br /> <br />PRICE <br /> <br />AMOUNT <br /> <br /> <br /> <br />SERVICE PERFORMEO <br /> <br />TOTAL <br />MATERIAL <br /> <br />n:CHNICAI. <br />SERVICE TIME <br /> <br />TAX <br /> <br />r <br />l <br />L <br /> <br />CASH ~~:~~LETlON~ <br /> <br />DAn:COMPLrnD <br /> <br />TOTAL <br /> <br />7~~! <br /> <br />TECHNICIAN CUSTOMER'S SIGNATURE <br /> <br />- ._-~--,.-.--""" ._~.. -~------ <br /> <br />~, <br />