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<br />~ <br /> <br />"~Y!I'._~_.;.-,."'''''''''--'.,: <br />, <br />. "':::'''~~;'~,~:~''.",'o~~~:':~''"::/~.. ~ , ~.. .:" ".-;"'"..... <br /> <br />'Kinsey Central <br />Heat & Air-Conditioning <br />7722 Fort King Highway. P.O. Box 2209 <br />Zephyrhil/s, Aorida 33539-2209 <br />(813) 782-2300 <br /> <br /> <br />/- <br /> <br /> <br />DATE PROMISED <br /> <br />APARTMENT <br /> <br />SERIAl. NO. <br /> <br />NATURE OF r-I\. <br />SERVICE --V <br />REQUEST <br /> <br />o ESTIMATE <br />o CASH <br />o CHAR"GE <br /> <br />OUAN. PART NO. <br /> <br />OESCRIPTION <br /> <br />PRICE <br /> <br />AMOUNT <br /> <br />'I <br /> <br /> <br /> <br />'r <br /> <br />? t7/ /lof .;2 5..60 <br />-/ ~' <br />Cr f-'..~, ::> <br /> <br />SERVICE PERFORMED <br /> <br />TOTAl. <br />MATERIAL <br /> <br />TECHNICAl. <br />SERVICE TIME <br /> <br />7~~1 <br /> <br /> <br />TAX <br /> <br />DATE COMPlETED <br /> <br />CASH ::~~ETlON-+ <br /> <br />TOTAL <br /> <br />/) C- <br />,'. I <br />TECHNICIAN -~~: :.= <br />71 <br /> <br />/ <br /> <br />/7. ' <br />CUSTOMER'S SIGNATURE ( w.L/~A'r' ( <br /> <br />.' / ;:' t.' " '(,/ <br />J LC, . ". <br /> <br />I . <br /> <br />I <br />! <br />1 <br />I <br />I <br />! <br /> <br />1 <br /> <br />I <br />