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<br />c <br /> <br />.....I""A. <br /> <br />Kinsey Central <br /> <br />Heat & Air-Conditioning <br />7722 Fort King Highway · P.O. Box 2209 . <br />Zephyrhills. Aorida 33539-2209 <br />(813) 782-2300 <br /> <br />.., <br /> <br />/'1 ';;,z <jf' <br /> <br />- <br /> <br /> <br /> <br />\ <br /> <br />DATE PROMISED <br /> <br />APARTMENT <br /> <br />CITY <br /> <br />IIAIlE <br /> <br />MODEL <br /> <br />SERIAL NO, <br /> <br />NATURE OF <br />SERVICE r:::> <br />REQUEST <br /> <br />o ESTIMATE <br />o CASH <br />o CHARGE <br /> <br />.I <br /> <br /> <br />~ <br /> <br />QUAN. PART NO. <br /> <br />DESCRIPTION <br /> <br />PRICE <br /> <br />SERVICE PERFORMED TOTAL I <br /> MATElIIAL -t-- <br /> TtCHNICAL <br /> ;'" SEJMC( TIME -!-- <br /> I <br /> TAX ~ <br />7~~/1 DATI COMPLETtD I CASH :~-+ +- <br />TOTAL .s~c'-o <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE t:. <(.. ~~ I? ~ <br />