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<br />~ <br /> <br />"II'" <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-~300 <br /> <br />- <br /> <br /> <br /> <br />DATE PROMISED <br /> <br />,IPARTMENT <br /> <br />CITY <br /> <br />MAKE <br /> <br />IolOOEL <br /> <br />SERIAl. NO. <br /> <br />NATURE OF r-'\. <br />SERVICE --V <br />REQUEST <br /> <br />o ESTIMATE <br />o CASH <br />o CHARGE <br /> <br />aUAN. PART NO. <br /> <br />DESCRIPTION <br /> <br />PRICE AMOUNT <br />I <br />I <br />~.2dt:~ <br />I <br />I <br />I <br />I <br /> <br /> <br />..S- <br /> <br />SERVICE PERFORMED TOTAl. <br /> MATERIAl. <br /> TICHNICAI. <br /> SERVICE TIME <br /> TAX <br />7~~/1 DATI COMPlETED I CASH :::-ETION ~ <br /> TOTAL J,;~lcrD <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE J ;t,/M./bZ-r./ ~.?:..I ~ <br />