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<br />"""~~~.",~........;~;.",,,...;o-.c-~_., .:,-~,~.",,~-: ~'.~ - ..... ..' _. _. ..~~. .-- -. --~ <br /> <br />Kinsey Central <br />Heat It Air-Conditioning <br />7718 Fort King Highway . p.o. Boat 2209 <br />Zephyrhllls. Aorlda 33539-2209 <br />(813) 782-2300 <br /> <br />IWIE <br /> <br /> <br />s- <br /> <br />ADORESS <br /> <br />CITY <br /> <br />MME <br /> <br />IIlIOEl <br /> <br />1EJUM,1IO. <br /> <br />~IMATE <br />o CASH <br />o CHARGE <br /> <br /> <br />NATURE Of .......... <br />SERVICE a.,/ <br />REQUEST <br /> <br />;; <br /> <br /> <br />DESCRIPTION <br /> <br />PRICE <br /> <br />AMOUNT <br /> <br />QUAM. PART NO. <br /> <br /> <br />SERVICE PERFORMED <br /> <br />lOTM. <br />1IAlBUM. <br />18aUL <br />IEIMCE TIlE <br /> <br />TAX <br /> <br /> <br />?'-' 11-' <br /> <br />DAlt c:aMI'I11IIl <br /> <br />CASH ::0--+ <br /> <br />mAL <br /> <br />TECHNICIAN\ <br /> <br />L ( ) <br />CUSTOMER'S SIGNATURE ? ~ ..J V..~ ~ '.), '7 -/~/ <br />