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<br />CITY <br /> <br />IMICE <br /> <br />NATURE OF ~ <br />SERVICE Lv' <br />REQUEST <br /> <br />OUAN. PART NO. <br /> <br /> <br />SERVICE PERFORMED <br /> <br />7'-' ~I <br /> <br />TECHNICINI'l <br /> <br />fbr~~;f;;"-i- ;-; ~T_ -~ ~-~ <br />Kinsey Central <br /> <br />Heat &: AIr-COnditioning <br />7718 Fort King Highway . P.O. Box 2209 <br />Zephyrhills, Florida 33539-2209 <br />(813) 782-2300 <br /> <br />PHOIIE <br /> <br />? (). - <br />-',:)()':'"..>4 <br /> <br /> <br /> <br />IIOIJ(L <br /> <br />1ERW. 11I_ <br /> <br />DESCRIPTION <br /> <br /> <br />TOTlll <br />IIAIEIIIo1II. <br />~ <br />IIEJMC( TIIIf <br /> <br />MTt COIIPI.mD <br /> <br />TAl <br />mAl <br /> <br />CASH ::unc-... <br /> <br />CUSTOMER'S SIGNATURE <br /> <br />. <br /> <br /> <br />DATt~ <br /> <br />APARTMENT <br /> <br />BtSTIMATE <br />o CASH <br />o CHARGE <br /> <br />PRICE <br /> <br />AMOUNT <br /> <br /> <br />- --.-.., <br />