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<br />Kinsey Central <br />Heat & Air-Conditioning <br />p. O. Box 2209 <br />Zephyrhills, Florida 33539-2209 <br />(813) 782-2300 <br /> <br /> <br />NAA1E <br /> <br />-------------- <br /> <br /><f-J:;S//~1!;~i!:- <br /> <br />ADDRESS <br /> <br />--~----- <br /> <br />CITY <br /> <br />IW(E <br /> <br />MOIJEl <br /> <br />SERIAl NO. <br /> <br />NATURE OF r...I\. <br />SERVICE '"-v' <br />REQUEST <br /> <br />QUAN_ PART NO_ <br /> <br /> <br />DESCRIPTION <br /> <br />-- <br /> <br />- <br /> <br />SERVICE PERFORMED <br /> <br />TOTAl <br />IIA TfRIAl <br />TECHNICAl <br />SffMCfnME <br /> <br />7~~1 <br /> <br />TAX <br /> <br />DATE COMPlETEO <br /> <br />CASH :=ETION~ <br /> <br />TOTAL <br /> <br />TECHNICIAN <br /> <br />- CUSTOMER'S SIGNATURE <br /> <br /> <br />OATE PROI.IISfO <br /> <br />------------ <br /> <br />APARTMENT <br /> <br />o ESTIMATE <br />o CASH <br />o CHARGE <br /> <br />PRICE <br /> <br />AMOUNT <br /> <br /> <br />, <br />,- <br /> <br />, <br />r- <br />