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<br />> '."'.,,_,.,.c__.... ,:. ..."...~~"~'""'" .'""""'I..~.,.4.1JO.'-~41-....-.....~ <br />' ~'''';~_." ," '~~,..' _\>..-,. .,,-....'~,..~.....-'::""~ ,~"....................-,~.....,~- . <br /> <br />Kinsey Central <br /> <br />Heat & Air-Conditioning <br />P.O. Box 2209 <br />Zephyrhills, Florida 33539-2209 <br />(813) 782-2300 <br /> <br /> <br /> <br />APNmIlNT <br /> <br />_ss <br /> <br />j (:., ". <br />, '_~1 <br /> <br />CITY <br /> <br />- <br /> <br />IIOOll <br /> <br />1llI1Al1O_ <br /> <br />o ESTIMATE <br />o CASH <br />o CHARGE <br /> <br />NATURE Of <br />SERVICE ~ <br />REQUEST . <br /> <br />QUAM. PART NO. <br /> <br />DESCRIPTION <br /> <br />PRICE <br /> <br />AMOUNT <br /> <br />~ <br /> <br />I.~ <br />r', , t, <br /> <br /> <br />,-' <br />-{ ( ," <br /> <br />(7 <br /> <br /> <br />.f <br /> <br /> <br />/ ~ r <br />_<",4 -( '-', <br /> <br /> <br />( I ,>.d <br /> <br /> <br />c - ,) " I - ~, <br />v <br /> <br /> <br />SERVICE PERFORMED lOTAl <br />1IAlPW. <br />ltQM:M. <br />IlEIMCE TM <br /> <br />TAX <br /> <br />7'-' t--' <br /> <br />1IA1I CllIIPlElBl <br /> <br />CASH ::-m--+ <br /> <br />TOTAL <br /> <br />lECHNICIAM\ <br /> <br />CUSTOMER'S SIGNATURE <br />