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<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 />CI1Y <br /> <br />- <br /> <br />IIlIIIB. <br /> <br />-- <br /> <br />.- ... <br />NA=: ~ ,tl./ t!J"I t!..& /?? / ~ () U <br />REQUEST <br /> <br />QUM. PART NO. <br />~ ~ / d),..; <br /> <br />SERVICE PERFORMED <br /> <br />7'-' t-I <br /> <br />~ <br /> <br /> <br />IlESCRIPTIOI <br /> <br />- <br />IIA-.-. <br />~ <br />-- <br /> <br />MlI~ <br /> <br />TAl <br />CASH ::m-~ mAL <br /> <br />CUSTOMER'S Sl6JlATURE <br /> <br />PRICE <br /> <br /> <br />~ <br /> <br />o ESTIMATE <br />o CASH <br />o CHARGE <br /> <br />AMOUNT <br /> <br /> <br /> <br />