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<br />.Kinsey Centra~:;~ <br />Heat, & Air-Conditioning <br />. P.O. Box 2209 <br />Zephyrhills. Florida 33539-2209 <br />(813) 782-2300 C~ <br /> <br /> <br />- <br /> <br /> <br />~~ <br /> <br />..-,1 <br /> <br />" <br />-' <br /> <br />- <br /> <br />'"; i.~/ <br /> <br />CI1Y <br /> <br />!WE <br /> <br />IIOIIB. <br /> <br />NATURE Of ~ <br />SERVICE ............ <br />REQUEST <br /> <br />OUAN. PART NO. <br /> <br />DESCRIPTION <br /> <br />.-~ <""~~-"~ <br /> <br /> <br />...., <br /> <br />;-' ,--,,_.. <br /> <br />.:..,...-.- -~ ;;~< <br /> <br />:..,..;.......',;~..'-...... <br /> <br />~ <br />::::- ;;:"'" i, .-'- ,~' ,! <br /> <br />/..-::'" <br /> <br />..' <br />~' ,,_J1 ,'-' .. <br /> <br />/ " .- <br /> <br /><-:'f:.. .' <br /> <br />SERVICE PERFORMED <br /> <br />.~ <br /> <br />7" <br /> <br />--~.k1': <br /> <br />"-~ <br /> <br />--"'.....'...:{< <br /> <br />';' .-", <br />.,J':,) _:2..f2.i>~~":':-";;':~" <br /> <br /> <br />/ :,/ .~....... <br /> <br />('--' ....' <br />-'7'.. <br /> <br />. ;--, ~i:~_..,=.. <br /> <br />_~J '___ <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE <br /> <br /> <br />:; ~TE OF ORDER <br /> <br />DATE PROMISED <br /> <br />APAR110lENT <br /> <br />/ <br />J~rESnMATE <br />o CASH <br />o CHARGE <br /> <br />PRICE <br /> <br />AMOUNT <br /> <br />';C <br /> <br /> <br />... ) <br /> <br /> <br />TUfAl. <br />IIATEIIIAI. <br /> <br />l&:IIICAI. <br />''''1IEIMCE~ <br /> <br />;" <br /> <br />TAl <br /> <br />mAL <br />