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<br />Kinsey Central
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<br />Heat & Air-Conditioning, Inc.
<br />P.O. Box 2209
<br />::' _ '; j 0/ Zephyrhills, Florida 33539-2209
<br />. ~'.;""~. (813) 782-2300
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<br />RA0056288
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<br />OATE PROMISED
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<br />PHONE
<br />7,g/C)- ~/,.5SL~ -
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<br />ADDRESS
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<br />APARTMENT
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<br />'~,~ 71<:
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<br />CITY
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<br />MAKE
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<br />NATURE OF Q
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<br />DESCRIPTION
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<br />PRICE
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<br />SERVICE PERFORMED
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<br />TOTAL
<br />MATERIAL
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<br />TAX
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<br />CASH :~RKPl.ET1ON _
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<br />TOTAL
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<br />, ,.,.,.-) j I CUSTOMER'S SIGNATURE
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