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<br />Kinsey Central7' _1/ <br />/' ...-<7 _ce."./ <br />Heat & Air-Conditioning, Inc. '-.c.;'~! <br />P.O. Box 2209 ~3 It <br />Zephyrhills, Florida 33539-2209 <br />(813) 782-2300 f <br /> <br />NAME <br /> <br />I PHONE') Q'7 -9,1/\ II <br />c;-<- I, C/ " ~ / <br /> <br />;r:- :0056288 <br /> <br />I DATE OF ORDER I <br /> <br />CIN <br /> <br />,5:-/;:,' Y c <br /> <br />~ /'" .Ii" / <br />i<. ..L.' ri / / <br />./1 7~-A <br />. .J. ,_ <br /> <br />DATE PROMISED <br /> <br />ADDRESS <br /> <br />,k:'" c. j,..t <br /> <br />APARTMENT <br /> <br />MAKe <br /> <br />M <br /> <br />NO. <br /> <br />NATURE OF Q <br />SERVICE <br />REQUEST <br /> <br />~;JMATE <br />o CASH <br />o CHARGE <br /> <br />c,.', <br /> <br />/ <br />/ <br /> <br /> <br />DESCRIPTION <br /> <br />PRICE <br /> <br />AMOUNT <br /> <br />QUAN. <br /> <br />4 <br /> <br />0#"7 <br /> <br />,j /' <br />/4C-~ <br /> <br />-'(- L.._, <br /> <br />!""1- rr2--g <br /> <br />/ ;;:I-r,~- '-, <br />( ~ -) .i:;?' J';"""'/C <br /> <br />i...." ~,~ <br />/-)r ./ <br />,~-<' . _..!...~? <br /> <br />v <br /> <br />0, <br />il' <br /> <br />,~ <br /> <br />J--. ,~ <br />/' ....i .:> <br /> <br /> <br />..- ,,- 7(~ <br />) /-9-:~~..v f-L) <br />." :?/.! I ~'S <br />",~9 /J.- , C~/. <br />jtf :~ 'j <br />::-;"';-i'~~" 7' ~~ <br /> <br />TOTAL <br />MATERIAL <br /> <br />SERVICE PERJ;eRMED <br />".r-- .....~ ,_~-,<," -;".;:.- ':,' _,_ <br />.L . .!. . ...)/ .-- <br /> <br />>:..... <br /> <br />.,.- <br /> <br />.}1~"'f <br /> <br />TECHNiCAl <br />SERVICE TIME <br /> <br />.-:;:'::'" /~~ <br /> <br />/~.<.c)" f~- <br /> <br />TAX <br /> <br />7~~ <br /> <br />DATE COMPlETED <br /> <br />CASH ~~~lETION _ <br /> <br />TOTAL <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE <br />