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<br />'._-,', ___..~".~c:_.',..,..,..._,._._.- .___,-- ._.. .-...........'P" .'._".___ <br /> <br />Kinsey Central <br /> <br />Heat & Air-Conditioning, Inc. <br />P. O. Box 2209 <br />Zephyrhills, Florida 33539-2209 <br />(813) 782-2300 <br /> <br />IPHOOE <br /> <br />.~ <br />" .. <br /> <br /> <br />RA0056288 <br />I ~/:-re;o;~~ I <br /> <br />ADDRESS <br /> <br /> <br />/./ DATE PROMISED <br /> <br />C <br /> <br />7(/, t) <br />. <br /> <br />MODEL <br /> <br />ERIAL NO. <br /> <br />NATURE OF q <br />SERVICE <br />REQUEST <br /> <br />o ESTIMATE <br />o CASH <br />o CHARGE <br /> <br />v~ <br />1 \ t <br /> <br />QUAN. PART NO. <br /> <br />DESCRIPTION <br /> <br /> <br />i-I <br /> <br />'?'- <br />l' ",,'~ <br /> <br />-7 j <br />i, .,-, <br /> <br />.} () ,Z.?v <br /> <br />~ / <br />,".-1 ,,_. <br /> <br />SERVICE PERFORMED <br /> <br />TOTAL <br />MATERIAL <br /> <br />TECHNICAL <br />SERVICE TIME <br /> <br />TAX <br /> <br />7~~ <br /> <br />DATE COMPlETED <br /> <br />CASH ~~ION _ TOTAL <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE <br />