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<br /> <br />Kinsey Central <br />Heat & Air-Conditioning, Inc. <br />P.O. Box 2209 <br />Zephyrhills, Florida 33539-2209 <br />(813) 782-2300 <br /> <br />RA0056288 <br /> <br />I r::/; , I PHONE I DATE OF ORDER <br /> .,-~ ~.". - ,,;~ -. _l/~'~ !....t:: ~ <br /> J - -, , c ,{ <br /> NAME i<> - -. DATE PROMISED <br /> ~r -- --' <br /> ;'.:,...r" i, r::";1",~," ......, <br /> ADDRESS -~ .;~,,- , APARTMENT <br /> '.,.. ::? ..- - <br /> " -"- r.. ,> '?- ri~ ,...,-.... <br /> CITY <br /> MAKE T MODEL I SERIAL NO. <br /> 0 ESTIMATE <br /> NATURE OF cj 0 CASH <br /> SERVICE <br /> REQUEST 0 CHARGE <br />QUAN. PART NO, DESCRIPTION PRICE AMOUNT <br /> - ,:.--- ~ ,- ! <br /> -, .l- ,r:'" I ':"""-f <br /> - - - -' <br /> - .- -. J-. <br /> ~ ," ;.c:.- , - ~. -.. - -... <br />. --,.", .:: ,~ .> .~~::::-.... L,.....-- h ....."1 .;"'./ <br /> , I <br /> ~ <br /> --, J <br /> ,.' - '.. I <br /> .., .. <br /> .' ?! " - I <br /> ,- , .. - -" ~.--~' .' -- <br /> .. , <br /> : <br /> I <br /> - ;: ......t..." .- ! <br /> - <br /> 1 <br /> <br />SERVICE PERFORMED <br /> <br />TOTAL <br />MATERIAL <br /> <br />TECHNICAL <br />SERVICE TIME <br /> <br />(.....,w <br /> <br />A charge of 1.5% will be made on aU unpaid balances after 30 day~ which is an annual percentage rate <br />of 18% applied to past due balances. Customer is liable for any charges incurred in collecting this bill. <br />DATE COMPLETED. <br /> <br />TAX <br /> <br />7~~ <br /> <br />CASH ~~~:LETlON _ <br /> <br />TOTAL <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE <br />