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<br />NAME <br /> <br /> <br />Kin.se1' Central clt'^~C~ <br />'J 78;;<-,;Lf!/? <br />Heat & Air-Conditioning, Inc. Fc:-Y' <br />P.O. Box 2209 <br />Zephyrhills, Florida 33539-2209 "7 .$ ~- / () ? b <br />(813) 782-2300 <br /> <br />I PHONV5;-tf_ g~lV [ <br />4-ffi. <br /> <br />CA-C058626 <br /> <br />I~~;~R~I <br /> <br />ADDRESS <br /> <br />CITY <br /> <br />MAKE <br /> <br />NATURE OF Y <br />SERVICE <br />REQUEST <br /> <br />o CASH <br />o CHARGE <br /> <br />QUAN. PART NO, <br /> <br />DESCRIPTION <br /> <br />PRICE <br /> <br /> <br />,','..' " <br /> <br /> <br />L~' <br /> <br /> <br />TOTAl <br />MATERiAl <br /> <br />SERVICE PERFORMED <br /> <br />TECHNICAL <br />SERVICE TIME <br /> <br />A charge of 1.5% will be made on all unpaid balances after 30 days, 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~ tOte! <br /> <br />CASH g~~g~~LETION _ <br /> <br />TOTAL <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE <br />