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<br /> <br />; ,~.;:'>.-,.~ "t- ''';:,~ .?, -':'.I!'t;"~.::.-fii. <br /> <br />-------- , <br /> <br />NAME <br /> <br />Kinsey Central <br />Heat & Air-Conditioning, Inc. <br />p. O. Box 2209 <br />Zephyrhills, Florida 33539-2209 <br />(813) 782-2300 <br />17~s-es/" [ <br /> <br />ADDRESS <br /> <br /> <br />CITY <br /> <br />MAKE <br /> <br />MODEL <br /> <br />SERIAL NO <br /> <br />NATURE OF c) <br />SERVICE <br />REQUEST <br /> <br />QUAN, PART NO, <br /> <br />PRICE <br /> <br />" '.. <br /> <br />~- <br /> <br />SERVICE PERFORMED <br /> <br />TOTAL <br />MATERIAL <br /> <br />TECHNICAL <br />SERVICE TIME <br /> <br />A charge of ] SYO will be made on all unpaid balances after 30 days, which is an annual percentl'lge rate <br />of 1 fNu applied to past due balances. Customer is liable for any charges incurred in collecting this bill. <br />,/ _ ," DATE COMPLETED <br />71UUm ~(Utl /- /I -Ci /' CASH g~ ~g~~LETION _ <br /> <br />TAX <br /> <br />TOTAL <br /> <br />TECHNICI~ ~ <br /> <br />CUSTOMER'S SIGNATURE <br /> <br />~7Jlf.~"""'''!'''''?:;-'''~_'''-- "Ci~:"""~'.:. <br /> <br />CA-C058626 <br /> <br />I DATE OF ORDER <br /> <br />1- /5--07 <br /> <br />DATE PROMISED <br /> <br />APARTMENT <br /> <br /> <br />o CASH <br />o CHARGE <br /> <br /> <br /> <br />