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<br />- ---..... I <br /> <br />"'-- <br /> <br />NAME <br /> <br />r' <br />l- <br />I <br />I <br />I <br />I <br />I <br />1 <br />I <br />j <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />! <br /> <br />ADDRESS <br /> <br />. CITY <br /> <br />MAKE <br /> <br />~ <br /> <br />Kinsey Central <br /> <br />Heat & Air-Conditioning, Inc. <br />P.O. Box 2209 <br />Zephyrhi/ls, Florida 33539-2209 <br />(813) 782-2300 <br /> <br />I PHONE <br /> <br /> <br />Ce ^'" L <br /> <br />MODEL <br /> <br />SERIAL NO. <br /> <br />NATURE OF Y <br />SElVICE <br />REQUEST <br />!$- <br />J<t' <br /> <br /> <br />SERVICE PERFORMED <br /> <br />TOTAL <br />MATERIAL <br /> <br />TECHNICAL <br />SERVICE TIME <br /> <br />7~ ~~I <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 J 8% applied to past due balances. Customer is liable for any charges incurred in collecting this bill. <br />DATE COMPLETED <br /> <br />CASH g~ ~g~~LETION _ <br /> <br />TOTAL <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE <br /> <br />CA-C058626 <br /> <br />I 1::1;;:Di> ~ <br /> <br />DATE PROMISED <br /> <br />APARTMENT <br /> <br />o ESTIMAJE <br />o CASH <br />D CHARGE <br /> <br />PRICE <br /> <br /> <br />TAX <br />