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<br />Kinsey Central <br />Heat & Air-Conditioning, Inc. <br />P.O. Box 2209 <br />Zephyrhills, Florida 33539-2209 <br />(813) 782-2300 <br />IPH78J '-/770'1 <br /> <br /> <br />NAME <br /> <br />ADDRESS <br /> <br />CITY <br /> <br />MAKE <br /> <br />"'- <br />'--- <br /> <br />~D60. <br />) <br /> <br />KS2-c ' <br /> <br /> <br />:-- ;...., <br /> <br /> <br />jzoDt- <br /> <br />( /' <br /> <br />SERVICE PERFORMED I <br />SF; / <br />(' ,- ' <br />10 y.9N R0;r4- ..L~",":J <br /> <br />7~~1 <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 ] 8% applied to past due balances. Customer is liable for any charges incurred in collecting this bill. <br />DATE COI.1PLETED <br /> <br />CASH g~~g~~LETION_ <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE <br /> <br />CA-C058626 <br /> <br />11~20s~oRB I <br /> <br />DATE PROMISED <br /> <br />APARTMENT <br /> <br />o ESTIMATE <br />o CASH <br />o CHARGE <br /> <br />PRICE <br /> <br /> <br />TDTAL <br />MATERIAL <br /> <br />TECHNiCAl <br />SERVICE TIME <br /> <br />TAX <br /> <br />TOTAL <br />