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<br />~... ';--':'I;~....:.II"~:;""'-~":;~~~~~eo'.;.iIIo..~""";~A ~..,.- ____J~ <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 />, PH07SJ.6'_ 7' 75;1 <br /> <br />, <br /> <br />Er If, <br /> <br />ADDRESS <br /> <br />.;7 <br /> <br /> <br />CITY <br /> <br />MAKE <br /> <br />MODEL <br /> <br />SERiAl NO. <br /> <br />NATURE OF q <br />SERVICE <br />REQUEST <br /> <br />"------- <br /> <br /> <br />DESCRIPTION <br /> <br />SERVICE PERFORMED <br /> <br />TECHNiCAl <br />SERVICE TIME <br /> <br />A charge of ] .5% will be ~ade on all unpaid balances after 30 days, which is an annual percentage rate <br />of 18% applied to past due balances. Customer is liable forany charges incurred in collecting this bill. <br />DATE COMPLETED <br /> <br />7~ ~1Ud <br /> <br />CASH g~~g~~LETION_ <br /> <br />TECHNICIAN <br /> <br />CUSTOMER'S SIGNATURE <br /> <br />CA-C058626 <br /> <br />l1ATE OF ORDER .g <br />. ~~-O <br /> <br />DATE PROMISED <br /> <br />APARTMENT <br /> <br />.erESilMATE <br />o CASH <br />o CHARGE <br /> <br />PRICE <br /> <br /> <br />TOTAl <br />MATERIAL <br /> <br />TAX <br /> <br />TOTAL <br />