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Kinsey Central <br /> Heat & Air-Conditioning, Inc. <br /> P.O. Box 2209 <br /> Zephyrhills, Florida 33539-2209 <br /> (813) 782-2300 <br /> CA-0O58626 <br /> PHONE „DATE OF ORDER <br /> 7. :37- <br /> NAME DATE PROMISED <br /> fi , el <br /> /1 / <br /> - <br /> ADDRESS APARTMENT <br /> / / API .4-t <br /> CITY <br /> MAKE MODEL SERIAL NO <br /> 0 ESTIMATE <br /> NATURE OF j 0 CASH <br /> SERVICE <br /> REQUEST V 0 CHARGE <br /> QUAN. PART NO. DESCRIPTION PRICE AMOUNT <br /> 7-;L. <br /> SERVICE PERFORMED TOTAL <br /> MATERIAL <br /> TECHNICAL <br /> SERVICE TIME <br /> A charge of 1.5% will be made on all unpaid balances after 30 days, which is an annual percentage rate TAX <br /> of 18% applied to past due balances. Customer is liable for any charges incurred in collecting this bill. <br /> DATE COMPLETED <br /> '744,4 eled CASH 00FN=IP<LETION <br /> TOTAL <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br />