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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 CA- CO58626 <br /> PHONE DATE OF ORDER <br /> • NAME // 94e, ,,,,[ DATE PROMISED <br /> ADDRESS APARTMENT <br /> / — ' �✓ <br /> CITY <br /> MAKE MODEL SERIAL NO. <br /> ❑ ESTIMATE <br /> NATURE OF ❑ CASH <br /> SERVICE <br /> REQUEST ❑ CHARGE <br /> QUAN. PART NO. DESCRIPTION PRICE AMOUNT <br /> t LIA.. I' . <br /> &ti <br /> // <br /> s�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 ON COMPLETION I <br /> 7lrag G 04c! CASH O -+ TOTAL <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br /> 1 <br />