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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- CO58626 <br /> DATE O ORDER <br /> ` 3 0 02 P . E S - s• 7 ' ` '70 <br /> NAME ��, DATE PROMISED <br /> /c- , ' D !V <br /> ADDRESS APARTMENT <br /> k ® fff jjj <br /> CITY �� � � <br /> MAKE - MODEL SERIAL NO ,�, /� <br /> t' ESTIMATE <br /> NATURE OF 2 Lj �' ❑ CASH <br /> SERVICE <br /> REQUEST /' <br /> /1 / , - , ` ❑ CHARGE <br /> 't'' . > <br /> - L <br /> QUAN. PART NO. DESCRIPTION PRICE AMOUNT <br /> 3 / - , 7/ <br /> $ ��(... 1' / y //.,-- - / y <br /> 6, <br /> {{ Do?' oko <br /> r <br /> SERVICE PERFORMED <br /> ' ''- f �- �JA i /` TOTAL <br /> w4 4,.. rt Q = ! Q d l U (Pe".,, — i �✓'� -�: { C?�/�,,. MS4TERIAL <br /> G. wG , 4-t_ i t ,; ✓ �, � , /� - TECHNICAL <br /> / '� ) �. t l4, / Y ii" "GF� , SERVICE TIME <br /> A charge of 1.5% will be made n all unpaid balances after 30 days, which is an annual percentage rate <br /> of 18% applied to past due balances. Customer is liable for any charges incurred in collecting this bill. TAX <br /> DATE COMPLETED <br /> 7‘a. ai Zf ! 1 I CASH ON COMPLETION y TOTAL <br /> ■ <br /> OF WORK <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br /> d <br /> t.. <br />