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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 /> _ PHO ATE OF ORDER <br /> NAME Acpwor 2 1 Q DATE PROMISED <br /> ADDRESS - 1 _ /IPARTMENT <br /> O� `�- 1 r ` j 1 ' <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 /> gE <br /> yxonet) <br /> z z4 ee f <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 <br /> 74 ZlOLG� CASH OF WORK — TOTAL <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br /> • <br />