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. <br /> inse Centra <br /> r (-7---- Heat & Air-Conditioning, Inc. <br /> P.O. Box 2209 <br /> 9 - A bi Zephyrhills, Florida 33539,2209 <br /> (813) 782-2300 <br /> CA-0O58626 <br /> PHONE DATE OF ORDER <br /> - 2- <br /> ..2 <br /> ....) ... ...., <br /> ,..,, <br /> NAME <br /> ADDRESS <br /> , /97 7 <br /> i -2" DATE PROMISED <br /> APARTMENT <br /> 7 i <br /> •) 6 <br /> 74TO <br /> CITY <br /> / <br /> , - <br /> MODEL SERIAL NO <br /> r(STIMATE <br /> NATURE OF 0 CASH <br /> SERVICE I <br /> REQUEST V 0 CHARGE <br /> QUAN. PART NO. DESCRIPTION PRICE AMOUNT <br /> / 2 <br /> 1 j <br /> _ (,.....0 <br /> [.. <br /> 1 <br /> [ <br /> • SE43ICE PERFORMED _ , -- 7 - --- TOTAL <br /> MATERIAL <br /> .---1 C / y ) <br /> ...,), r <br /> TECHNICAL <br /> ----/ / r / , 4; / 7 SERVICE TIME •?: 7 --..> " <br /> 77 - '0 ■ — /..7 --) <br /> L i ' \ ' /47 <.. /__ / / - <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 /> 7424e4 'eat CA SH ON COMPLETION <br /> CA-- oFwoRK TOTAL /,,, ef ... 7 <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br /> [ <br /> i <br /> / <br /> i <br /> I' <br />