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10-10255
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10-10255
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Last modified
1/27/2011 2:33:05 PM
Creation date
1/27/2011 2:33:04 PM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10255
Building Department - Name
SURRATT,SAM JR & RACHEL B
Address
5201 22ND ST
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K Central <br /> Heat & Air - Conditioning, Inc. <br /> P.O. Box 2209 <br /> Zephyrhills, Florida 33539 -2209 <br /> (813) 782 - 2300 <br /> CA- CO58626 <br /> I ^ . I I <br /> PRONE 7 .9,2_, I D ATE � ORDER <br /> NAME <br /> DATE PROMISED <br /> ADDRESS <br /> 5-2._ f� / APARTMENT <br /> p. SJ 1 <br /> CITY ,— <br /> MAKE <br /> MODEL SERIAL Na <br /> ❑ ESTIMATE <br /> NATURE OF ❑ CASH <br /> SERVICE <br /> REQUEST <br /> ❑ CHARGE <br /> _ <br /> QUAN. PART NO. DESCRIPTION PRICE AMOUNT <br /> j <br /> SERVICE PERFORMED <br /> TOTAL <br /> !' - <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 <br /> of 18% applied to past due balances. Customer is liable for any charges incurred in collecting this bill. TAX <br /> DATE COMPLETED - <br /> 742+4 �1 ! 1 CASH ON COMPLETION y TOTAL <br /> OF WO <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br />
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