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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 /> • PHON � 7 -6 7 Jj/ ^ DATE OF ORDER <br /> NAME �� / /� DATE PROMISED <br /> ADDRESS / A. APARTMENT <br /> 35 <br /> CITY <br /> MAKE MODEL SERIAL NO. <br /> ❑ ESTIMATE <br /> • <br /> NATURE OF ❑ CASH <br /> SERVICE <br /> REQUEST V ❑ CHARGE <br /> • <br /> QUAN. PART NO. DESCRIPTION PRICE AMOUNT <br /> i V(- 05 <br /> SERVICE PERFORMED TOTAL <br /> MATERIAL <br /> TECHNICAL <br /> • <br /> SERVICE TIME <br /> A charge of 1.5 %6 will he made on all unpaid balances alter 30 days, which is an annual percentage rate TAX <br /> of 18% applied 10 past due balances. Customer is liable for any charges incurred in collecting this bill. <br /> DATE COMPLETED <br /> 7ha44 l/ of CASH ON WORK COMPLETION y TOTAL <br /> • <br /> • O <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br /> • <br /> • <br />