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Kinsey Central <br /> A. Heat & Air - Conditioning, Inc. <br /> P.O. Box 2209 <br /> Zephyrhills, Florida 33539 -2209 <br /> j (813) 782 -2300 CA- CO58626 <br /> NAME <br /> J 11 <br /> DATE PROMISED <br /> ADDRESS s �� /' APARTMENT <br /> GO <br /> Cm <br /> MAKE MODEL SERIAL NO. <br /> ❑ ESTIMATE <br /> NATURE OF ❑ CASH <br /> SERVICE <br /> REQUEST ❑ CHARGE <br /> QUAN. PART NO. DESCRIPTI / ON Q PRICE AMOUNT <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 <br /> ON COMPLETION <br /> l,<A,4ct(z �acc! CASH OF WORK ■■• TOTAL <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br />