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10-10931
Zephyrhills
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10-10931
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Last modified
8/15/2011 10:48:49 AM
Creation date
8/15/2011 10:48:48 AM
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Building Department
Building Department - Doc Type
Permit
Permit #
10-10931
Building Department - Name
WOODWORTH,RICHARD
Address
5609 17TH ST
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`� <br /> Kinsey Central <br /> T) 'oG <br /> o— p Heat & Air - Conditioning, Inc. <br /> g P.O. Box 2209 <br /> Zephyrhills, Florida 33539 -2209 <br /> (813) 782 -2300 CA- CO58626 <br /> PHONE ig Q DA " R <br /> L l / V l <br /> \" + NAME - DATE PROMISED <br /> r ADDRESS y b l 5 f4 APARTMENT <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 /> Xit ,dam fi P <br /> l r7trOD <br /> • <br /> SERVICE PERFORMED TOTAL <br /> MATERIAL <br /> TECHNICAL <br /> SERVICE TIME <br /> A charge of 1.5" o will be 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 /> I4 DATE COMPLETED ON COMPLETION p ��� <br /> 11 { j / 06G CASH oFwoRK �► TOTAL 7 <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br /> • <br />
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