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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 /> PHONE DATE OF ORDER <br /> NAME E 7 DATE PROMISED <br /> jet / f bC.' vEr <br /> ADDRESS ° /.... APARTIAEN'T <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 /> i <br /> -r <br /> 14,E ) <br /> Ff <br /> SERVICE PERFORMED TOTAL <br /> MATERIAL <br /> TECHNICAL <br /> SERVICE TIME <br /> :\ shark of 1 S" . will be made on all unpaid balances after 30 days. which is an annual percentage rate TAX <br /> of Is'' applied to past due balances. Customer is liable for any charges incurred in collecting this bill. <br /> DATE COMPLETED ON COMPLETION <br /> Wreak *tel CASH OF WORK TOTAL . , 4 } S <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br />