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. ... <br /> 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 Y <br /> - DATE OF ORDER <br /> f ( ! o F L f/. C -( c) <br /> NAME <br /> f DATE PROMISED <br /> ADDRESS 1 -y APARTMENT <br /> f, 5 t) . G `.? Fj v ' - t . 1 i � h <br /> CITY j t.- <br /> MAKE MODEL <br /> SERIAL NO. <br /> ❑ ESTIMATE <br /> NATURE OF / � ' ' <br /> SERVICE 0 ❑CASH <br /> REQUEST ❑ CHARGE <br /> QUAN. PART NO. DESCRIPTION PRICE AMOUNT <br /> �, �� / <br /> / . r '✓ /. 4 s 1" <br /> fl , <br /> 11 <br /> /€ try ( , _) <br /> ( � / :fl - 77 - - -- -- `7 i f , 't `:7-a °� <br /> SERVICE PERFORMED <br /> 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 <br /> of I R% applied to past due balances. Customer is liable for any charges incurred in collecting this bill. TAX <br /> DATE COMPLETED <br /> 7444 I ! CASH ONCOMPLETION TOTALS �/ r 1� ' <br /> OF WORK LS , 5 - rib <br /> b <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br />