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Kinsey Cent�al <br /> Heat & Air-Conditioning, Inc. <br /> P.O. Box 2209 <br /> Zephyrhilis, Florida 33539-2209 <br /> (813) 782-2300 CA-0O58626 <br /> PHONE � f DATE OF ORDER <br /> � s! l. �� �/ ..^� f d .. f(' -. f f'� <br /> NAME ' / ' r"" DATE PROMISED <br /> 1 G' • �'S '� F. C. ` C.! <br /> � ADDRESS " APARTMENT <br /> y sts 4� �..___� > <br /> .. � ,-� a ,r'fi w- .r' <br /> cin <br /> MAKE MODEL SERIAL NO. <br /> � TIMATE <br /> NATURE OF ❑ CASH <br /> SERVICE <br /> REQUEST ❑ CHARGE <br /> QUAN. PART NO DESCRIPTION PRICE AMOUNT <br /> /' � '� t�� .f � ,J • � <br /> � / . �- o _ `�., <br /> � �: r t.✓c..• /� , 6 { � � '�,_ <br /> ' ��� �� � <br /> .4 f ,�; .� l� v �Cj <br /> � <br /> � <br /> � <br /> SERVICE PERFORMED TOTAL <br /> MATERIAL <br /> ' TECHNICAL ' <br /> SERVICE TIME <br /> ' <br /> A charge of 1.5"'0 �rill be made on aIl unpaid Unlances after 30 days, e�hich iti an annual perccntage rete T� � <br /> of I N",'� applicd to past duc balanccs Customer is liablc for an� chargcs incuacd in collcctin@ ihis bill. <br /> DATE COMPLETED ON COMPLETION � <br /> ' Jlt� ZlOCG� CASI1 OF WORK � TOTAL I <br /> TECHNICIAN CUSI'OMER'S SIGNATURC <br />