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x <br /> Kinsey Cent�al <br /> Heat & Air-Conditioning, Inc. <br /> P.O. Box 2209 <br /> Zephyrhills, Florida 33539-2209 <br /> (813) 782-2300 <br /> ca-co5ss2s <br /> PHON <br /> � �� � 7� � o ��o� <br /> �,E ll-1 <br /> DATE PROMISED <br /> ADDRESS / � <br /> , APARTMENT <br /> cirv Q .'Y" <br /> MAKE MODEL SERULL NO. <br /> ❑ ESTIMATE <br /> NATURE OF � J� k J� �� ��/� Z— <br /> SERVICE � CASH <br /> REQUEST 7v ,2 � �Y1 O � p �O ��S <br /> ❑ CHARGE <br /> QUAN. PART NO DESCRIPTIO PRICE AMOUNT <br /> % <br /> � � ll�� (�D <br /> 4� �,� <br /> l � �� � <br /> — � <br /> I <br /> �� i <br /> i <br /> SERVICE PERFORMED <br /> TOTAL <br /> MATERI/LL <br /> TECHNICAL <br /> SERVICE TIME <br /> � of 18' � lied to wilf be made on all unpsid balences aRa 30 dari, which is an emual percentage rete I I <br /> PP psst due balences. C�.stomer is liable for any chuges incurnd io collecting this bill. T � <br /> �� I _� DATECOMPLEiED <br /> � CASH � Wo�c��� '�► TOTAL <br /> � <br /> TECHNICIAN CUSTOMER'S SIGNATURE <br />