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Kinsey Cent�al <br /> Heat & Air-Conditioning, Inc. <br /> P.O. Box 2209 <br /> Zephyrhills, Florida 33539-2209 <br /> (813) 782-2300 CA-0058626 <br /> PHONE �Af OF 9RDER <br /> y <br /> NAME DATE PROMISED <br /> � .� v h ,c� Gy,rii`'i — <br /> A�DRESS � APARTMENT <br /> � <br /> ciTv <br /> MAKE MODEI SERIAL NO. <br /> ❑ ESTIMATE <br /> NATURE OF ❑ CASH <br /> SERVICE � <br /> REQUEST �� ❑ CHARGE <br /> QUAN. PART NO DESCRIPTION PRICE AMOUNT <br /> •�—�- �� r • / a-ll <br /> �. I <br /> � <br /> � <br /> � <br /> SERVICE PERFORMED TOTAL <br /> MATERIAL <br /> TECHNICAL <br /> SERVICE TIME <br /> I <br /> A charge of 1.5%will be made on all wpaid balances after 30 days,which is an annual percontage rate T� <br /> of 18%applied to past due balances.Customer is liable for any charges incurred in collecang this bill. <br /> DATE COMPLETED ON COMPLETION <br /> ?�Y,k�Ot�� CASH oFwoRK "'► TOTAL I <br /> TECHNICIAN CUS70MER'S SIGNATURE <br />