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HLE COPY 6lszov< Y, ,13,ON-/) r--) <br /> NAME/ADDRESS ACCOUNT NO; A .. H•PHONE REFERENCE NO. <br /> CGl P.O.NO. W= HONE <br /> RESALE NO. VIN NO. WO-ES.NO. <br /> YEAR/MAKE/MODEL LICENSE NO, TAG NO,` NEXT INSP.DATE BAR NO, <br /> SAVE PARTS ALL PARTS NEW UNLESS PROMISED DATE/TIME " MILEAGE <br /> Y N OTHERWISE SPECIFIER_,�iSTIIMATE AMOUNT ' <br /> DATE r DISCLAIMER OF;WARRANT G ANY <br /> IES;ANY.WARRANTIES ON THE PRODUCTS SOLD ARE <br /> rD1I <br /> HOSE MADE'ALL.BY..THE.MANUFACNRER: THE SELLER HEREBY EXPRESSLYORIGINAL KIEDMWARRANTY WAROF�MERCEHANTABILITHER EITY OR FIITNESSFI OR IM UFOF ED IA PARITIIANY <br /> CULAR <br /> URPOSE,.AND NEITHER ASSUMES NOR AUTHORIZES.ANY OTHER PERSON TO <br /> REVISED 1 ASSUME FOR R ANYLIABILITYIN CONNECTION WITH THE SALE.OF SAID PRODUCTS. <br /> BUYERSHACL NOT':BE:'.ENTITLED TO .RECOVER'FROM THE.SELLER ANY <br /> CONSEQUENTIAL DAMAGESi DAMAQES TO PROPERTY;DAMAGE FOR LOSS OF USE, <br /> REVISED Z LOSS OF TIME,LOSS OF.•PROFITO0 INCOME Ofl ANY OTHER INCIDENTAL DAMAGES. <br /> I acknowledge notice and oral approval of an increase in the original estimate price. EA41 E. understen tat have the rigght to have <br /> e s n service and/or adjustment one elsewhere.I h8reby waive <br /> X t T.right at this time. <br /> _j <br /> PARTS & OTHERS LABOR <br /> OTY. PART NO. DESCRIPTION EACH DESCRIPTION EXTENSION <br /> X <br /> aY <br /> Ly <br /> J L if <br /> � <br /> - ffv <br /> - v <br /> I hereby accept the initial estimate and agree to the terms and <br /> conditions herein set forth and hereby authorize the service and repair <br /> and/or Installation work to be done along with the necessary materiels PARTS <br /> and hereby grant you and/or your employees and/or designees <br /> permission to operate the vehicle herein described on streets,highways LABOR <br /> or elsewhere for the purpose of testing or Inspection.I hereby authorize <br /> storage of the vehicle at the rate of per day beginning OTHER <br /> on the day after repairs are completed.An express mechanic's <br /> lien is hereby acknowledged on vehicle to secure the amount of towing, SUBLET <br /> storage and/or repairs.You will not be held responsible for loss or <br /> damage to vehicle or accessories or articles leftin vehicle in case of SUBTOTAL <br /> fire,theft,vandalism,accident,or any other cause beyond your control. <br /> in the event legal action is necessary to enforce this contract,I will pay .�' <br /> TAX <br /> reasonable attorney's fees and court cost. <br /> AUTHORIZED BY X OWNER'S MANUAL RECOMMENDATIONS TOTAL <br /> CASH AMOUNT CHECK AMOUNT CHECK NO. C.C.AMOUNT C.C.TYPE C.C.APPROVAL CODE ON ACCOUNT <br /> THANK <br /> YOU! <br />