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NAME/AD1/DRES4S'�(1� ACCOUNT NO. H-PHONE REFERENCE NO. <br /> / '` � G �" tLi �G�w� �GZ P.O.NO. W- HONE _ (7 DATE/TI <br /> 3�� - � 3 3 � U <br /> J�6(-LI <br /> LI o I �!q q U 1, RESALE NO. VIN NO. WO-ES NO. <br /> YEAR/MAKE/MODEL LICENSE NO. TAG NO. NEXT INSP.DATE BAR NO. <br /> SAVE PARTS PROMISED DATE/TIME MILEAGE WRITTEN BY <br /> ALL PARTS NEW UNLESS �v)G <br /> Y N OTHERWISE SPECIFIED <br /> AMOUNTDATE TIME EMPLOYEE • • DISCLAIMER OF WARRANTIES:ANY WARRANTIES ON THE PRODUCTS SOLD ARE <br /> THOSE MADE BY THE MANUFACTURER. THE SELLER HEREBY EXPRESSLY <br /> ORIGINAL DISCLAIMS ALL WARRANTIES, EITHER EXPRESS OR IMPLIED, INCLUDING ANY <br /> IMPLIED WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR <br /> PURPOSE,AND NEITHER ASSUMES NOR AUTHORIZES ANY OTHER PERSON TO <br /> FOR IT ANYREVISED 1 BUYERE SHALL OTI BE ENTITLED TOTI ON RECOVERWITHH FROM THSALE OF EaSELLERUCTS.ANY <br /> CONSEQUENTIAL DAMAGES,DAMAGES TO PROPERTY,DAMAGE FOR LOSS OF USE, <br /> REVISED 2 LOSS OF TIME,LOSS OF PROFIT OR INCOME OR ANY OTHER INCIDENTAL DAMAGES. <br /> I acknowledge notice and oral approval of an increase in the original estimate rice. E I I N VER— understand t at 1 have t e rigght to have <br /> 9 PP 9 P Is on ce and/or adjustment done elsewhere.I h8reby waive <br /> ITS r 910P Beet this time. <br /> X X <br /> PARTS & OTHERS LABOR <br /> DESCRIPTION <br /> yVLIL, ! t`��7� �( � Y n <br /> LIG��d, <br /> I <br /> 'Noy <br /> r-Z .... <br /> C� <br /> I� MC- <br /> Y to <br /> --4 <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 materials 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 left in 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 TAX � D G <br /> reasonable attorney's fees and court cost. J `, /, <br /> AUTHORIZED BY X OWNER'S MANUAL RECOMMENDATIONS TOTAL U(/ <br /> CASH AMOUNT CHECK AMOUNT CHECK NO. C.C.AMOUNT C.C.TYPE C.C.APPROVAL CODE ON ACCOUNT <br /> THANK <br /> YOU! <br />