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r NAtAE!ADDRESS ACCOUNT NO. 14-PHONE REFERENCE NO. P.O.NO W-?HONE DATE:TIME RESALE NO. VIN NO WO-ES NO. YEAR!MAKE,MODEL LICENSE NO. TAG NO. NEXT INSP DATE BAR NO, SAVE PARTS ALL PARTS NEW UNL SS PROMISED DATE/TIME MILEAGE WRITTEN BY Y N OTHERWISE SPECIFI D AMOUNTESTIMATE DATE TIME EMPLOYEE • • DISCLAIMER OF WARRANTIES.ANY WARRANTIES ON THE PRODUCTS SOLD ARE THOSE MALS BY THE MANUFACTURER THE SEL ER HEREBY EXPRESSLY DISCLAIMS ALL WARRANTIES. EITHER EXPRESS OR IMPLIED INCLUDING ANY ORIGINAL MPUEn WARRANTY OF MERCHANTABIL Tr OR FITNESS FOR A PARTICULAR PURPOSE AND NEITHER ASSUMES NOR AUTHORIZES ANY OTHER PERSON TO iit�lrSEC 1 - ASSUME FOR IT ANY LIABILITY IN CONNECT.ON WITH THE SALE OF SAID PRODUCTS BUYER SHALL NOT BE ENTITLED TO RECOVER ROM THE SELLER MJY - OONSEOUE?"L DAMAGES.DAMAGES TO PROPERTY,DAMAGE FOR LOSS OF USE. REVISED 2 LOSS CF TIME LOSS OF PROFIT OR INCOME OR ANY OTHER INCIDENTAL DAMAGES I acknowledge notice and oral approval of an incre se in the on incl esiimate rice. SSION WAIVER— I understand-trial I have the night to have 9 pP p WAIVER and/or adjustment done elsewhere.I hreby waive X iX right al this fime- PARTS OTHERS LABOR QTYPART NO. DESCRIPTION EACH CITY. DESCRIPTION EXTENSIONi I i I I� I hereby accept the Initial estimate and agree ne terms a e 0 conditions herein set forth and hereby authorize the service and rep and/or installatien wo:R to oe done along with the neDessery mated s :111 accllinv- :Ire duc and payable on the 10 of the I-iouth f0lt mm-, I PARTS and-hereby gran you and your employees ardlor design s permission to operta!-�e.e^'.cle herein described onstreeM,highwa s �fL of I.,'•!�Jee.A CARRI'ING CH.-URGE n( 1 - PER \Ili\I H or elsewhere for the purpose of testing or inspectionr thereby authon e or 14'. PER YEAR a ill becharged on ill balance reinainin_open LABOR storage of the vehicle at -e rate of $25.00 per day beginm g - on the 2nd day atter repairs are completed,An express mecham ; after 10 of the mun Ta}Inent a due. It i.,agreed flim the ahoY�e OTHER i lien is hereby aeknowledgeo on vehicle ro secure the??mount of to merchandise is J eTINT d to bud,,r upon conmenment ollk and(hat SUBLET storage and. repairs. Yoe will not be held responsible`a loss r Title,hall rClTlain I el. _ pttt"for:--. damage.to vehicle or accessones or articles lett in vehicle in case -�" SUBTOTAL fire,theft 1,rdalism,sm:dent.or any other cause beyond your COW W. In the event legal action Is recessary to enforce this Contract,I WBI p,y .l•i i'r y _ -_ I TAX reasonable attemey's tees and court cost. I � AUTHORIZED BY X J TOTAL CASH AMOUNT I CHECK AMOUNT CHECK N C. Ou i C.C.TYPE C.C.APPROVAL CODE ON ACCOUNT THANK l —� -- YOU! /