Use this slip for credit toward
                          future purchases. Thank You.
I authorized the above repair work performed along with the necessary materials.
  <Your Company> and its employees were permitted to operate above vehicle for purposes
   of testing, inspection,or delivery at my risk. An express mechanics' lien was
   acknowledged on above vehicle to secure the amount of repairs thereto.  
  <Your Company> is not held responsible for any loss or damage to vehicle or any article 
  within in case of fire, theft, or any other cause beyond the control of 
  <Your Company>. 
   X ___________________________________________________________
I hereby authorize the above repair work is to be performed along with the necessary 
  materials.  <Your Company> and its employees are permitted to operate above vehicle
  for purposes of testing, inspection, or delivery at my risk. An express mechanics' 
  lien is acknowledged on above vehicle to secure the amount of repairs thereto. 
  <Your Company> is not held responsible for any loss or damage to vehicle or any 
  article within in case of fire, theft, or any other cause beyond the control of 
  <Your Company>.  
       X ___________________________________________________________
        Thank you for your payment on the account(s) listed above.
                Receipt of payment toward above Layaway account.
             Layaways are held for a maximum of sixty (60) days.
              Be sure all articles listed above were included
              with the shipment. Thank You.
I hereby authorize the above repair work is to be performed along with the necessary
  materials.  <Your Company> and its employees are permitted to operate above vehicle
 for purposes of testing, inspection, or delivery at my risk. An express mechanics' 
 lien is acknowledged on above vehicle to secure the amount of repairs thereto.  
 <Your Company> is not held responsible for any loss or damage to vehicle or any article
 within in case of fire, theft, or any other cause beyond the control of 
 <Your Company>.  
            X ___________________________________________________________