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Text File  |  1993-08-01  |  1KB  |  50 lines
  1.  
  2. ________________________ 
  3. _____________________________ 
  4. _______________________ 
  5.  
  6. _____________________ 
  7. Dated: ________________________________________ 
  8.  
  9. Owners name: _____________________ 
  10. _________________________ 
  11. __________________________ 
  12. Phone day: ____________________   Phone evening:
  13. ____________________ 
  14.  
  15. Make: _______________  Model: ______________ Color: ______________
  16. Year: _______________ VIN: ________________ 
  17.  
  18. Mileage: ___________ 
  19. Description of problem: 
  20.  
  21. _______________ 
  22.  
  23.  
  24.  
  25. Estimate: $  ( & no/100 dollars) 
  26.  
  27. Further authorization required to exceed estimate by _________ per
  28. cent
  29.  
  30. The OWNER grants permission to _________________ to road test the
  31. vehicle. The OWNER grants to ______________ an express mechanic's
  32. lien on the vehicle to  secure costs of repairs and parts. 
  33. NO WARRANTY IS PROVIDED ON PARTS OTHER THAN THOSE PROVIDED BY 
  34. THE MANUFACTURER.
  35.  
  36.  
  37.  
  38. Date: _______________________________
  39.  
  40.  
  41.  
  42.  
  43.  
  44.  
  45.  
  46. ___________________________________________________
  47.  
  48. OWNER 
  49.                            
  50.