Beruflich Dokumente
Kultur Dokumente
Phone #
Date
Estimate #
9/4/2014
3846
Name / Address
Year/Make/Model
VIN
License Plate #
Description
Qty
Cost
1
Total:
13,000.00
13,000.00T
-Transmission
* Complete Transmission
* Drive Shaft
* Trans mount w/ Sub Frame
* Shifter Linkage
* Front Axles
* Fly Wheel w/ Clutch
* DCCD Parts
- Rear End
I voluntarily request that repairs be performed on my vehicle without an advanced estimate of their cost. By signing this form, I authorize
reasonable and necessary costs to remedy the problems complained of up to a maximum of $ ________. The Repair shop my not exceed this
amount without my written or oral consent.
I hereby authorize the above repair work to be done along with the necessary materials. You and your
employees may operate 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. It is understood
that you will not be held responsible for loss or damage to vehicle or articles left in vehicle in case of fire,
theft or any other cause beyond your control.
Thank you for your business.
Customer Signature
Page 1
Total:
_____________________________________
Estimate
1000 Old County Circle
Unit 115
Windsor Locks, CT 06096
Phone #
Date
Estimate #
9/4/2014
3846
Name / Address
Year/Make/Model
VIN
License Plate #
Description
Qty
Cost
Total:
1
1
487.20
35.99
487.20T
35.99T
11.90
100.00
23.80T
100.00T
I voluntarily request that repairs be performed on my vehicle without an advanced estimate of their cost. By signing this form, I authorize
reasonable and necessary costs to remedy the problems complained of up to a maximum of $ ________. The Repair shop my not exceed this
amount without my written or oral consent.
I hereby authorize the above repair work to be done along with the necessary materials. You and your
employees may operate 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. It is understood
that you will not be held responsible for loss or damage to vehicle or articles left in vehicle in case of fire,
theft or any other cause beyond your control.
Thank you for your business.
Customer Signature
Page 2
Total:
_____________________________________
Estimate
1000 Old County Circle
Unit 115
Windsor Locks, CT 06096
Phone #
Date
Estimate #
9/4/2014
3846
Name / Address
Year/Make/Model
VIN
License Plate #
Description
Qty
Cost
Total:
325.00
325.00T
3,550.00
3,550.00T
350.00
350.00T
500.00
500.00T
400.00
400.00
8.65
6.35%
8.65
1,166.62
I voluntarily request that repairs be performed on my vehicle without an advanced estimate of their cost. By signing this form, I authorize
reasonable and necessary costs to remedy the problems complained of up to a maximum of $ ________. The Repair shop my not exceed this
amount without my written or oral consent.
I hereby authorize the above repair work to be done along with the necessary materials. You and your
employees may operate 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. It is understood
that you will not be held responsible for loss or damage to vehicle or articles left in vehicle in case of fire,
theft or any other cause beyond your control.
Thank you for your business.
Customer Signature
Page 3
Total:
$19,947.26
_____________________________________