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Date: <br />Estimate ID: <br />Estimate Version: <br />Preliminary <br />Profile ID: <br />III. Additional Costs <br />Taxable Costs <br />Sales Tax @ <br />Non-Taxable Costs <br />Total Additional Costs <br />718/02 05:12 PM <br />1077 <br />0 <br />MIKE'S CUSTOM <br />Amount IV. Adjustments <br />223.60 Customer Responsibility <br />8.260°k 18.45 <br />5.00 <br />247.05 <br />I. <br />II. <br />III. <br />IV. <br />Total Labor: <br />Total Replacemenl Parts: <br />Total Additional Costs: <br />Gross TotaL•. <br />Total Adjustments: <br />Net Total: <br />This is a oreliminarv estimate. <br />Additional chanaes to the estimate mav be reauired for the actual reoair. <br />IF WE CAN BE OF ANY FURTHER ASSISTANCE WITH THIS ESTIMATE,PI.EASE <br />DON'T HESITATE TO CALL MIRE OR RRISTI. THANK YOU FOR YOUR BUSINESS! <br />***PARTS PRICES SUBJECT TO INVOICE+**AUTHORIZED AND ACCEPTED: You are <br />hereby authorized to make the above speci£ied repair. I understand <br />that payment in full will be due upon release of vehicle, including <br />additional supplemental damage charges, and hereby grant you and/or <br />your employees, permission to operate the vehicle herein described on <br />streets, highways, or elsewhere for the puxpose of testing and/or <br />inspection. An express mechanic's lien is hereby acknowledged on the <br />above vehicle to secure the amount o£ repairs thereto. You will not <br />be held responsible for loss or damage to vehicle or articles left in <br />the vehicle in case of £ire, theft, accident or any other cause <br />beyond your control. Old parts removed from vehicle will be junked <br />unless otherwise instructed! I authorize any and all supplements <br />payable direct to you. I authorize you to act as power of attorney to <br />sign insurance checks to pay for damages to above vehicle. <br />Authorized by Date <br />WARNING: Accidental air bag deployment is possible. Personai injury may resutt. Avoid area near steering wheel <br />and instrument panel even if air bags have deployed. Dual-stage air bag rtadules may be preserrt that could <br />conWin an undeployM stage. When disposing of a deployed dual-stage air bag, always treat it as a"live" module. <br />See appropriate MITCHELLS AIR BAG SERVICE & REPAIR MANUAL, or OEM intortnation. <br />ESTIMATE RECALL NUMBER: 718I02 17:12:37 7077 <br />UttraMate is a Tredemark of MRchell International <br />Milchell DaW Version: JUN 02_A Copyright (C) 1994 - 2002 Mkchell International <br />UttraMate Verslon: 4.8.009 Atl Rights Reserved <br />Amount <br />0.00 <br />399.60 <br />0.00 <br />247.05 <br />646.66 <br />0.00 <br />646.65 <br />Page 2 of 2 <br />