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Date: <br />7/ 8/02 05:39 PM <br />Estimate ID: <br />1019 <br />Es[imate Version: <br />0 <br />Preliminary <br />Profile ID: <br />MIKE'S CUSTOM <br />IV. Total Adjustments: <br />Net Total: <br />This is a areliminarv estimate. <br />Additional chanqes to the estimate mav be reauired for the actual repair. <br />IF WE CAN BE OF ANY FURTHER ASSISTANCE WITH THIS ESTIMATE,PLEASE <br />DON'T HESITATE TO CALL MIRE OR RRISTI. THANR YOU FOR YOUR BUSINESS! <br />***PARTS- PRICES SUBJECT TO _INVOICE***AUTHORIZED AND ACCEPTED: You- are <br /> <br />-hereby -authnrized. to-make--the-above specif.ied-=epair_-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 purpose of testing and/or <br />inspection. An express mechanic's lien is hereby acknowledged on the <br />above vehicle to secure the amount of 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 fire, 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 <br />Date <br />WARNING: AccideMal air bag deployment is possible. Personal injury may resulL Avoid area near steering wheel <br />and instrument panel even If air bags have deployed. Dual-stage air bag rtadules may be present that could <br />eoMain an undeployed stage. When disposing of a deployed dual-stage air bag, always treat it as a"live' module. <br />See appropriate MITCHELLS AIR BAG SERVICE 8 REPAIR MANUAL, or OEM infomwtion. <br />ESTIMATE RECALL NUMBER: 718102 17:39:45 1019 <br />UttraMate is a Trademark oT Mitchell Intemational <br />Milchell Data Version: JUN_02_A Copyright (C) 1994 -2002 Mkchell International <br />UttraMate Version: 4.8.009 All Rights Reserved <br />0.00 <br />108.00 <br />Page 2 of 2 <br />