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Cust.

Name: City:
Address:
Zip:
Year: (H) Phone:
Model:

Date:

Lin Re- Labo


Menu/Subl
e pai r Details of Repair Parts Qty. Parts Total Labor Line Total
et
No. r Time

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0.0 Totals: $0.00 $0.00 $0.00 $0.00
Shop Supplies: $0.00
Subtotal: $0.00
Tax: $0.00
Total Repairs: $0.00
Less Discount if Applicable:
Total Repairs after Discount: $0.00

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