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Garage Repair Order

Qty Part and description Price Name & Address of the Company:

Name Order no Date


Address Order Taken by Recd
City, State, Zip Due by
Phone Mobile Odo in
Make & Model VIN Odo Out
Regn No Engine Terms
Description of work Amount

Lube □ Oil change □ Oil Filter □ Tune-up □ Trans □ Diff

Fuel Used x Rate


Total Parts Oil Used x Rate
Accessories Grease used x Rate
Other consumables x Rate
The description & parts mentioned herein are subject to change Total Labor
post final inspection & completion of work. Total Parts
You are hereby authorized to make the above repairs and I Accessories
agree to pay the charges as applicable. Consumables
Save old Parts: Yes / No Other Charges
Signature: Tax
Total Accessories Total

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