Repair Order

Date Part No. Description Qty. Amt.

Automotive Repair Receipt

Customer Name: ID:

Address:
Vehicle Make: Model:
License Plate: Year:
Date Estimate: Cost Estimate:
Flat Rate: Hourly Rate:

Major Overhaul Minor Overhaul Tune-Up Other

I understand that this estimate is good for 30

days and the above company is not liable for
Total Parts:
fire, theft or other damages. I authorize the
Total Labor:
above repairs to be done with the necessary
materials.
Fees:
Total: X Total: