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Dealer Code Dealer Claim# TEPS Dealer Code Paid/Cancelled Date Cat Claim No Dealer Name Status Date

Status Date Status Code Serial Number Sales Model Prin Work Code Return Date Received Date Repair Date Part Number Warranty Type Group Number Problem Description Comment Machine Hours Not Allowed Reason 1 Not Allowed Reason 2 Not Allowed Reason 3 Not Allowed Reason 4 payClass1 Claimed Total Allowed Total Labor Dollars Claimed Part Dollars Allowed Part Dollars Claimed Labor Dollars Allowed Travel Dollars Allowed Vehicle Dollars Allowed Miscellaneous Dollars Allowed Total Labor Hours Claimed Total Labor Hours Allowed Dealer Work Order # Settlement Notice # Component Serial # Component SMU Val Component SMU Code Durability Indicator Failure Date Coverage Start Date Delivery Date Parts Start Date Parts Hours Related Equip Ser #
V367 BA27879 02NOV22 Entered LYG03571 428F2 250 02NOV22 0 28.21 28.21 0 0 0 0 0 0 0 0 0
V367 BA27884 02NOV22 Entered GAX10163 349 206 02NOV22 0 564.96 564.96 0 0 0 0 0 0 0 0 0
V367 BA27885 02NOV22 Entered N1A04874 950H 250 02NOV22 0 1792.84 1792.84 0 0 0 0 0 0 0 0 0
V367 BA27886 02NOV22 Entered MDS00252 336 740 02NOV22 0 149 149 0 0 0 0 0 0 0 0 0
V367 BA27888 02NOV22 Entered GDY20103 336 340 02NOV22 0 3750.71 3750.71 0 0 0 0 0 0 0 0 0
V367 BA27895 02NOV22 Entered XPC00282 D6 GC 250 02NOV22 0 186.96 186.96 0 0 0 0 0 0 0 0 0
V367 BA27897 02NOV22 Entered EJ403031 426F2 250 02NOV22 0 59 59 0 0 0 0 0 0 0 0 0
V367 BA27899 02NOV22 Entered KEF30072 345 GC 250 02NOV22 0 349.07 349.07 0 0 0 0 0 0 0 0 0
V367 BA27900 02NOV22 Entered TF600480 CS64B 250 02NOV22 0 163.64 163.64 0 0 0 0 0 0 0 0 0
V367 BA27901 02NOV22 Entered M5K05735 950GC 250 02NOV22 0 1237.17 1237.17 0 0 0 0 0 0 0 0 0
V367 BA27903 02NOV22 Entered KEF20244 345 GC 250 02NOV22 0 846.43 846.43 0 0 0 0 0 0 0 0 0
V367 BA27904 02NOV22 Entered M5K05735 950GC 250 02NOV22 0 126.68 126.68 0 0 0 0 0 0 0 0 0
V367 BA27905 02NOV22 Entered EJ403686 426F2 250 02NOV22 0 564.96 564.96 0 0 0 0 0 0 0 0 0
V367 BA27906 02NOV22 Entered EJ403031 426F2 250 02NOV22 0 280.72 280.72 0 0 0 0 0 0 0 0 0
V367 BA27909 02NOV22 Entered LNB03144 C18 C75E 02NOV22 0 1340.42 1340.42 0 0 0 0 0 0 0 0 0
V367 BA27911 02NOV22 Entered LYG03568 428F2 250 02NOV22 0 434.33 434.33 0 0 0 0 0 0 0 0 0
V367 BA27912 02NOV22 Entered JFW21531 336 GC 250 02NOV22 0 54.03 54.03 0 0 0 0 0 0 0 0 0
V367 BA27913 02NOV22 Entered JFW21531 336 GC 250 02NOV22 0 335.28 335.28 0 0 0 0 0 0 0 0 0
V367 BA27914 02NOV22 Entered PAE00187 C32 C80E 02NOV22 0 139.72 139.72 0 0 0 0 0 0 0 0 0
V367 BA27916 02NOV22 Entered KEL20919 330 250 02NOV22 0 301.13 301.13 0 0 0 0 0 0 0 0 0
V367 BA27917 02NOV22 Entered EJ403686 426F2 250 02NOV22 0 164.68 164.68 0 0 0 0 0 0 0 0 0
V367 BA27918 02NOV22 Entered EJ403686 426F2 250 02NOV22 0 2.36 2.36 0 0 0 0 0 0 0 0 0
V367 BA27919 02NOV22 Entered JFW21200 336 GC 250 02NOV22 0 83.71 83.71 0 0 0 0 0 0 0 0 0
V367 BA27920 02NOV22 Entered JFW21200 336 GC 250 02NOV22 0 169.2 169.2 0 0 0 0 0 0 0 0 0
V367 BA27921 02NOV22 Entered L7D01042 428 250 02NOV22 0 84.62 84.62 0 0 0 0 0 0 0 0 0
V367 BA27922 02NOV22 Entered W9200920 140 GC 250 02NOV22 0 196.8 196.8 0 0 0 0 0 0 0 0 0
V367 BA27924 02NOV22 Entered JFW21188 336 GC 250 02NOV22 0 37 37 0 0 0 0 0 0 0 0 0
V367 BA27926 02NOV22 Entered L7D00438 428 250 02NOV22 0 81.85 81.85 0 0 0 0 0 0 0 0 0
V367 BA27927 02NOV22 Entered B5500296 150 200 02NOV22 0 15.25 15.25 0 0 0 0 0 0 0 0 0
V367 BA27928 02NOV22 Entered L7D00177 428 250 02NOV22 0 140.5 140.5 0 0 0 0 0 0 0 0 0
V367 BA27929 02NOV22 Entered RBY10274 349 740 02NOV22 0 84.1 84.1 0 0 0 0 0 0 0 0 0
V367 BA27941 02NOV22 Entered GDY20706 336 240 02NOV22 0 1401.12 1401.12 0 0 0 0 0 0 0 0 0
V367 BA27942 02NOV22 Entered GDY20706 336 240 02NOV22 0 1401.12 1401.12 0 0 0 0 0 0 0 0 0
V367 BA27943 02NOV22 Entered GDY20706 336 240 02NOV22 0 549.49 549.49 0 0 0 0 0 0 0 0 0
V367 BA27944 02NOV22 Entered GDY20706 336 240 02NOV22 0 388.61 388.61 0 0 0 0 0 0 0 0 0

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