GARAGE NAME AUTO REPAIR RE

ADDRESS NAME

CITY, STATE ADDRESS

PHONE# 123-123-1234 CITY,STATE

QUAN. PART NO. NAMEOF PART PRICE CUSTOMER'S INFORMATION
1 H6054 HALOGEN BULB $6.57 DATE CUSTOMER'S ORDER NO.

YEAR,MAKE,MODEL
1988,FORD,F100
LICENSE NO

SERIAL NO.

MOTOR NO.

HOME PHONE #

LUBE,OIL CHANGE,FLUSH TRANS,FLU

TOTAL PARTS $6.57 GAS,OIL & GREASE

MECHANICS RECOMMENDATIONS GALS. GAS 10
QTS. OIL 8
LBS. GREASE
TOTAL 18
PRICE GAS,OIL,GREASE
GAS $19.50
OIL $19.04
GREASE
TOTAL $38.54
 AUTHORIZED BY
ESTIMATE AMOUNT-PARTS & LABOR
REPAIR RECEIPT

STOMER'S INFORMATION
OMER'S ORDER NO. WHEN PROMISED

YEAR,MAKE,MODEL
1988,FORD,F100
E NO ODOMETER
30345
SERIAL NO.

MOTOR NO.

CELL PHONE # BUDGET

HANGE,FLUSH TRANS,FLUSH DIFF.

ACCESSORIES
FLOOR MATS $20.00

TOTAL ACCESSORIES $20.00

LABOR ONLY $75.00
PARTS $6.57
ACCESSORIES $20.00
GAS,OIL,GREASE $38.54
MISC.
SUBLET REPAIRS
TOTAL $140.11
TAX 7%
TOTAL $149.92