PAINTLESS DENT REPAIR ESTIMATE/INVOICEFOR HAIL DAMAGE

Estimate ID: 1 RO #: 123 PO #: 321

Owner:

Vehicle:

Insurance:

Adjuster:

Adjuster Phone:

Written By: Casey Perkins

Date Estimated: 08 January 2014

Loss Date:

Photos: 2

VIN:

Policy #:

Claim #:

PANEL/DENT DETAILSPanel Panel Base Oversized Upcharges PDR /

PTPR&I $ PDR $

Hood $150.004 Half-Dollars

$0.00 25%(DoublePanel)

PDR $0.00 $187.50

LT Fender $100.002 Quarters

$0.00 None PDR $0.00 $100.00

Notes: Test.

Roof $250.009 Half-Dollars

$0.00 25%(Oversized

Panel)

PDR $0.00 $312.50

LT Rail $125.004 Half-Dollars

$0.00 None PDR $114.00 $125.00

R&I Items: Aftermarket Miscellaneous

ESTIMATE TOTALSCATEGORY PRICE

PDR Labor $725.00

Corrosion Protection $0.00

R&I Labor $114.00

Subtotal $839.00

Sales Tax $839.00 @ 0% $0.00

GRAND TOTAL $839.00

PHOTOGRAPHS

test

Panel: Hood

WE APPRECIATE YOUR BUSINESS!

This is only an estimate. It cannot account for hidden damage. Your vehicle may require furtherteardown and/or inspection to determine if any further damage exists. If further repairs are needed, asupplemental claim may be required. If this shop finds further damage, we will contact the vehicleowner before beginning any additional work. Parts prices may vary and are subject to invoice.

This shop is not responsible for lost or stolen items. Please remove all personal and/or valuable itemsfrom your vehicle before leaving it in our shop. Thank you!

IT IS A CRIME TO KNOWINGLY PROVIDE FALSE, MISLEADING, OR INCOMPLETEINFORMATION TO AN INSURANCE COMPANY FOR THE PURPOSE OF DEFRAUDING THECOMPANY. PENALTIES MAY INCLUDE IMPRISONMENT, FINES, AND DENIAL OF INSURANCEBENEFITS.