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CUSTOMER #: 28920
UNIT# 28920
Mercedes-Benz of Encino
457056
16721 Ventura Blvd.
Encino, CA 91436
818-788-0235
*INVOICE*
SUZANNE LEE BELLUSCHI
2952 AVENIDA DE AUTLAN
CAMARILLO, CA 93010
HOME:805-236-5138 CONT:N/A
BUS: 805-278-0162 CELL:
COLOR
BLACK
DEL DATE
YEAR
08
PAGE 1
SERVICE ADVISOR: 1126 ALON D ASHERSON
MAKE/MODEL
VIN
MERCEDES-BENZ CL63
PROD. DATE WARR. EXP.
05JUL08 DD
R.O. OPENED
LICENSE
MILEAGE IN/ OUT
WDDEJ77X98A017938
PROMISED
PO NO.
3159/3164
RATE
05JUL2015 11:06 09OCT08
READY
OPTIONS:
STK:28920 DLR:05171
PAYMENT
CASH
10:12 30SEP08 13:06 30SEP08
LINE OPCODE TECH TYPE HOURS
LIST
NET
A CLIENT STATES BULB OUT WARNING COMING ON STATING REAR LAMP OUT (NV)
54-8 ELECTRICIAL OPERATIONS 8 CYL
1230
C 0.00
0.00
3164 NO FAULT FOUND INSPECTED VEHICLE, FOUND NO BULBS INOP. RAN
QUICK TEST, FOUND NO STORED CODES. PERFORMED ACTUATION IN REAR SAM OF
ALL REAR LIGHTS. ALL OK AT THIS TIME. COULD NOT DUPLICATE ISSUE.
****************************************************
B PERFORM MBUSA FIRST INSPECTION
CAUSE: F
005500 FIRST SERVICE VISIT- PERFORM
1230 W08 1.00
3164 FIRST INSPECTION PERFORMED FIRST INSPECTION. RAN QUICK TEST,
FOUND NO CODES. CK ALL FLUID LEVELS, OK. CORRECT TIRE AIR PRESSURES.
ALL OK.
****************************************************
C OIL & FILTER CHANGE: REPLACE SYNTHETIC ENGINE OIL & OIL FILTER WITH
COMPLIMENTARY VISUAL INSPECTION
LOF OIL & FILTER CHANGE: REPLACE SYNTHETIC ENGINE
OIL & OIL FILTER WITH COMPLIMENTARY VISUAL
INSPECTION
1230
C 0.40
40.40
1 000-180-30-09 FILTER ELEME
22.76
22.76
10 Q-1-09-0144 MOBIL 1 5W40
6.95
6.95
1 007603-012110 SEAL RING,VL
2.52
2.52
HAZ DISPOSABLE FEE FOR OIL,FILTER,BATTERY ,TIRES.
1230
CH 0.00
1.50
3164 LOF PERFORMED LOF. CHANGED OIL AND FILTER.
****************************************************
D CLIENT REQ TO PERFORM DIFFERENTIAL FLUID CHANGE
35-8 REAR AXLE OPERATIONS 8 CYL
1230
C 0.20
27.60
4 001-989-52-03-10 TRANSMISSION
20.48
20.48
3164 DIFF FLUID CHANGE PER FIRST INSPECTION AS PER FIRST
INSPECTION, AMG DIFFERENTIAL FLUID CHANGE. PERFORMED DIFF FLUID
CUST. INLS.
ALL PARTS REMOVED WILL BE DISCARDED UNLESS
REQUESTED BY CUSTOMER
SAVE
AUTHORIZED
ADDITIONS $
ORIGINAL
ESTIMATE $
METHOD OF PAYMENT - WE ACCEPT
THE FOLLOWING:
VISA * MASTERCARD
AMERICAN EXPRESS
PERSON CONTACTED
PARTS AMOUNT
DATE
IN PERSON
BY PHONE
GAS, OIL, LUBE
CALLED BY
DRIVER'S LICENSE NUMBER
TIME
#
COMPANY OR PERSONALIZED
CHECK WITH THE FOLLOWING:
1) VALID DRIVERS LICENSE
2) NAME AND ADDRESS (NO P.O. BOX)
IMPRINTED ON CHECK
I hereby authorize the repair work to be done along with the necessary material, and hereby grant you and/or your employees
permission to operate the car or truck herein described on streets, highways or elsewhere for the purpose of testing and/or
inspection. Should legal action be required to secure payment for these repairs, I agree to pay reasonable legal fees incurred.
SUBJECT TO CONDITIONS ON REVERSE SIDE OF THIS CONTRACT. PLEASE READ REVERSE SIDE.
NOTICE TO CONSUMER: PLEASEREAD IMPORTANT INFORMATION ON BACK.
I ACKNOWLEDGE NOTICE OF AN INCREASE IN THE ORIGINAL ESTIMATED PRICE AND ADDITIONAL CUST. OR WARRANTY
WORK PERFORMED, AND/OR RECEIPT OF VEHICLE.
X
CUSTOMER ACKNOWLEDGES RECEIPT HEREOF
IF WORK HAS NOT BEEN PERFORMED AS REQUESTED OR IF YOU FEEL THAT THE REPAIRS ARE NOT SATISFACTORY.
BAR # ARD247280
EPA # CAD981676901
DESCRIPTION
LABOR AMOUNT
CASH
CHARGE
VISA
MC
CHECK
AM EX
CUSTOMER COPY
SUBLET AMOUNT
MISC. CHARGES/ADJ.
TOTAL CHARGES
LESS INSURANCE
SALES TAX
PLEASE PAY
THIS AMOUNT
TAG
T8885
INV. DATE
30SEP08
TOTAL
0.00
(N/C)
40.40
22.76
69.50
2.52
1.50
27.60
81.92
TOTALS
CUSTOMER #: 28920
UNIT# 28920
Mercedes-Benz of Encino
457056
16721 Ventura Blvd.
Encino, CA 91436
818-788-0235
*INVOICE*
SUZANNE LEE BELLUSCHI
2952 AVENIDA DE AUTLAN
CAMARILLO, CA 93010
HOME:805-236-5138 CONT:N/A
BUS: 805-278-0162 CELL:
COLOR
BLACK
DEL DATE
YEAR
08
PAGE 2
SERVICE ADVISOR: 1126 ALON D ASHERSON
MAKE/MODEL
VIN
MERCEDES-BENZ CL63
PROD. DATE WARR. EXP.
05JUL08 DD
R.O. OPENED
LICENSE
MILEAGE IN/ OUT
WDDEJ77X98A017938
PROMISED
PO NO.
3159/3164
RATE
05JUL2015 11:06 09OCT08
READY
OPTIONS:
STK:28920 DLR:05171
PAYMENT
CASH
10:12 30SEP08 13:06 30SEP08
LINE OPCODE TECH TYPE HOURS
LIST
CHANGED.
****************************************************
EST: 135.00
30SEP08
10:12
TAG
T8885
INV. DATE
30SEP08
NET
TOTAL
SA: 1126
*** S E R V I C E
DEPARTMENT H O U R S ***
MON-FRI 7:00AM TO 6:00PM CLOSED SAT AND SUN
Make your next Appointment at MBEncino.com!
Weekend car pickup IS available under LIMITED
conditions, {only if} prior arrangements are
made {in advance} with your Service Advisor!!
EPA # CAD981676901
CUST. INLS.
ALL PARTS REMOVED WILL BE DISCARDED UNLESS
REQUESTED BY CUSTOMER
SAVE
AUTHORIZED
ADDITIONS $
ORIGINAL
ESTIMATE $
METHOD OF PAYMENT - WE ACCEPT
THE FOLLOWING:
VISA * MASTERCARD
AMERICAN EXPRESS
PERSON CONTACTED
IN PERSON
BY PHONE
TIME
I hereby authorize the repair work to be done along with the necessary material, and hereby grant you and/or your employees
permission to operate the car or truck herein described on streets, highways or elsewhere for the purpose of testing and/or
inspection. Should legal action be required to secure payment for these repairs, I agree to pay reasonable legal fees incurred.
SUBJECT TO CONDITIONS ON REVERSE SIDE OF THIS CONTRACT. PLEASE READ REVERSE SIDE.
NOTICE TO CONSUMER: PLEASEREAD IMPORTANT INFORMATION ON BACK.
I ACKNOWLEDGE NOTICE OF AN INCREASE IN THE ORIGINAL ESTIMATED PRICE AND ADDITIONAL CUST. OR WARRANTY
WORK PERFORMED, AND/OR RECEIPT OF VEHICLE.
X
CUSTOMER ACKNOWLEDGES RECEIPT HEREOF
IF WORK HAS NOT BEEN PERFORMED AS REQUESTED OR IF YOU FEEL THAT THE REPAIRS ARE NOT SATISFACTORY.
BAR # ARD247280
EPA # CAD981676901
SALES TAX
PLEASE PAY
THIS AMOUNT
260.78
GAS, OIL, LUBE
CALLED BY
DRIVER'S LICENSE NUMBER
CASH
VISA
CHARGE
MC
CHECK
AM EX
CUSTOMER COPY
TOTALS
69.50
176.70
0.00
0.00
0.00
246.20
0.00
14.58
PARTS AMOUNT
DATE
#
COMPANY OR PERSONALIZED
CHECK WITH THE FOLLOWING:
1) VALID DRIVERS LICENSE
2) NAME AND ADDRESS (NO P.O. BOX)
IMPRINTED ON CHECK
DESCRIPTION
LABOR AMOUNT
SUBLET AMOUNT
MISC. CHARGES/ADJ.
TOTAL CHARGES
LESS INSURANCE
CUSTOMER #: 28920
UNIT# 28920
Mercedes-Benz of Encino
461108
16721 Ventura Blvd.
Encino, CA 91436
818-788-0235
*INVOICE*
SUZANNE LEE BELLUSCHI
2952 AVENIDA DE AUTLAN
CAMARILLO, CA 93010
HOME:805-236-5138 CONT:N/A
BUS: 805-278-0162 CELL:
COLOR
BLACK
DEL DATE
YEAR
08
PAGE 1
SERVICE ADVISOR: 1126 ALON D ASHERSON
MAKE/MODEL
VIN
MERCEDES-BENZ CL63
PROD. DATE WARR. EXP.
05JUL08 DD
R.O. OPENED
LICENSE
MILEAGE IN/ OUT
WDDEJ77X98A017938
PROMISED
PO NO.
4544/4545
RATE
05JUL2015 10:30 01DEC08
READY
OPTIONS:
STK:28920 DLR:05171
24NOV08
15:29
T8354
INV. DATE
PAYMENT
CASH
26NOV08
15:29 24NOV08 09:31 26NOV08
LINE OPCODE TECH TYPE HOURS
LIST
NET
A CLIENT STATES NAIL IN RIGHT REAR TIRE - REPLACE AS NEEDED
TIRE1 MOUNT AND BALANCE 1 TIRE
1184
C 0.30
15.00
1 INV#109956 275/35/20YOKO
500.00
500.00
1 924-401-53-94 WHEEL WEIGHTS
12.48
12.48
1 STEM VALVE STEM
2.74
2.74
1 TIRE CA TIRE FEE
1.75
1.75
HAZ DISPOSABLE FEE FOR OIL,FILTER,BATTERY ,TIRES.
1184
CH 0.00
1.50
4544 TECH 1184 TECH 1184. COMPLAINT: THE TIRE WENT FLAT WHILE
DRIVING CAUSE: THERE IS A NIAL IN THE INNER SIDEWALL. CORRECTION:
REPLACED AND BALANCED THE RIGHT REAR TIRE AND ADJSUTED THE AIR IN ALL 4
TIRES TO SPECS. YOKOHAMA ADVAN SPORT MO. 275/35 ZR20. DOT: FD1M
N404607. THE TREAD THICKNESS OF THE INNER PART IS 4MM THE MIDDLE IS 4MM
AND THE OUTER PART IS 4MM
****************************************************
EST: 500.00
TAG
TOTAL
15.00
500.00
12.48
2.74
1.75
1.50
SA: 1126
*** S E R V I C E
DEPARTMENT H O U R S ***
MON-FRI 7:00AM TO 6:00PM CLOSED SAT AND SUN
Make your next Appointment at MBEncino.com!
Weekend car pickup IS available under LIMITED
conditions, {only if} prior arrangements are
made {in advance} with your Service Advisor!!
EPA # CAD981676901
CUST. INLS.
ALL PARTS REMOVED WILL BE DISCARDED UNLESS
REQUESTED BY CUSTOMER
SAVE
AUTHORIZED
ADDITIONS $
ORIGINAL
ESTIMATE $
METHOD OF PAYMENT - WE ACCEPT
THE FOLLOWING:
VISA * MASTERCARD
AMERICAN EXPRESS
PERSON CONTACTED
IN PERSON
BY PHONE
TIME
I hereby authorize the repair work to be done along with the necessary material, and hereby grant you and/or your employees
permission to operate the car or truck herein described on streets, highways or elsewhere for the purpose of testing and/or
inspection. Should legal action be required to secure payment for these repairs, I agree to pay reasonable legal fees incurred.
SUBJECT TO CONDITIONS ON REVERSE SIDE OF THIS CONTRACT. PLEASE READ REVERSE SIDE.
NOTICE TO CONSUMER: PLEASEREAD IMPORTANT INFORMATION ON BACK.
I ACKNOWLEDGE NOTICE OF AN INCREASE IN THE ORIGINAL ESTIMATED PRICE AND ADDITIONAL CUST. OR WARRANTY
WORK PERFORMED, AND/OR RECEIPT OF VEHICLE.
X
CUSTOMER ACKNOWLEDGES RECEIPT HEREOF
IF WORK HAS NOT BEEN PERFORMED AS REQUESTED OR IF YOU FEEL THAT THE REPAIRS ARE NOT SATISFACTORY.
BAR # ARD247280
EPA # CAD981676901
SALES TAX
PLEASE PAY
THIS AMOUNT
575.98
GAS, OIL, LUBE
CALLED BY
DRIVER'S LICENSE NUMBER
CASH
VISA
CHARGE
MC
CHECK
AM EX
CUSTOMER COPY
TOTALS
16.50
516.97
0.00
0.00
0.00
533.47
0.00
42.51
PARTS AMOUNT
DATE
#
COMPANY OR PERSONALIZED
CHECK WITH THE FOLLOWING:
1) VALID DRIVERS LICENSE
2) NAME AND ADDRESS (NO P.O. BOX)
IMPRINTED ON CHECK
DESCRIPTION
LABOR AMOUNT
SUBLET AMOUNT
MISC. CHARGES/ADJ.
TOTAL CHARGES
LESS INSURANCE
Service records.pdf (PDF, 1.84 MB)
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