Service records (PDF)




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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






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