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1996-08-23
t: I ~ '/y -..5 \ f)tLUP-, ... . A\.)6" J.... 0) ) '1 '7 L.. RECEIVED 06k"'l ?n s. ~ L i,-"-., ) StJRAUG 2 3 1996 TOIIl'ERVISOR'SOFF/CE vVNOFWAPPINGER 0-."\ J~scl~~) .\J.),->s-b >5) ~' 5'. on' P r'"'l) q U0 ct' c\.l\....~ V ~ ~ ;.4) t \. --\'l)'f> \)~. ~ \-... -'r :/\.---J -b~ ~ o~'("'" 0.... ~~A... \.._ C-DV-c:..v-. ~~) ~ '"'\ bY-Q~ ~t ~ ~o Ll~C> T~ Co ~ L 0 0 >--<. "=>-<- '-- ~ v "--<.. "'- S ~ '1 ~ 1 ~ ~ -A...~ O'v-er- '-t- I t-~ ~ c:..,,:> Q... ~vd o~. q <::)~LJI ~V~J 0 ~ ~."J ') ,,-\" 0 u+ -+0 Leo Ie:.. ,,--1 +~ d o.~ -to ~~ ~"""'. I~ ~t ~"'-'"' +,'v-u \.r->&>.s \::>lu~ ouJ: ~ +~ ~ vv~s ~ ~'--) () ~ -^--L\p ~ . <+ '""- c...-v., CJ ,,~ +4. ~ -\:-0 ~ ........ 'j "'vs"=:>~~ V-.I~ +~ ~t"b\'LC -t~ S~'-'b~~ ~ ~-"*: ~'. 0. (-)D~ ~o\- *' ~ 0.. ~ ~ I \.x..... a . ,~ \4\.Shv....~ ~~ 'S~ ~ +~ ~d...-r-.o+ ~ 'I~ CVO 0... v-o""-o ~"z...~~. M0 a.~) "-^"""--v v-u.- , +0 l () ~ S" h ~ a ~ v ~ t ~L() +-'---<..- +OLv~ -+~ do "-~ ~c...~ L.. c.. \:. ovt +~ ~ V'\ ~ k C-()V'-V\-s ~'--e-'v~ ~~ I.-vo~ W ) "-l ) -\ y- v v-- - (!) VU\ CJ'l""'-'- + \reJc .. ~ lLDo'S;A... C)~ ~~<X.-y ~~ C) y_.\yt, ~ --t"'\....a.. <s~ ~V-{/) .~ ~.~ ~). '\--o-.'cl c~ 0 p CLS ~. ~ *- ~S -\-D ~ +~ va a.. ...A.-oe<...d ~3 ~ 'L-D t-~~,- ~~ O---u... ~ u~ So ~~. ~ ~ ~ +~ Cc~+-tO ~~ ~'"() ~ ~~ ~I c: ~r J l Lc.. ~'- M.t.rc~r '3'- M,l \1-o'f' Dr. \J-.J Q. ~'P" ~~ v-s Fe... ) l~ NLJ \ ~ S-9 D d.-O),- OWl, ellQI. .L ,)1. :1. ur ,. -. / .'. ; ;..': ." i; 1...1. ... ;,"!'Y ... , 1 ' . , ii'" . ; ~ Hi.::1 . i . . .' . .. ! i , t.... , ,. , I. ! j I",j 'j" T L. ! ! ( ~ i r..J:'.: "':!. i..';. '."'.1 i':1 i... \.. ,":I:)U i:. ,i, 'j;".)!,,!,'>", ('; (": I' 1"'1 i.. l...i l'_l (\ 'f r: ~ J j' ...., i'" i..Ji ;-:: i . C) ~:: i ,L;'...;i.....l..i i i .' I": '.;1.., I.; ; l...i[',:; !'; l I' (:ii".' .. ':::.1::.1';::, !"i1 >:' I .i.(" U i.,j (':, i...j i C) r'" r: ..... ~::: !? ; ,1. [-'j : I....! J Ul ,.!i '" i . i...!r'} j !..; ... r." ;",) :::'1" ". U .. ':..1, , (.~ i:: L.l "f 1...l1':' , r< , , 1, ..- ',:.' t'i;' l...\.. ! ::~' T (:i . l F.>\ ~ :) C) r'.: Hi::) L . L 1..,:...1 <..f L:. l< i": ! ': .,~:: :: . \;: ",U"':' .. .. " i H j: -'1 L. !. ..' .. . ..':.,,: '; l..i i i Ii.!.;' ~,..; ! j ".: "L., l" i, . i ., (.:: j'< ,:. i. . I.. , .: " ... ... f"1.\ j"j .L J.... 1'-:, i,..i j'.' 1.:. ., .,i...iU C'. 1 :..-:: I,"""ih t !!.ij'i U !!: I'r!:::: I... C) l, ,t iO) ~ '{ : I! Pa.<;je ,A,UTO ,A,PPRAISAL REPORT L I BERTY NUTU,A,L INSURANCE COt1P A,NY 24 ~1ADI SON ,c.,VENUE EXTENSION, P. O. BOX 150ld ,A,LRc.,NY, Nnl YORK 12212-5041 (518) 452-5730 REPAIR SHOP LIC. #R-301-0571 CD LOG NO 0001074 DATE 06/23/96 CLAlt1t/: AL27502217499 cor1? A,NY INSURED t1ERCER, MA TTHHl D LOSS D.c...TE 06/15/96 POL ICy:tl: A02221429352 CLAIM REP SURPRENANT CLAIMANT fvIERC:ER, M,t>.,TTHEH D TYPE OF LOSS COLL/DR\) .. J INSP DATE APPEl>, I SER e/23/96 LOCA T ION COMP,.<\NY LA0:iRANGE LIBERTY MUTUAL CHR IS t1Ct1ANUS OWNER INFO: * I.JORK PHONE 32 HILLTOP DR WAPPINGERS FALLSNY 12590-:3619 PHONE (~~H4 )297-0477 LIC# F4H637 ENG/C:OLiJR RED COND I T I ON 1300D VIN IHC3CE1526SA013540 MILEAGE 11273 ,A,eC:T I NG CTLt/: E=NEI~ PA,RT EC=QUAL ITY REFL,A,CEr1ENT FART EU=SALVAGE FART EP=SEE qU,A,L. REFL. PRT. RPT. F=CHECK I =REPP., IRI ,A,L I GN/SUBLET L =REFI NI SH N=,A,DDNL LABOR OPERAT ION TE=P/'"RT I Fi>,RTI/l,L REPL.A,CE ET=L,.<\BOR/PARTIl',L REPLAC:E IT=L,A,BOR/FARTIAL REF,A,IR ,.<\A=,i.WPEARANCE A,LLOWA,NCE RP=REL,';TED PRIOR D.~,MAGE UP=UNRELATED PRIOR DAMAGE NO FAYl1ENT ISSUED 199~S l-HJNDI~1 A,CCDRD LX L~DR ST,.<\ TI ON !.J,A'c30N H1244B/B OPTNS A/34FG OPTIONS: TWiJ-STAi3E - EXTERIOR USER DEF (1)., I R COND I T I ON I NI3 TWO --ST AGE - INTER lOR SURF ,A.cES ,A,UTOMA TIC TRANS OF (3DE t1C DESCR IPTION E '303 40 ~JHEEL , RE,~,R 1 903 \.-.JHEEL , REAR w EC L.JHEEL B,",L,';NCE EC L/R TIRE 195/60R15 4 I TEI1S MFi3. PART NO. PRICE AJ% HOURS R LT 42700SV1f>.,11 L T REFINISH QUALITY REFL. PART QU,A,L ITY REPL. FA,ET ~54 . 31 75.00* fv!C MESSAGE 40 PXN SEt-,RCHED BUT NOT COt1FARED 0_ 1 ..E; 4 .5*1* HOND,.0., ,';CCORD LX 4DR STfo,TION WAC30N CD LOG NO 0001074 F)::1ge 2 Date 0,3/23/'36 FINAL CALCULATIONS & ENTRIES (3ROSS PARTS OTHER PARTS PAINT t1ATERIAL PARTS TOTAL TAX ON PARTS & MATERIAL 54.31 75.00 7.<30 1:37.11 @ 7.250% 9.94 LABOR Rp.,TE REPL Il\CE Hoc LL._. REFA I R HRS 1-SHEET METAL 2--11ECH/ELEC 3 - FRfo,t1E 4-REFINISH 5-P,A,INT MATERIAL LABOR TCH,A,L TAX ON LABOR SUBL ET REP A I RS TAX ON SUBLET TOI.-J I N!:3 & STORA!3E 36.00 36.00 40.00 r", .0 2:3.eo '> :36 . 00 .6 21. \:;1) 13.00 @ 7.250% '::.O,L40 3.65 @ 7.250% GROSS Ten,to,L LESS: DEDUCTIBLE 201.10 250.00- NET TOT fo,L ( 43.90-) PXN:YY/01/00/00/00 SEARCH AREA: 914 !3ECJCODE: 12203 DEVICE ~596<35-486 ADP fo,unA,POINT U ES L013 0001074 DATE Oi3/23/96 08: 40: 42 R2. 58 CD 013/':36 Copyright, 1995 Automatic Data Processing 0.1 HOURS WERE ADDED TO THIS ESTIMATE BASED ON ADP'S TWO-STAGE REFINISH FORMULA: 20% OF REFINISH HOURS, AFTER OVERLAP, PLUS 0.6 HOURS FOR THE FIRST l"1.';JOR PANEL, j..JHERE NOTED. PLEASE PRESENT THIS ESTIMATE TO SHOP PRIDR TO START OF REPAIRS. NOT AN AUTHORIZATION TO REPAIR. NO SUPPLEMENTS !.JITHOUT PRIOR APPROVfo,L. ------------------------------------------------------------------------------- IF ANY BODY PARTS ARE INCLUDED IN THE ESTIMATE, THE ESTIMATE SHALL CLEARLY STATE WHETHER SUCH P,A,RTS l-JERE MANUF,A,CTURED AS ORI!3INAL EqUIPMENT Pfo,RTS FOR THE VEH I CLE, OR WERE MANUFACTURED AS NON-OR H3 I N.~L REPLACEMENT Pt'"RTS OR A,S USED P,A,RTS.