HomeMy WebLinkAboutEstimateCOVINGTON GLASS
19403 SE 272ND ST
COVINGTON, WA 98042
PH:(253) 981-3456 FAX:(253) 638-6494
P/O#: Cust State Tax IDS
Taken By: DAN Cust Fed Tax ID:
Installer: Ship Via:
SalesRep: Adv. Code:
CLAYTON SNYDER
17941 MANASTASH RD
ELLENSBURG, WA 98926
(435) 680-6440
Make: Ford
Odometer:
Qty Part Number
1 DWO�TYNCOM
1 40F
1 HAH000004
Thank You for your patronage
Customer Copy
Federal Tax ID: 538808067
Workorder: W04809
Date: 2/7/2017
Time: 01:44 PM
CLAYTON SNYDER
17941 MANASTASH RD
ELLENSBURG, WA 98926
Vehicle Information
Model Style: F Series F1504 Door Crew Cab Year: 2016
VIN: License:
Description List Disc% tell Total
Windshield -(Ford -Oval in 3rd Visor $775.10 35 $504.47 $504.47
Frit,Solar)
40 Flat (Flat Rate) $40.00 0 $40.00 $40.00
Adhesive -(2.0, Urethane, Dam, Primer) $25.00 0 $25.00 $25.00
AUTHORIZATION TO PAY
I hereby authorize and empower the above-named insurance company to pay this invoice in full settlement,
satisfaction and discharge of all loss under the above policy. Upon such payment, all rights I may have for
claim and demand for loss and damage described above against the above named insurance company shall be
thereby forever discharged. In the event that the above named insurance company does not make timely
and/or full payment of this invoice according to its terms, I hereby accept responsibility for such payment and
agree to pay all charges reflected on this invoice to the above named glass company subject to and according
to all terms and conditions on this invoice. _
Collect From Customer $618.45
Sub Total: $569.47
Tax. $48.98
Customer's Signature: Total. $618.45