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123 Auto Collision Shop Corp.

Expert American and foreign repairs.  Complete auto body work

Chassis straightened. Complete Antique Restorations

123 19th StreetBrooklyn, N.Y. 11232

|Name: |Address: |Date: |

|City: |State: |Zip: |

|Make: HONDA |Model: ACCORD |Year: 1998 |

|Lic. Plate: |Phone Wk: |Phone Home: |

|Vin#: |Color: |Adjuster: |

Tel: (646)331-8629.

| | | | | | | | |

| | | | | | | | |

|Description of work | | | | |Labor |Paint |Other |

| | | | | | | | |

|Front Bumper & Components | | | | | | | |

|Repair Front Bumper | | | | |2.4 |3.1 | |

|R&I Front Bumper Cover | | | |...

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