QTY	DESCRIPTION		PRICE	AMOUNT
DATE:		S.O. NR.
NAME:		CUST. NR.
STREET:		CITY:
STATE:		ZIP:
HOME PHONE:		WORK PHONE:
E-MAIL:		FAX:
MAKE:		MODEL:
S/N:		DATE PROMISED:
ITEMS BROUGHT IN:		PROBLEMS/WORK TO BE PEFORMED:				SUBTOTAL PARTS
						SUBTOTAL LABOR
						SHIPPING
						TAX
						TOTAL
						DEPOSIT	-
DEPOSIT:						BALANCE DUE
WORK PERFORMED & NOTES:
Not responsible for goods left over 30 days nor for loss by fire of theft.  Customer signature constitutes acceptance of above work as being satisfactory, that all equipment, etc. was picked-up, and that all equipment, etc. left in good condition.			Customer signature: