Date:
Work for customer:
Problem # SYMPTOM DESCRIPTION
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Problem # DIAGNOSIS
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Problem # DIAGNOSTIC/REPAIR WORK DONE Hours
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TOTAL

$  
Warranty Expiration date for above work:

The above work is warranted upto and including the above warranty expiration date Warranty does not apply if you have made significant hardware or software changes which may affect warranted work done above. You may call us at the number above for any questions you may have. We appreciate your business.