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ROBERT C.BROWN
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SBfuWr Oetooer 04, 2017
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^AA// A??A^w:MULTI POINT INSPECT TECH(S):25600 0.00
CUSTOMER AUTHORIZED PERFORMANCE OF A MULTI-POINT INSPECTION
PERFORM INSPECTION AND RECORD ANY ITEMS NEEDING ATTENTION. SIGNATURE OF PERSON RESPONSIBLE OR AGENT
FOR PERSON RESPONSIBLE FOR PAYMENT
PARTS QTY---FP-NUMBER- -DESCRIPTION- ----UNIT PRICE-
JOB # 2 TOTAL- PARTS 0.00
JOB # 2 TOTAL LABOR & PARTS 0.00
J# 3 36TOZZ05 *AUTO TRANS SERVICE TECH:(S)::25660 70.00
REMOVE TRANSMISSION^OIL PAN INSPECT FOR SIGNS OF WEAR,
CLEAN TOYOTA TRANSMISSIOlTSCREEN~ SEAL TRANSMISSION OIL
PAN. ADD NEW TRANSMISSION FLUID INSPECT FOR LEAKS AND
PERFORM COMPUTER DIAGNOSTIC CODE INSPECTION AND""ROAD
TEST "FOR PROPER SHIFT PATTERN
Ser.vice Automatic Trans Minor 00/05
PARTS QTY---FP NUMBER - - - DESCRIPTION UNIT PRICE- U.
JOB # 3 ,'5 """• 00279 000T4 Oh ATF,T-IV QUART 9.26 ,46.30
JOB # 3 -1« . 90430 18008' GASKET 3.49 3.49
JOB # 3 TOTAL PARTS ,49.79
%-
JOB # 3 TOTAL LABOR & PARTS .119.79J t
MISC GODE- - DESCRIPTION -CONTROL NO--------- **
JOB # A ' 9 ENVIRONMENTAL FEE
TOTAL - MISC J
7.00,
7.00
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PAGE 1 OF 2 CUSTOMER COPY [CONTINUED ON NEXT PAGE] 04:55pm
Appt Mgt Module Dec 29, 2 01 4015:20:47 Page: 1 of
Patient: KINDLE, BUDDY «H»"J'J?^*) MT NOT REQ Outpatient
PC Prov: KHURANA,INDER PAL Team: DAL PC ALPHA #3
Total Appointment Profile * - New GAF Requ ired 11/29/14 thru 09/23/17
Clinic Appt Date/Time -Status
1 Xrad - Sono 12/10/2014014:00 Non-count/Checked Out
2 Dallas Pc Khurana Nurse C 12/12/2014@10:35 Cancelled By Clinic
3 Cpap Tech 4 12/12/2014012:30 Checked Out
4 Xlab Clinic-x 12/22/2014O08:30 Non-count
5 Rheumatology Clinic 12/22/2014010:30 Checked Out
6 Same Day Procedure 4b 12/29/2014010:00 Checked Out 14:57
7 Gi Lab / 5th Floor-new Bl 12/29/2014011:00 Act Req/Checked Out 14:27
8 Eye Oph Green Cll 01/07/2015014:00 Future
9 Xlab Clinic-x 01/08/2015011:30 Non-count
10 Dallas Pc Khurana Cl#2 01/08/2015013:30 Future/LabOl1:30
11 Xlab Clinic-x 01/26/2015008:00 Non-count
12 Endocrine Consult C14 01/26/2015014:30 Future/Lab©12:3 0
13 Xrheumatology Chart Check 01/27/2015010:30 Non-count
14 Xrad-mri Scanner 3/3t 02/09/2015008:00 Non-count
15 Renal Wed Am Cfellow Cl#6 02/11/2015009:00 Cancelled By Clinic
16 Renal Wed Dial Fellow Cl# 02/18/2015013:45 Future/LabOll:45
17 Xlab Clinic-x 03/02/2015011:00 Non-count
18 Urology-apn-hartman 03/02/2015013:00 Future
19 Xlab Clinic-x 03/23/2015008:30 Non-count
20 Rheumatology Clinic 03/23/2015010:30 Future/Lab©08:3 0
StAyiS/i a
Buddy Kindle v. Linebarger, Goggan, Blair & Sampson, LLP, JoAnn Andrews and Dennis H. Walker
Combined Opinion