Property Damage Appraisers (PDA El Paso)
Date: Estimate ID: Estimate Version: Committed Profile ID:
6/13/2017 06:29 PM 1567060062 0 * PDA TX
Property Damage Appraisers (PDA El Paso) Edgemere Blvd #450, El Paso, TX 79925 (915) 757-8800 Fax: (915) 757-9111 Email: [email protected]
*Not An Authorization For repair* Authorization to repair must come from vehicle owner. Read disclaimers following appraisal calculations. Damage Assessed By: Classification: Type of Loss: Date of Loss: Contact Date: Deductible: File Number: Claim Number: Claimant: Address: Owner: Address: Telephone:
Gomez Daniel
Appraised For:
Property Damage 5/22/2017 6/13/2017 0.00 1567060062 004670-002909-AD-02
Arrival Date: Date Assigned:
Line Item 1 2 3 4 5 6 7 8 9 10
Cell Phone:
(915) 540-1114 910117
2009 Nissan Quest S Vehicle Production Date: 10/08 VanPass Drive Train: 3.5L Inj 6 Cyl FWD 5N1BV28U09N101970 License: NWH001 NM 104,244 A Search Code: 156 GRAY PASSENGER AIRBAG, POWER LOCK, POWER WINDOW, POWER STEERING, REAR WINDOW DEFOGGER AIR CONDITION, REAR WINDOW WIPER, CRUISE CONTROL, TILT STEERING COLUMN AM/FM STEREO, DRIVER AIRBAG, FRONT SIDE AIRBAG WITH HEAD PROTECTION LUGGAGE RACK, ANTI-LOCK BRAKE SYS., TRACTION CONTROL, POWER LIFTGATE\TRUNK TIRE INFLATION/PRESSURE MONITOR, ANTI-THEFT SYSTEM, AUXILIARY INPUT, CD PLAYER POWER ADJUSTABLE EXTERIOR MIRROR, PRIVACY GLASS, TRIP COMPUTER FIRST ROW BUCKET SEAT, SECOND ROW BUCKET SEAT, THIRD ROW SEAT REAR HEATING, VENTILATION & AIR CONDITIONING, CLOTH SEAT, SIDE AIRBAGS SECOND ROW SIDE AIRBAG WITH HEAD PROTECTION, THIRD DOOR, 4 DOORS DRIVER SEAT WITH POWER LUMBAR SUPPORT, KEYLESS ENTRY SYSTEM STEERING WHEEL AUDIO CONTROLS
Entry Labor Number Type
Operation
Line Item Description
004484 003256 AUTO 003260 003263 003264 003283 003287 001421 001322
OVERHAUL REMOVE/REPLACE REFINISH REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE
Frt Bumper Assy Frt Bumper Cover Frt Bumper Cover Frt Bumper License Plate Bracket R Frt Bumper Finisher L Frt Bumper Finisher Grille Cooling Radiator A/C Condenser Assy -M R Fender Liner
BDY BDY REF BDY BDY BDY BDY BDY MCH BDY
6/12/2017 6/12/2017
Elva Galindo 88008 Elva Galindo 88008
Mitchell Service: Description: Body Style: VIN: Mileage: OEM/ALT: Color: Options:
Ann McDonald
ESTIMATE RECALL NUMBER: 06/13/2017 18:29:09 1567060062 Mitchell Data Version: OEM: JUN_17_V MAPP:JUN_17_V0611Copyright (C) 1994 - 2017 Mitchell International Software Version: 7.1.220 All Rights Reserved
Part Type/ Part Number
Dollar Amount
Remanufactured
436.00
96210-ZM71B 62258-ZM71B 62257-ZM71B ** QUAL REPL PART Qual Recycled Part Qual Recycled Part ** QUAL REPL PART
Labor Units
0.7 INC C 2.4 43.04 INC 26.78 INC 26.78 INC 287.00 INC 65.00 * INC 58.00 * INC 50.00 0.4
Page 1
of
# #
# #r #r
4
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
001323 000027 000140 000141 000142 001317 003240 003241 003368 AUTO 003245 AUTO 003369 AUTO 004544 002758 004546 003440 003463 004830 936014 AUTO 933018 AUTO 900500
BDY MCH BDY MCH MCH BDY MCH MCH MCH MCH MCH BDY MCH BDY BDY BDY BDY GLS MCH BDY REF REF BDY *
REMOVE/REPLACE REMOVE/REPLACE CHECK/ADJUST REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/INSTALL REMOVE/REPLACE REMOVE/INSTALL REMOVE/REPLACE REMOVE/INSTALL REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE ADD'L COST ADD'L OPR ADD'L OPR ADD'L COST REPAIR
L Fender Liner Add To R&R Mechanical Components -M Headlamps Evacuate & Recharge A/C -M A/C Refrigerant Recovery -M Frt Body Radiator Support Disable & Enable Air Bag System -M Air Bag System Diagnosis -M Air Bag Module-Passenger Front -M Instrument Panel Assy -M Frt Air Bag Impact Sensor -M Grille Assy Air Bag Control Unit -M Ctr Console Engine Under Cover Frt Engine Clip [email protected] Rear Engine Clip [email protected] W/Shield Glass Inst Panel -M R Frt Seat Belt Retractor Assy Flex Additive Clear Coat Mask For Overspray Paint/Materials HAZARDOUS WASTE
Date: 6/13/2017 06:29 PM Estimate ID: 1567060062 Estimate Version: 0 Committed Profile ID: * PDA TX ** QUAL REPL PART 50.00 0.4 0.9 # 0.4 1.4 0.3 ** QUAL REPL PART 340.00 4.7 # INC 0.5 # 98515-ZM81A 935.80 INC # INC 98581-ZT08A 153.60 INC # INC # 98820-ZF99C 463.15 0.5 # 0.6 ** QUAL REPL PART 51.90 INC # ** QUAL REPL PART 7.98 01553-05933 10.16 ** QUAL REPL PART 289.95 * INC*# 68200-ZM70A d1433.82 6.3 86884-ZM78A 113.53 0.7 # 5.00 * 1.0 5.00 * 95.20 * Sublet 3.50 * 0.0*
* - Judgment Item # - Labor Note Applies d - Discontinued by the Manufacturer ** QUAL REPL PART - Quality Replacement Parts C - Included in Clear Coat Calc r - CEG R&R Time Used For This Labor Operation WINZER 10560 MARKISON RD. DALLAS TX 75238 (214) 341-2122 (800) 527-4126 26
** 500.788102
UCC-NEWWORLD-ALBUQUERQUE 820 RIO GRANDE BLVD. NW ALBUQUERQUE NM 87104 (505) 246-2226 (888) 360-1007 7.98
25
** NI36EC001
KEYSTONE-INS QUALITY PRT 1273 JOE BATTLE BL. #A1 EL PASO TX 79936 (800) 551-5615 (915) 544-8200 51.90
ESTIMATE RECALL NUMBER: 06/13/2017 18:29:09 1567060062 Mitchell Data Version: OEM: JUN_17_V MAPP:JUN_17_V0611Copyright (C) 1994 - 2017 Mitchell International Software Version: 7.1.220 All Rights Reserved
2 7 10 11 16
** ** ** ** **
NI1000239R NI1200274OE NI1251117 NI1250117 NI1225164
Page 2
436.00 287.00 50.00 50.00 340.00
of
4
Date: Estimate ID: Estimate Version: Committed Profile ID:
6/13/2017 06:29 PM 1567060062 0 * PDA TX
Recycler Information Section: A and B Auto Salvage Inc. 3701 North Zaragosa El Paso TX 79938 915-855-3949;915-855-1711 9 2004 Nissan Part Number: 6898 Description: , ,
Quest
CONDENSER
VA
58.75
RADIATOR
VA
65.00
LKQ-Keystone- El Paso 13300 Montana Ave El Paso TX 79938 915-855-7999; 8 2007 Nissan Quest Part Number: $EH196 Description:3.5,AUTO,FWD (AT, 5 spd), (AT, 5 SPEED) ,
Disclaimer: Recycled part pricing may represent either actual pricing (the price at which the recycler is willing to sell the part for in its existing condition) or undamaged pricing (the price at which the recycler would sell the part if it was in undamaged condition). If you are unsure, please contact the automotive recycler. Some parts located for this quote may be interchangeable but may not be an exact match. If you are unsure, please contact the automotive recycler.
Estimate Totals ________________________________________________________________
I.
Labor Subtotals
Units
Rate
Body Refinish Mechanical
7.9 3.4 9.9
42.00 42.00 75.00
Taxable Labor Labor Tax Labor Summary III.
Add'l Labor Amount 0.00 5.00 0.00 @
Sublet Amount 3.50 0.00 0.00
6.750 %
21.2
Total Additional Costs
II. T T T
Part Replacement Summary Taxable Parts Parts Adjustments Sales Tax
1,225.60 82.73
Amount
@
4,842.49 30.75 328.94
6.750%
Total Replacement Parts Amount
5,202.18
1,308.33
Additional Costs Taxable Costs Sales Tax
Totals 335.30 147.80 742.50
Amount @
6.750%
IV.
100.20 6.76
Adjustments
Amount
Insurance Deductible
0.00
Customer Responsibility
106.96
0.00
Paint Material Method: Rates Init Rate = 28.00 , Init Max Hours = 12.5, Addl Rate = 0.00 I. II. III.
Total Labor: Total Replacement Parts: Total Additional Costs: Gross Total:
IV.
Total Adjustments: Net Total:
ESTIMATE RECALL NUMBER: 06/13/2017 18:29:09 1567060062 Mitchell Data Version: OEM: JUN_17_V MAPP:JUN_17_V0611Copyright (C) 1994 - 2017 Mitchell International Software Version: 7.1.220 All Rights Reserved
1,308.33 5,202.18 106.96 6,617.47 0.00 6,617.47 TOTAL LOSS
Page 3
of
4
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: VIN.jpg Remarks:
Document Name: VIN2.jpg Remarks:
Page 1 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: ODOMETER.jpg Remarks:
Document Name: INTERIOR.jpg Remarks:
Page 2 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: LICENSE.jpg Remarks:
Document Name: LEFTFRONT.jpg Remarks:
Page 3 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: RIGHTFRONT.jpg Remarks:
Document Name: RIGHTREAR.jpg Remarks:
Page 4 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: LEFTREAR.jpg Remarks:
Document Name: DOOR.jpg Remarks:
Page 5 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: HOOD.jpg Remarks:
Document Name: INSTRUMENTPANEL.jpg Remarks:
Page 6 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: ROOF.jpg Remarks:
Document Name: SEAT.jpg Remarks:
Page 7 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: TRUNK.jpg Remarks:
Document Name: F BUMPER.jpg Remarks:
Page 8 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: RAD SUP RAD AND COND.jpg Remarks:
Document Name: RAD SUP.jpg Remarks:
Page 9 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: RAD SUP2.jpg Remarks:
Document Name: GRILLE.jpg Remarks:
Page 10 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: WINDSHIELD.jpg Remarks:
Document Name: PASS AB.jpg Remarks:
Page 11 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: LINERS.jpg Remarks:
Document Name: BOTTOM SHIELD.jpg Remarks:
Page 12 of 12
6/13/2017 06:29 PM 1567060062 0 * PDA TX
Property Damage Appraisers (PDA El Paso) Edgemere Blvd #450, El Paso, TX 79925 (915) 757-8800 Fax: (915) 757-9111 Email: [email protected]
*Not An Authorization For repair* Authorization to repair must come from vehicle owner. Read disclaimers following appraisal calculations. Damage Assessed By: Classification: Type of Loss: Date of Loss: Contact Date: Deductible: File Number: Claim Number: Claimant: Address: Owner: Address: Telephone:
Gomez Daniel
Appraised For:
Property Damage 5/22/2017 6/13/2017 0.00 1567060062 004670-002909-AD-02
Arrival Date: Date Assigned:
Line Item 1 2 3 4 5 6 7 8 9 10
Cell Phone:
(915) 540-1114 910117
2009 Nissan Quest S Vehicle Production Date: 10/08 VanPass Drive Train: 3.5L Inj 6 Cyl FWD 5N1BV28U09N101970 License: NWH001 NM 104,244 A Search Code: 156 GRAY PASSENGER AIRBAG, POWER LOCK, POWER WINDOW, POWER STEERING, REAR WINDOW DEFOGGER AIR CONDITION, REAR WINDOW WIPER, CRUISE CONTROL, TILT STEERING COLUMN AM/FM STEREO, DRIVER AIRBAG, FRONT SIDE AIRBAG WITH HEAD PROTECTION LUGGAGE RACK, ANTI-LOCK BRAKE SYS., TRACTION CONTROL, POWER LIFTGATE\TRUNK TIRE INFLATION/PRESSURE MONITOR, ANTI-THEFT SYSTEM, AUXILIARY INPUT, CD PLAYER POWER ADJUSTABLE EXTERIOR MIRROR, PRIVACY GLASS, TRIP COMPUTER FIRST ROW BUCKET SEAT, SECOND ROW BUCKET SEAT, THIRD ROW SEAT REAR HEATING, VENTILATION & AIR CONDITIONING, CLOTH SEAT, SIDE AIRBAGS SECOND ROW SIDE AIRBAG WITH HEAD PROTECTION, THIRD DOOR, 4 DOORS DRIVER SEAT WITH POWER LUMBAR SUPPORT, KEYLESS ENTRY SYSTEM STEERING WHEEL AUDIO CONTROLS
Entry Labor Number Type
Operation
Line Item Description
004484 003256 AUTO 003260 003263 003264 003283 003287 001421 001322
OVERHAUL REMOVE/REPLACE REFINISH REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE
Frt Bumper Assy Frt Bumper Cover Frt Bumper Cover Frt Bumper License Plate Bracket R Frt Bumper Finisher L Frt Bumper Finisher Grille Cooling Radiator A/C Condenser Assy -M R Fender Liner
BDY BDY REF BDY BDY BDY BDY BDY MCH BDY
6/12/2017 6/12/2017
Elva Galindo 88008 Elva Galindo 88008
Mitchell Service: Description: Body Style: VIN: Mileage: OEM/ALT: Color: Options:
Ann McDonald
ESTIMATE RECALL NUMBER: 06/13/2017 18:29:09 1567060062 Mitchell Data Version: OEM: JUN_17_V MAPP:JUN_17_V0611Copyright (C) 1994 - 2017 Mitchell International Software Version: 7.1.220 All Rights Reserved
Part Type/ Part Number
Dollar Amount
Remanufactured
436.00
96210-ZM71B 62258-ZM71B 62257-ZM71B ** QUAL REPL PART Qual Recycled Part Qual Recycled Part ** QUAL REPL PART
Labor Units
0.7 INC C 2.4 43.04 INC 26.78 INC 26.78 INC 287.00 INC 65.00 * INC 58.00 * INC 50.00 0.4
Page 1
of
# #
# #r #r
4
11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35
001323 000027 000140 000141 000142 001317 003240 003241 003368 AUTO 003245 AUTO 003369 AUTO 004544 002758 004546 003440 003463 004830 936014 AUTO 933018 AUTO 900500
BDY MCH BDY MCH MCH BDY MCH MCH MCH MCH MCH BDY MCH BDY BDY BDY BDY GLS MCH BDY REF REF BDY *
REMOVE/REPLACE REMOVE/REPLACE CHECK/ADJUST REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/INSTALL REMOVE/REPLACE REMOVE/INSTALL REMOVE/REPLACE REMOVE/INSTALL REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE REMOVE/REPLACE ADD'L COST ADD'L OPR ADD'L OPR ADD'L COST REPAIR
L Fender Liner Add To R&R Mechanical Components -M Headlamps Evacuate & Recharge A/C -M A/C Refrigerant Recovery -M Frt Body Radiator Support Disable & Enable Air Bag System -M Air Bag System Diagnosis -M Air Bag Module-Passenger Front -M Instrument Panel Assy -M Frt Air Bag Impact Sensor -M Grille Assy Air Bag Control Unit -M Ctr Console Engine Under Cover Frt Engine Clip [email protected] Rear Engine Clip [email protected] W/Shield Glass Inst Panel -M R Frt Seat Belt Retractor Assy Flex Additive Clear Coat Mask For Overspray Paint/Materials HAZARDOUS WASTE
Date: 6/13/2017 06:29 PM Estimate ID: 1567060062 Estimate Version: 0 Committed Profile ID: * PDA TX ** QUAL REPL PART 50.00 0.4 0.9 # 0.4 1.4 0.3 ** QUAL REPL PART 340.00 4.7 # INC 0.5 # 98515-ZM81A 935.80 INC # INC 98581-ZT08A 153.60 INC # INC # 98820-ZF99C 463.15 0.5 # 0.6 ** QUAL REPL PART 51.90 INC # ** QUAL REPL PART 7.98 01553-05933 10.16 ** QUAL REPL PART 289.95 * INC*# 68200-ZM70A d1433.82 6.3 86884-ZM78A 113.53 0.7 # 5.00 * 1.0 5.00 * 95.20 * Sublet 3.50 * 0.0*
* - Judgment Item # - Labor Note Applies d - Discontinued by the Manufacturer ** QUAL REPL PART - Quality Replacement Parts C - Included in Clear Coat Calc r - CEG R&R Time Used For This Labor Operation WINZER 10560 MARKISON RD. DALLAS TX 75238 (214) 341-2122 (800) 527-4126 26
** 500.788102
UCC-NEWWORLD-ALBUQUERQUE 820 RIO GRANDE BLVD. NW ALBUQUERQUE NM 87104 (505) 246-2226 (888) 360-1007 7.98
25
** NI36EC001
KEYSTONE-INS QUALITY PRT 1273 JOE BATTLE BL. #A1 EL PASO TX 79936 (800) 551-5615 (915) 544-8200 51.90
ESTIMATE RECALL NUMBER: 06/13/2017 18:29:09 1567060062 Mitchell Data Version: OEM: JUN_17_V MAPP:JUN_17_V0611Copyright (C) 1994 - 2017 Mitchell International Software Version: 7.1.220 All Rights Reserved
2 7 10 11 16
** ** ** ** **
NI1000239R NI1200274OE NI1251117 NI1250117 NI1225164
Page 2
436.00 287.00 50.00 50.00 340.00
of
4
Date: Estimate ID: Estimate Version: Committed Profile ID:
6/13/2017 06:29 PM 1567060062 0 * PDA TX
Recycler Information Section: A and B Auto Salvage Inc. 3701 North Zaragosa El Paso TX 79938 915-855-3949;915-855-1711 9 2004 Nissan Part Number: 6898 Description: , ,
Quest
CONDENSER
VA
58.75
RADIATOR
VA
65.00
LKQ-Keystone- El Paso 13300 Montana Ave El Paso TX 79938 915-855-7999; 8 2007 Nissan Quest Part Number: $EH196 Description:3.5,AUTO,FWD (AT, 5 spd), (AT, 5 SPEED) ,
Disclaimer: Recycled part pricing may represent either actual pricing (the price at which the recycler is willing to sell the part for in its existing condition) or undamaged pricing (the price at which the recycler would sell the part if it was in undamaged condition). If you are unsure, please contact the automotive recycler. Some parts located for this quote may be interchangeable but may not be an exact match. If you are unsure, please contact the automotive recycler.
Estimate Totals ________________________________________________________________
I.
Labor Subtotals
Units
Rate
Body Refinish Mechanical
7.9 3.4 9.9
42.00 42.00 75.00
Taxable Labor Labor Tax Labor Summary III.
Add'l Labor Amount 0.00 5.00 0.00 @
Sublet Amount 3.50 0.00 0.00
6.750 %
21.2
Total Additional Costs
II. T T T
Part Replacement Summary Taxable Parts Parts Adjustments Sales Tax
1,225.60 82.73
Amount
@
4,842.49 30.75 328.94
6.750%
Total Replacement Parts Amount
5,202.18
1,308.33
Additional Costs Taxable Costs Sales Tax
Totals 335.30 147.80 742.50
Amount @
6.750%
IV.
100.20 6.76
Adjustments
Amount
Insurance Deductible
0.00
Customer Responsibility
106.96
0.00
Paint Material Method: Rates Init Rate = 28.00 , Init Max Hours = 12.5, Addl Rate = 0.00 I. II. III.
Total Labor: Total Replacement Parts: Total Additional Costs: Gross Total:
IV.
Total Adjustments: Net Total:
ESTIMATE RECALL NUMBER: 06/13/2017 18:29:09 1567060062 Mitchell Data Version: OEM: JUN_17_V MAPP:JUN_17_V0611Copyright (C) 1994 - 2017 Mitchell International Software Version: 7.1.220 All Rights Reserved
1,308.33 5,202.18 106.96 6,617.47 0.00 6,617.47 TOTAL LOSS
Page 3
of
4
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: VIN.jpg Remarks:
Document Name: VIN2.jpg Remarks:
Page 1 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: ODOMETER.jpg Remarks:
Document Name: INTERIOR.jpg Remarks:
Page 2 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: LICENSE.jpg Remarks:
Document Name: LEFTFRONT.jpg Remarks:
Page 3 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: RIGHTFRONT.jpg Remarks:
Document Name: RIGHTREAR.jpg Remarks:
Page 4 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: LEFTREAR.jpg Remarks:
Document Name: DOOR.jpg Remarks:
Page 5 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: HOOD.jpg Remarks:
Document Name: INSTRUMENTPANEL.jpg Remarks:
Page 6 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: ROOF.jpg Remarks:
Document Name: SEAT.jpg Remarks:
Page 7 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: TRUNK.jpg Remarks:
Document Name: F BUMPER.jpg Remarks:
Page 8 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: RAD SUP RAD AND COND.jpg Remarks:
Document Name: RAD SUP.jpg Remarks:
Page 9 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: RAD SUP2.jpg Remarks:
Document Name: GRILLE.jpg Remarks:
Page 10 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: WINDSHIELD.jpg Remarks:
Document Name: PASS AB.jpg Remarks:
Page 11 of 12
Claim Number: 004670-002909-AD-02 PDA Assignment Number: 156-706-0062-0
Document Name: LINERS.jpg Remarks:
Document Name: BOTTOM SHIELD.jpg Remarks:
Page 12 of 12
