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DAEWOO CLAIM REPORT

--------------------------------------------------
DISTRIBUTOR NAME DCR NO. CUSTOMER NAME Engine MODEL. ENGINE NO.
MONTH / DAY / YEAR
4DWY-60 17DWY0198 DELIVERY DATE
/ /
MF ODOMETER CLAIM CAUSE CAUSAL PART NO. REPAIR DATE
READING TYPE / /
0 WARRANTY WRITTEN DATE
/ /
NO. PF PART NO. Q'TY UNIT PRICE PART AMOUNT PART NAME/SUBLET EXPLANATION OPERATION NO. HOURS LABOR AMOUNT

01
DNSW21 1 SOLENOID STOP SWICTH 0
02

03

04

05

06

07

08

PARTS LABOR TOTAL


TOTAL

TROUBLE DESCRIPTION (상세하게 작성요망) DISTRIBUTOR GRAND TOTAL


SIGNATURE

JUDGEMENT
APPROVED ADJUSTMENT CODE PARTS LABOR
REJECTED DENIED

TOTAL

DAEWOO SIGNATURE

Page of UNIT : US DOLLAR

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