For Defects claimed ONLY CONSUMER VEHICLE YEARMAKEMODEL DEFECTNONCONFORMITY DATE PURCHASED REPAIR ORDER MILEAGE ITEMACTION NUMBER OF IN GARAGE CONTESTED MFG USE ID: 889666
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1 SUMMARY OF REPAIR HISTORY [For Defect(s)
SUMMARY OF REPAIR HISTORY [For Defect(s) claimed ONLY] CONSUMER: ________________________________________________________________________________________________ VEHICLE YEAR/MAKE/MODEL: ______________________________________________________________________________ DEFECT/NONCONFORMITY: _____________________________________DATE PURCHASED:_________________________ REPAIR ORDER # MILEAGE ITEM/ACTION NUMBER OF IN GARAGE CONTESTED (MFG USE