You are hereby authorized to make the above-specified repairs. I understand that
payment in full will be due upon release of my vehicle, including additional supplemental
damage charges and hereby grant you and/or your employee’s permission to operate the vehicle
herein described on street, highways, or elsewhere for the purpose of testing and/or inspection.
An express mechanic’s lien is hereby acknowledged on above vehicle to secure the amount of
repairs thereto. You will not be held responsible for loss or damage to vehicle or articles
left in vehicle in case of fire, theft, accident, or any other cause beyond your control.
Old parts removed from vehicle will be junked unless otherwise instructed. I authorize any
and all supplements payable directly to you. I authorize you to act as power of attorney to
sign insurance checks to pay for damages to above vehicle.