Completion and Direction to Pay

VEHICLE OWNER’S NAME*

VEHICLE OWNER’S EMAIL*

VEHICLE YEAR*

VEHICLE MAKE*

VEHICLE MODEL*

I CERTIFY THAT REPAIRS HAVE BEEN COMPLETED AS INDICATED ON FINAL ESTIMATE AND RE AUTHORIZE DIRECT PAYMENT OF SUPPLEMENT TO PERFORMANCE AUTO BODY LLC WITH THE UNDERSTANDING THAT I WILL BE OBLIGATED FOR PAYMENT IF IT EXCEEDS 30 DAYS FROM BEING SUBMITTED

Vehicle Owner*

Date*

Performance Collision – Morgantown, WV