Safelite Receipt

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Safelite AutoGlass Service Center #5521 Safelite Repair & Replacement 890 Industrial Drive Columbus, OH 43215 United States Phone: (614) 555-7832

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Safelite Repair, Safelite Replace Thank You For Choosing Safelite!

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Customer

John Doe

Invoice #

SL-784512

Phone

(555) 123-4567

Technician

Mark Davis

Vehicle

2018 Honda Accord

Service Type

Windshield Replacement

License Plate

OH-7845XY

Work Order #

WO-552178

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Date: 4/15/2026 Time: 8:07:40 AM

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Windshield Glass Replacement

$320.00

Installation Labor

$85.00

Adhesive Kit & Materials

$25.00

Disposal & Environmental Fee

$10.00

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Subtotal$440.00

Tax (7.5%)$132.00

Total

$572.00

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Payment MethodCredit Card (VISA)

Card Last 46721

Entry MethodChip

Authorization Code593821

StatusAPPROVED

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1234567890

Lifetime warranty on workmanship. Please retain this receipt for future reference. Visit www.safelite.com for support. Thank you for choosing Safelite!

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