Estimate.pdf - State Farm Insurance Companies Itemized supplement requests photos and any applicable invoices should be emailed to

Estimate.pdf - State Farm Insurance Companies Itemized...

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State Farm Insurance Companies Itemized supplement requests, photos and any applicable invoices should be emailed to [email protected] and must be approved by State Farm. A Supplement Request form may be found on b2b.statefarm.com. If email is unavailable, you may fax to 866-566-6595. *** ESTIMATE *** 10/04/2017 10:03 AM Owner: ANDREW PARSONS Address: 30 VILLA TER City State Zip: SAN FRANCISCO, CA 94114-2142 Home/Day: (415)242-4406 Work/Day: (415)897-6453 Cell: (415)640-9745 Control Information Claim # : 05-00S1-96Z01 Insured Policy # : Loss Date/Time: 09/29/2017 05:00 AM Loss Type: Collision Deductible: $500.00 Ins. Company: State Farm Insured: ANDREW PARSONS Address: Home/Day: (415)242-4406 Work/Day: (415)897-6453 City State Zip: Cell: (415)640-9745 Claim Rep: Express Team B Address: Work/Day: (855)341-8184 Inspection Inspection Date: 10/04/2017 09:38 AM Inspection Type: Field Inspection Location: STAN CARLSEN BODY SHOP Contact: Address: 522 Frederick Street Home/Day: (415)221-0100 City State Zip: San Francisco, CA 94117 Primary Impact: Front Secondary Impact: Driveable: No Rental Assisted: Assigned Date/Time: Received Date/Time: 10/03/2017 03:46 PM First Contact Date/Time: Appointment Date/Time: 10/04/2017 01:58 PM Appraiser Name: VINCENT DTCU Appraiser License # : Repairer: STAN CARLSEN BODY SHOP Address: 522 FREDERICK ST City State Zip: San Francisco, CA 94117-2729 Work/Day: (415)221-0100 10/04/2017 10:48 AM Page 1 of 7
Vehicle 2017 BMW X4 M40I 4 DR Wagon 6cyl Gasoline Turbo 3.0 8-Speed Automatic Lic.Plate: 7XQA566 Lic State: CA Lic Expire: VIN: 5UXXW7C56H0U25830 Prod Date: Mileage: 11,263 Veh Insp# : Mileage Type: Actual Condition: Code: 47224C Ext. Color: DEEP SEA BLUE PRL Int. Color: Ext. Refinish: Two-Stage Int. Refinish: Two-Stage Ext. Paint Code: A76 Int. Trim Code: Options 1st Row LCD Monitor(s) 2nd Row Head Airbags AM/FM CD Player Adaptive Headlights Air Conditioning Aluminum/Alloy Wheels Amplifier Anti-Lock Brakes Auto Dimming Ext Mirrors Auto Headlamp Control Auto-Leveling Headlamps Automatic Dimming Mirror Auxiliary Audio Input Bodyside Moldings Bucket Seats Cargo Organizer Center Console Color-Keyed Bumper(s) Cruise Control Daytime Running Lights Driver Information Sys Driver Seat Memory Dual Airbags Dual Power Seats Dual Zone Auto A/C Emergency S.O.S. System Ext Mirror Turn Signals Floor Mats Fog Lights Garage Door Opener Harman Kardon Sound Sys Head Airbags Heated W/S Wiper Washers High Definition Radio High Intensity Headlamps Illuminated Visor Mirror Interior Cargo Tray Intermittent Wipers Keyless Entry System Leather Steering Wheel Lighted Entry System MP3 Decoder Mirror(s) Memory Paddle Shifter Perimeter Alarm System Power Brakes Power Door Locks Power Liftgate Power Mirrors Power Moonroof Power Quarter Windows Power Steering Power Windows Privacy Glass Pwr Accessory Outlet(s) Pwr Folding Ext Mirrors Rain-Sensing W/S Wipers Rear Fog Lamp Rear Reading Lights Rear Window Defroster Rem Trunk-L/Gate Release Reverse Sensing System Run-Flat/Self-Seal Tires Side Airbags SiriusXM Satellite Radio Split Folding Rear Seat Stability Cntrl Suspensn Strg Wheel Radio Control Tachometer Theft Deterrent System Tilt & Telescopic Steer Tire Pressure Monitor Tonneau/Cargo Cover Traction Control System

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