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62 LACOMBE STREET MARLBORO MA 01752NAME: ___ INS. CO.___ CLAIM #___AUTHORIZATION TO REPAIR ASSIGNMENT OF RIGHT & DIRECTION TO PAY I hereby authorize the repair work to my vehicle along with the necessary material and hereby grant you and/or your employees permission to operate the vehicle on streets/highways or elsewhere for the purpose of test driving and/or inspection. In consideration of Ultra Shine Collision agreeing to repair damages to my vehicle I hereby assign to said Ultra Shine...
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