Sample Document · Step 3 of 3

Sample Repair Invoice

Prepared in the format required by Florida Statute 559.911. Customer and vehicle details shown are fictitious, for illustration only.

Repair Shop Stroke Auto (DBA of RDP Business Group LLC)
16416 Hamlin Hills Rd, Winter Garden, FL
(407) 305-0123
Customer John Doe (sample)
123 Sample St, Orlando, FL 32801
(407) 555-0100
Date & Odometer 05/10/2026 — 45,782 mi
Vehicle 2021 Toyota Camry SE · VIN 4T1G11AK3MU123456
Repair Order RO# 102567 · Tag: SAMPLE1
Service Performed Replaced worn front brake pads identified during Digital Vehicle Inspection. Brake system inspected and tested after installation; no further issues found.
DescriptionCondition (New / Used / Rebuilt / Reconditioned)Amount
Front brake pad replacement — labor$120.00
Front brake pads (OEM-equivalent) — NEWNew$85.00
Shop supplies & waste disposal$12.00
Diagnostic / estimate fee (credited — repair authorized)$0.00
Total$217.00

No parts or labor on this invoice were supplied under a shop or manufacturer's warranty at reduced or no cost.

GuaranteeParts & labor guaranteed 12 months / 12,000 miles, whichever comes first.
Payment ReceivedCard on file (sample) — Paid in full
FDACS Motor Vehicle Repair Registration No.
Not yet issued — registration application in preparation

Sample for illustration purposes only — not a real transaction. Prepared per Fla. Stat. § 559.911.