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GARDNER/DIRKSEN Fax:1209$248$55 May 27 2005 1621 P.O'lZ <br /> WINGFOOT WORK ORDER W.O. # l f.A =sq—.0 <br /> Custamor: Address: - <br /> y, <br /> State: Zip: Date: <br /> _Center No. Customer Number <br /> I`r .� Location Code Sales Re Code _ Phone No. <br /> CR Repair Serial No. Tread& Width Vanirle No. T;me <br /> 5a: Code Label / Bran:; Tire Size or <br /> Y/N YIN or & CappE <br /> Dot Number ScrapCode Tire Ta No. &32nr <br /> �wa�>..�>r.. - .�� #..t` �, ark;• �,� � }j. <br /> r' <br /> ��a++� �.>.a ..ate >:�-�: ?..',r" .•'-r.�� + i'.� <br /> 1 <br /> b <br /> • t i <br /> 1, <br /> i <br /> �,u.u,-��t«.,...m,>..,,e.........x.,..,...�,,.-:-,�...-..,�.._�...a-: a ...:�..,�..a.,d.•.,.*-,.M.�.o.�.4�. m����.n,.,=�..*,vr�....�•..�,.�.H.. ,,,,.o,�, <br /> yvr..vsvaua�:.:�wia-sswrsv..'iuwav+.vrrv^vvvo�am�--..cm.�n�...,�nmrcasazi�vc�ra3..+uTu ... 'nwvmm.�ve uta'.r+r..,.yvrxvxwr1r^r�v'.•.v�.-..N,vmrc <br /> nXMainaMpmY:t<'p��afYi�ssa�a+nNrewxrnevvmeaz.,.1u�4+nnvoe.vsie fwk:. '�Wb4vm vula�>fYvv <br /> '"'^'�•,�.Iii�YgttT.V�6Wr)ypp'N/raM%h YfeLLf.R'.vu`aS ox9n.aT+.+t�u�Y:.rwTrvnP�xvfYw�•Tf�L'+ <br /> - .. . w-rr`•s+n.,c++�a.e.-- _�� •.a.+.....oe�..asram,.-ew.>.+e.��c...>rm.��vC..v.wv.v.cn+.r�-,v.. nrs <br /> Customer Signature: ,-- <br />