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FROM (TUE)MAY 13 2008 9'FQ/ST, 9:58/No. 6661196949 P 2 <br /> WIL�1V�4 14E CO., INC. FLI&ERVICE RECORD <br /> ".(b <br /> U.S. TIRE SALES. TPID 1000e37• 113205 <br /> oof lesson Ww.T" as.—W-W"m fratap fm Car~Tew , ow wwon wily T" 021 us"m 3atis' � rant M n.sus. !at u$rias a.ps <br /> err M Willman*t r f=Mkrkat" mf F4 wumn,way ff3a W.offivmdh SL shoo romaerwe shat fDfa rfBwauAvw amFFm..kflrrslvrf. <br /> stoaNLfea,am*011" *Wdddn,tar.MMS btockfon,Gr,95206 7vaer,CA."370 Medssew CA.06.'td1 f1my"m Ga.saws *--4.CA.limn <br /> SOD4�Yif �i16S33�a3 �o9.asesfaf DOFD73.10'BT ;2pDd7f'aaff 6f0.far-1� Dfa.91d,� <br /> CUSTOMER P.Q. 4 DATE <br /> le CIL, per- . - 7 <br /> PHONE VEHICLE N <br /> ( <br /> LICENSE If <br /> `71370 <br /> LOCATION OF SERVICE STATE ZIP CODE <br /> CUSTOMER TPID ` f �` DECAL <br /> I certify that under penalty of perjury under tho laws of the State of California that flysmtopEaw <br /> true and c In addition,I am aware that WlsNicatipn of <br /> this Informedcn may result in suspension,rav*ostlon,or dsnisl of rvnswai at.the Wadsumft to is urcas Coda seGRion 12460 and may <br /> rasuk In civil psnall6ea up. 000 per day,per viefatlen or atlmiWytrsli dsy d ki Pubka Resources Code metion'42M, ' <br /> DRIVER NAME DRIVER' E:. DATE <br /> MAKE '"' TRUCK/TRAICER ti LICENSE `STATE ODOME'TE"UG trr.. <br /> V.r.yl All i,h „s aZ r <br /> ,: CI: c'f :,,,y lT.SRECIAIi:'..:IN.4EFil:llwi',I" i +{• ,5,:�: 7 � ria:.."•[r:>k :'„� 9.. ON,', ,.'�a;I �Y�i 4 'L � .:l;3�iK•.r,Z1 ry",�"' 1� +t'.'Y{ <br /> CrNSE - j 51�-Ql C7 1.IM1 W- qgc UCALP r. <br /> t <br /> Q7Y�'if`", CiN OF NdAK'G7MPLTFJ;.; oSvPLEf � i� � .:' 14f._ E�l �!� <br /> ( SERVICE CALL MOUNT/DISMOUNIT(S)ON VEHICLE BRASS VALVE STEM(S) <br /> FLEET INSPECTION MOUNT/DISMOUNT($)LOOSE ALUMINUM STEM(S) <br /> AIR SERVICE LOOS E'MOUNT(S) VALVE STEM REBUILD(S) <br /> FLAT.REPAIR(S) LOOSE DISMOUNT($) . 02..ALLIGATOR CAP(.S) <br /> REPAIR MATERIAL(S) - TIRE(S).BALANCED METAL VALVE CAP(S) <br /> WHEEL SWITCH(S). RECON%'rICi*o,WF(EEL(S) 0 RINQ(S) <br /> 071, <br /> —lisp ?tr.:yGF'•y,r,?xti w tMj41FiC�J” ^;c. :93m ' '�htirtPCv�f "fit/4 ':r�?B FINISH MQES: <br /> $TAR lr MILES: <br /> TOTAL MILES: <br /> STARTTIME' Q �" <br /> ON SITE TIME: AM PM. <br /> OUT TIME. AM PM <br /> FINISH TIME; 1 ' &PM <br /> LOAD AMOUNT "' t )iAULER"EX 'PTJ N,iF`';kPPbtA6LE . <br /> ❑ GOVERNMENT ❑ LEA EXEMPT THER <br /> —� -- / �-- ❑AGRICULTURE O COMMON CARRIER/BACK HAUL <br /> ICK UP <br /> C3IMPORT rROM OIL- OLE TIRE COUNT ElWEIGHT IN POUNDS <br /> DELIVERY TO <br /> ❑ EXPORT TO jAJ (,� , f VOLUME CUBIC YARDS [j WEIGHT IN TONS <br /> i certify that under penalty of Perjury under the laws of the StaW of ColNomla that the Information provided above/Is true and consct In eddkion,I <br /> �c bafo-? am swam that falsification of this Information rosy result In clv9 penalties up to$2$,ODO per day:per violation or adminlatrative psnekiss up to <br /> SS,0o0 per violation per day as described In Public Rasoumet COtls seelfon 42962 <br /> CUSTOM 1E CUSTOMER Sit- 4E DATF <br /> FSR No. 113 2 C <br />