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04/01/2008 TUE 13: 23 FAX 2099836122 2006/006 <br /> o WILSOr _AY TYRE CO., INC, EET SERVICE RECORD <br /> U.S. TIRE SALES yj���Yl� TPID 1000837• 111635 <br /> 80 f Wilson Way Tiro WNson Way Ylro Recap Bp2 Cannel!010 X05 Wlleaa Wey The 'Y2f US Tina Sefar #23 VS rka Sales /31 US Tyro Safes <br /> 28f N.Wilson Way 1035 MwArel St. -*If f N.Wltaon Way 1130 W,elevertib at, ZaW Yoaornite Alud. 1915 AlallonaJ Ave. 46990 Franklin Hivd. <br /> l+tapklon,co.98409 51oakt-u Ga.8s2v8 stcamon,an.eJ140$ Tracy,Ce.9!370 Moaosto,CA.99350 Nnyward,Co.84548 .Sacremonrg CA.9.5623 <br /> 2115-406.0261 Jee465328P 2094196-2501 WIL835.0087 209471-66f1 510.8e7.1782 efra9b4P4a <br /> CUSTOMERP.O, k DATE <br /> r PHONE VEHIOL +1 <br /> . �V SC gG <br /> LICENSE# <br /> D <br /> CODE <br /> LOCATION OF SERVIGE�4 STATE ZIPCO <br /> CUSTOMER TPID QECAL rE <br /> I certify that under penalty of p9rJury un t laws of the Slste of California that urs i Ion Ovide ve Is o and rre n addition,I am aware that telal(lcatlon al <br /> thltr information may result in suspend n,r vocation,or dental of renewal et t e pr Re to p 0011 P Aesourees Code section 42860 and may <br /> result in civil pensitlea up to$25,000 er y,per vtola0on or admini2 paneWas p to ,00 vi atlo r s crib Publlc Resources Code sectlon 42962. <br /> -5-RIVE-Ft NAME bkvq1A S NAT flAT�g—�� <br /> MAKE T RUCK/TFiAILER# LICENSE STATE ODOMFTERJHUS <br /> .. i .. .: :::: : PEOIAL'Ii�S7RU�78�N5. '.., � . ;r •'... i r. ',r�N iv`cP� .... . r'' " C1FF� <br /> t <br /> tr ;=7 - F <br /> PE$CRIP3r(ON•(7FWORK COMP LETED..:%�.. 3,1.7i'v::rYtt�,�C1�IRF(�1��U.fiWS00✓�C�,'(SM�{S`�f7���"-'.c'�T�'..r�G.r'��Sft':,R/PTI¢N,S�F`... R?(;.GYa61P,(;'£T�Rs;�r"•. <br /> SERVICE CALL MOUNT/DISMOUNT(S)ON VEHICLE BRASS VALVE STEMS) <br /> FLEET INSPECTION MOUNT/DISMOUNT($)LOOSE ALUMINUM STEM(S), <br /> AIR SERVICE LOOSE MOUNTS) V+1LVE STEM RESUILD(S) <br /> FLAT ftEPAIR(S) LOOSE DISMOUNTS) ALLIGATOR CAP(S) <br /> HLPAIR MATERIAL(S) TIRE(S)BALANCED METAL VALVE CAP(J3) <br /> WHEEL SWITCH(S) RECONDITIONED WHEEL(G) O fllNa(s) <br /> OTY. '.d�. ;;r• QEB RIATIQN.�srL a:.. +y"_3 :.l1::..,,, P* SH MILES <br /> a -� e i START MILES <br /> TOTAL MILES: — <br /> START TIM . Pre <br /> ON SITE TIME: AM PM <br /> OUT TIME AM PM <br /> PINISHTIME. "n fI <br /> LOAD AMOUNT FX§`5"srisKt .ter~` .�i r�'ti H ULEfY I •' ;.i' <br /> ❑GOVERNMENT ❑ LEA EXEMPT HER <br /> ----�'-- ❑AGRICULTURE [],COMMON CARRIER/RACK HAUL <br /> .Eh.F'ICK UP � �•4• <br /> II ❑ IMPORT FROM N L/ HOLE TIRE COUNT ❑WEIGHT IN POUNDS <br /> ELIVERY <br /> El EXPORT To /it>. ❑VOLUME CUBIC YARDS ❑WEIGHT IN TONS <br /> i certify that under pattally:ol perjury under thq'laws of the State of California that the froornied pro Ided above Is Crus and correct.In addition.I <br /> flow "'a polo P� am aWarc that falsification of this inforraailon•mey reautt In clvli penalhcs up to$25,000 per d ,nor v fetlon or admInlatrotiva penalties up Iv <br /> $5,000 per violation per a9 described In Public Resources CodeTR8 <br /> 2. <br /> v .r. <br /> `I CUSTOMER AME COSTOIRE DATE <br /> FSRN"i; 11 1 CtZt ''h! :J(1�- tl bl')? <br /> i <br />