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04/01/2006 TUE 13: 22 FAX 2099636122 2005/006 <br /> WILSOa .A,'""lRE CO., INC. .T SERVICE RECORD <br /> a }`(1.6..• .• SALES ,r'ID 1040837. 1111645, <br /> do l Wilson Way Tiro Wllnan Way TVa R.Gap $02 ConncH TLe 005 Wilton Way Tiro 021 u5 Th.SPI.S A23 U8 Tim Sel9s 124 US Tiro Soles <br /> 2Yr N.Wilda»Way 1934 Market St. 3211 H.womm Way 1133 W.8lementh 9t. 2600 V0.*mlfe 61vd. 1*Is NatlanalAve. 8690 Franklin Blvd. <br /> Stuck►on,Ca.06309 Stockton,Oa.a"on atoekfon,Ca.96206 Tracy,Ca.993-M Modesto,CA,1A4954 Ifayward Co.89949 Saahia"O tie,CA,958.23 <br /> Po9.46x0291 409.903S24132 2096934009 1o8srr.5of1 51"a 7.1262 stG 1957r2s5 <br /> CUSTOMER P.O,#. PATE <br /> o�-/��� <br /> PHONE VEHICLE# <br /> 1/ <br /> LICENSE # <br /> 71-3 o�fl S <br /> LOCATION OF SERVICE STATE ZIP QQDE <br /> CUSTOMERTPIR D_­1T_ZI1 oI:CAL>< <br /> I cortlry that under penally of perjury under the laws of the State of Callfarnla that the Intor ovidad a els and c n "'on,I am aware that falelfleetion of <br /> thl3 Informalton may resvll Int spe Ion, Ovocatlon,or denlal of rane"I of th��1 ce H Rest tan uont uhllc Ra rtes Code section 42960 and may <br /> result In civil panalllas up lCS-24,U00 per day,per violation W adnrli prMn penal Lieu up 00 p olall er de a deacr( n Public Resourcws Godo action 42982. <br /> DRIVER NAME O IVE NAT E DATE <br /> MAKE TRUCK/TRAILER x LICENSE STATE ODOMETER/HUB <br /> �LR'{C� .- s�-(ATG � - ----------._.._...�--•- -----.__.�...�_._�---- <br /> 6Wrnt O8 32517 - <br /> LtPcrW - 7 <br /> 1 '1 s 5'04 a ��1� r. ��. ----- -_ - .- __.-__- --------------- - <br /> ; OTY LiESC,AfPTJQy OF'WQA1(Zfwi!ETFD 7 � (PQWODR(PirQ EMIR9GM <br /> FC <br /> SERVICE CALL MOUNT/DISMOUNT(S)ON VEHICLE BRASS VALVE STEMS) <br /> FLEET INSPECTION MOUNT/DISMOUNT(S)LOOSE ' ALUMINUM STPM(S) <br /> AIR SERVICE LOOSE MOUNT(S) VALVE STEM RESUILD(S) <br /> FLAT REPAIR(S) LOOSE DISMOUNTS) ALl OAP(S) <br /> REPAIR MATERIAL(S) TIRE(S)BALANCED METAL VALVE CAP(S) <br /> WHEEL SWITCH(S) RECONDITIONED WHEEL(S) 0 RING(S) <br /> QTY.. SJ �: F k :?$YPJ SGR!. " .,t na �s aj — FINISH MILES <br /> START MILES-_ <br /> TOTAL MILES: <br /> START TIIAE: • �AAYPM <br /> ON SITE TIME: AM PM <br /> OUT TIME: Atli PM <br /> FINISM TIME' ax}PM <br /> LOAD AMOUNT H. :.1.:: ^, ,f� .:',,:ra y±:�,t >� 'PTl <br /> ❑ GOVERNMENT ❑ LEA EXEMPT THER <br /> ❑AGRICULTURE ❑COMMON CARRI4RIBACK HAUL <br /> !CK UP .: lT' o nla YlP4 F s d.:l t of 3s ."yr�i <br /> C1 <br /> IMPORT FROM �,F�/t/A G�t2/'� HOLE TIRE COUNT ❑WEIGHT IN POUNDSµ <br /> OVDELIVERY ^. <br /> O EXPORT TO (�� . L — ❑VOLUME CUBIG YARDS ❑WEIGHT 1N TONS <br /> I certify thei under penalty of penury under the laws of the.State of Calltornia that the fnformetlen ProWded Above Is true and correct.In addition,1 <br /> o�c Caro r+ am"Ware that Walflaatian of this Information may result In civil ponallies up to$26.000 per day,per vlaladan or edminUIf"tlya penalties up to <br /> $5,000 per viotallon per day as dascrlbed In Public Rasouresa 082. <br /> CUSTOMER PRINT NAME CUS ER SIQNATUR DATE'.`'' <br /> FSR Ny."tr �� '►;�� "- Hit-- 6(l W hiAbh NOSIPIN"-1. 6 3:1hl7 <br />