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<br /> �of�lifitr.. WILSON WAY TIRE CO.,INC. FLEET SERVICE RECORD
<br /> U.S.TIRE SALES FLEET SERVICE RECORD P 7
<br /> TPID 1000837 17 n 7`O /'F WILSON WAY 71RE CO.,INC. a
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<br /> `a'M1 E DRIVER SIGNATURE 111—
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<br /> .i OFF _ _ --=ECIaL t!:STF,UCTION:' -._.- _ , ON OFF-_ _ __------
<br /> SPE rIALINSTRUCTIONS lf•C
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<br /> 4T1' DESCRIPTION OFIVORK COMPLETED ES
<br /> OTV DCRIP7IOf10F WORM.COIAPLEYED
<br /> MOUNT I DISMOUNT(S)ON VEHICLE BRASS VALVE STEtd(5)
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<br /> -_ v npnl MOUNT!DISMOUNT(S)LOOSE ALUMINUM STEM(S) —-- MOUNT!DISMOUNT(SI ON VEHICLE BRASS VALVE STEMISj
<br /> SERNCE C:•__
<br /> -- -- LOOSE MOUNTS) VALVE STEM REBUILO(S) _ _- MOUNT I DISMOUNT(S)LOOSE ALUMINUM STEMS)
<br /> -- - �~ -_-I--.
<br /> S•. LOOSE DISMOUNT(S) ALLIGATOR CAP(S) ---- _ LOOSE MOUNT(S) VALVE STEM AP(S) D(5)
<br /> _ TIRE(5 BALANCED METALVALVE CAP(S) : -----=.gl 1—�=
<br /> SI .4LLIGATOR CAP(5)RECONDITIO14ED WHEELS) 0 RINGS) F 1_ METAL VALVE CAP(S)
<br /> FINISH MILES: q-cr_.5,r,r,C FECONDITIONED WHEELS)) 0RING(S)
<br /> RIPTION FINISH MILES
<br /> I START MILES _ JESCRIPTKlry --
<br /> -. 1. '�•. ri� ()�! / __ -. _ _ -
<br /> TOTAL RULESSTART MILES
<br /> - '. -
<br /> - TOTAL NTLES.
<br /> -— --- STARTTIME:
<br /> ON SITE TIME: AM 1 __ - __-__ - _ _ ___-______ START TIME
<br /> --
<br /> ON SITE TIMEA*
<br /> OUT TIME AMS
<br /> OUTn11E
<br /> FIMSHTIME AM: "-----
<br /> -
<br /> AMOUNT _HAUL_ER EXEMPTION I_F APPLICAELE FINIS TIME
<br /> ]GOVERNMENT ❑LEA EXEMPT ❑OTHER -f-� "" HAULER EXEMPTION IFAP_PLI_CA_BLE
<br /> -�•�-' AGRICULTURE ❑COMMON CARRIERIBACK HAUL �! I J GOVERNMENT ]LEA EXEMPT Cl OTHER
<br /> TYPE
<br /> t' - - - 0 TYPE HAUL
<br /> . k AGP(C'ULTURE
<br /> COMMON CARRIERJBACK
<br /> `Fc}' --- _ *HOLE TIRE COUNT-, Q�V IGH�IIiPO ,:'.. — -- -WEIGHT-
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<br /> LE TIRE COUNT
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<br /> _ E4 VOLUME CUBIC YARD
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<br /> M No. 7847 _. SR No. _';�8 8 7 CC`OFJ
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