Laserfiche WebLink
- -----• •••+�-cv:-J/pC; FLEET SERVICE RECORD _ <br /> G�b I W2SON WAY TIRE CO., INC. �� et WILSON WAY TIRE CO.,/NC. FLEET SERVICE RECORD <br /> U.S. TIRE SALES FLEET SERVICE RECORD 1 U.S.TIRE SALES !,2 <br /> TPID 1000837• !.71����� TPID 1000837• 1.7!�] �- <br /> NRi WlYemWyTNe NThnnWVTlry Roca �._ mllMhn•�w.Y the Wnrnn W.Y TIn Re_cn <br /> S)I N JVrlenn IVpY P Y•I Connell nn Wliwn WaY }J r em nnnn.rr n,w �Jv Us nn 5+1.. <br /> $roc#Iwr,CA RJMS ISJ9 Marvel Sr Y}r U9 nn Jehe IS)US nry Solos -'M}I UJ Tn S+Iwe mn,C4 BJMS a3 ManN$1. ]]II N Wlhnn W'+v Mr Us nn Salva s)J U9 Pn 9+in \ Rwd <br /> Srncalon,CA n920S nil N.N91ann IVw rSrS Nalln SmeMnq G•S ]enB vaeemlM Prva 019 Nanvnalnre 1 m nmr�A v9epJ <br /> )f!e-fQ{.nSRI ]nOP Yovnmlre Blvd. nalAve. eSJP FranFlln 9wtl. �n}nln} Sroclmn,fn o9]nn Mnrterrq CA e3)sa Heyward.GA 9ps.! <br /> 1_- $IPeemn,CA 99]09 A BSBIJ ]ne.eYea]N] ]pWea-pSer o}1]151 <br /> Yru9rRJ-9)e) Modvarn,Cn p5)Sa - a95pr.Sa)1 JlPrep•r}eS cn <br /> CLI�i..�Me �9Pe.Yeeae•1 11 eMd,21 0R5a3 is <br /> — - ]n}51r5e11 e).lze] Brb]Biz]e!t a-J <br /> 9r�/ <br /> /tom-!,/-�l.�ia�->_ <br /> 1' 1 t rgONE VENICLEY / ( / 1 VE - <br /> fig <br /> r`.'AT It:N DF CFRVIf.I: �'AiIUN Uf SFIIVIGC art <br /> C'� <br /> CUST R TPID ( I CUSTOMER TPID DECAL N 14-0 G7 <br /> DIE t, IcenlNm unMrM al�ny l�h�mw <br /> r.rruy Mar vntive peon Mrinry n I ([' l� n^I, •Ibar faivinc Ilvn u In, n may m 1�iwPe........vullvn amj9nJ <br /> rrua rn/e.mnran aS9e0 w ur IP t]i,•w � <br /> maynw�lnn c•Ifrnriw rlenlal of nnewal el lM1e Wwvlel Tl eahnular Reel+nblon Pbrsuenl to rubnclRaeenNAeeCeda webvn d I <br /> D-F <br /> awwnm eMl Anal SUPmi]5.000 P'odBY.M1Mr Nnla}Mn nllvn Penaltha UP In 29,500M a.deY wdeecrlbee PebllcflweU stetle DRIVEN nu:MFl I �rvtelv�lend eXa1VER SIGNa1UgEn <br /> rJRn.rR NnvE :e°•�••� .,,ane PnrE< vee.wel <br /> DRIVER SIGNATURE r DATE rw <br /> X _ v STATE OUOI•t[r Eal <br /> YIUB <br /> MAw= Y IJDOMETERIHUB 1•IARF II{IICKn I{AILC}ib LICENSE <br /> TRLfC. TRALER B •LICEEI.`aE STATE <br /> OFF <br /> SPECIAL INSTRUCTIONS _-_- _ OIJ- - <br /> SPECIAL INSTRUCTIONS -_. ON- - __- OFF _._ _.-_ • ___- <br /> - OESCRIPTIONOFWORKCOMPLETED—_ <br /> OTr LDE9GR'PTICN OFrJ'ORK WMPLEIED UiV OESCRIPT)ON OF IVORK CUMPLETCD O•V I -- -moi <br /> C-- DESCFiPr• SERVICE CALL MOUM')DISH' IIT(S)ON VEHICLE BRASS VALVE STEM(s) <br /> _ V OF W9Rr CO.tfPLFTEC OrV DESCRIPTION OF IVORK COMPLETED _OTY DES:RIPTION OF WORK COMPLETED: <br /> ! ALUMINUM STEM(S) <br /> SERVICE CAL MOUNT/DISMOUNT(S)ON VEHICLE BRASS VALVE STEMS) FLEET INSPECTION NtOUNT I DISMOUNTS)LOOSE <br /> -- AIR SERVICE LOOSE MOUNT(S) VALVE STEM REBUILD(S) <br /> -LLT INSPECTION MOUNT DISMOUNT(S)LOOSE ALUMINUM STEM(S) <br /> FLAT RLOOSE DISMOUNT1Sj ALLIGATOR CAP(S) <br /> F-VICE LOOSE MOUNT(S) VALVE STEM REBUILD(S) EPAIR <br /> _., I (S 1 <br /> I+ ALLIGATOR CAPS) I REPAIR MATERIAL(S) TIRE(S)BALANCED METAL VALVE CAP(S)��__ <br /> -AIR(S) DISMOUNT(S) <br /> SIVITCHiS) P.ECONDITIONED WHEEL(S) O RING(S) <br /> "- TERIALli' TIRElS)BALANCED METAL VALVE CAP(Sf' _••' )P D_N <br /> • FINISH MILES: <br /> RECOWDI710NED'NHEEL(S) O RING(S) <br /> �-j START h11LE5. <br /> F!NISHMILES' I ' - TOTAL MILES: <br /> --- •�� --- START MILES: START TIME: <br /> TOTAL MILE 5 ON SITE TIM <br /> I START TIME OUT TIM <br /> FINISH TII.IE' <br /> ON 5ITE TI - <br /> OUT TIM AMOUIaT-- - _ HAULER EXEMPTION IF APPLICABLE <br /> - -- - J GOVERNMENT ❑-LEA EXEMPT 0 OTHER <br /> FINISH TIME. - --•'--- ]AGRICULTURE Cl COMMON CARRIER/BACKHAUL <br /> C5"OUNTHAULER EXEMPTION IF APPLICABLE_ ar!JG LAD TYPE <br /> J GOVERNMENT �J LEA EXEMPT Fj OTHER J ��py -- .1 WHOLE TIRE COUNT ❑WEIGHT IN PO <br /> - - -'— JAGRICULTURE ❑COMMON CARRIERIBACK HAUL crn, 7 <br /> ❑VOLUME CUBIC YARDS D WEIGHT IN T <br /> QA ID TYPE - _ I—Jft th•1 under pend of <br /> r_ h per)ury undo Ih•laws o1 IIIR Sate IN CellPornla lRel tM Intorma<lon proNdad•hove I•ffu••rtd ca_ <br /> WHOLE l•IRE C em ewa.Y thel fe19111"vP l of thle Informet)od may.-It In civil Penel!IY•UP S75,000 P•r d5y,"I Ylol•ll-or atinli <br /> P f5 000 Mr IIDIa IPn P-IfAy a.deacrib•d In PUblIC ResoIl-A Cod,3"tlon 42963. <br /> 10LUMECU <br /> )•ceni}y ftuf l�rw�r pNilsyy olppfM�underlM lNH oftM 6UH tJ(Cditghk ltJptlSV CUSTOMER PRINT NAME-r CUSTOMER SIGNATURE <br /> lam•rvys ihN/•hHica{r'IM fot}an r.Isy WWI 11}cW'!per4'!a* p <br /> .t5,0/pR■r1rMilon l)erriyuof Ihit innne <br /> w•crlMQin Pubklt R•souru•Codewdan ttat�. FSR No. <br /> CUSTOMERPRINTNAME ` a' --- <br />