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ECORD WILSON WAY TIRE CO.,INC. FLEET SERVICE RECORD FLEET SERVICER U.S.TIRE SALES -'S-� cy CO, INC* - r.l❑ TPID 1000537 '' WILSON WAY TIRE TPID 100D837 a.us nr•s•I n us reset« xt us n.s•atw "�1S'f�i' U.S.TIRE SALES n lvaY nn Rn<nn a9t LenneATrm iJt U+"The sntm 69lP fin^ fen q})U9 Tlm s.+l^e q5]0 F1PnM.CA 11 wr snA/..rNnr St }JII N.IYtlfnn AVeY 9YPeomin •'r ,.s •enm•nro lls fln SntnT 10fl NnrIPGA 9/SAS 910]PSttn9 1�r1�I eNU a cA9 -1 II Il LA 051. n LnP OS Al de+ro eAr95)]I rd91N9Sx}19 _...---��'� t }q99 Vn9emifneNtl , } _ }OP.17i.51tf r N4r5nn 1VeY�^Rw�P tI=1 i N W 1 WXY AInAn.tn,GA 99)51 i3�0 1J91 _ / i JJ - — IJJl MPMnl fil s.— 9n}PX r 9'+rngrt)5 O Y ! �- —�� 111N Nwen WeY SNrtyVrrl CA• qq) 29p.IM19.T4fl1 rfb 5 !a e;■1)9) 1h121i _ ____ ��l� ,.L�. I m■-•` - ! _�—__ r 11 t.L�" / _ ucPtesE X / 1-N��-' --------- -� �Ae�,N r,F et RvlCt .. - 9i ATF. II / DECALN 1` CUSTOMERTND i:'� 1 l�`t r — I t • moon - ----- DECAL" nnl ceniics + � q ^ewuytNf under pneXv bl MlnMminr!nwc•brn'Pr rl•nlnl^frtnwrellnf,nn Waete lrn Men Rn191^"+"^^en'�nY�+•tle.cr�betl lnePXX�eP"en saalCode nnct'nn ixaer. --�,�_�� nnq con•ct In ea„ ee GeE•sa on l,rnYlded eC<vn In ln,n to Publle P'ne^u„I••p•nr Q ,..nXNmUpena�e n•nnevlSJ,9n9 Pnr dnYM•mMuannt enm,ntetnn.r n•n.lu••rm,n TS.b UAl'E ��-- - lnrmnn nPr nuenr L -.,AER\AVE - CU57C1MEh In.WnelP Tires nP+r P•.t^tl nr•r qeY• X MATE ODOI.IETERtHUb nn •uPtntATIIRCMr [1 LP' ni IRUCKIRAILF.RI STALE OFF— ON FF_ •LICENSE _ - �NEcwuNsrnucnous _ _ - n, ,I ___ IDESCRIPTION OF WORK ODMPLEE f FLET�� pw i a<sL: - ;t-/EP PN PESCRInrIUN OFYI9RK COM1IFLE rEO_ Ory BRASS VALVE STEMS) _ pFSCRIPT1OIt� —_ - MOUNT(DI$MOUNT[S)OM VEHICLE f OTY �' STEM(5 ALUMINUM STEIv1($I - A,V-HICC BRASS"ALVE MOUNT,OISMOUNT(S)LOOSE ' I p�c5_ittr?t0� KBO VALVE STEM REBUILO(SI OTl' _ - 4 VEHICLE gTEMI _ LOOSE MOUNTS) f•� ,- - MOUNT I015MOUNT(5)= ALUMINUM .YF,h Cur a-J=rD � ALLIGATOR CAP(S) $L005E STEM REBUI _ -- LOOSE OISMOUN7(S) .— -E CALL MOUNT I DISMOUNT, ) VALVE CAP -- - _ TIRE(S) METALVALVE CAP(S) -- - lr r45%EOTICN LOOSE tdOUNT(S) ALLIGATOR C -- - -- RE E(S)aAL NCD WHEEL($) O RING(S) '" METAL VALWE CAPIS) yR SES'CE LOO SE OISMOUNTIS) FINISH MILES: - rat BALANCED p R1NG(Sl vF� OEC-RtaTTJN R TIREIS) START MILES:_—---_ "'A ION ED WHEELIS) FINIS ,VH MILE R t!A ER1AL.S) RECONDIT TOTAL MILES:�� , START MILES: _ II ,,twEE-S:JfTCH(S) ' DE START TIME:—All 1 1, ON SITE TIME;__All `' !�./y{ /// START TIME: OUTTIME: An ON 117E TIhSE'. FINISH TIME: At f� OUT TIME: LOAD AMOUNT __ HAULER EXEMPTION IF APPLICABLE GOVERNMENT O LEA EXEMPT ❑OTHER p3NtgH TIME:_._ —•--— ❑AGRICULTURE ❑COMMON CARRIER/BACK HAUL J= ° AO TYPE ---- - - - - � I HAULER EXEMPTION IF APPUCAgU�OTHER- - WHOLE TIRE COUNT ❑WEIGHT IN POUN t (,pVERNMENT Ll COMMA CARRIERlEACK HAUL J l - -- LOAD AMOU/NT J '--' VOLUME CUBIC YARDS _ I' v - - HOLE TIRE COUNT �1 W ` - ❑WEIGHT IN TONS _1Q� AGRICULTURE LVAD PE EIGHT) �^ luldry mw motW■r p9 J111y.f?thl. undo lh■I■wa r ltu Steb Bf Call/amla that lha lntarllrellon v31E•IGH I a' +In■•Y■••Bql 4tNac■d. W Mb In/.rmall9n mey mu%In dell provided a6ov.I■tru.end Dornct In r f6•°0°p' w�+va a+r■•w.rnddtnr�en�R»BB,La,coaa„nio�iiaeiP sse,00a par day,pa violatlDn ar adminleritive pane ( '.�'IG+J � r _ --- — 0VOLUMECUBICYAF 0 _ '+.� �DG-il1/EP.Y -`-+ �... 1d.d afore to tftta at CUSTOMER PRSTT NAM[�� - _ - -_ _____ 1 E'ypow.TO �i A CUSTOMERSIONATURE ands W.and V'aMbc”M>" r fri3O�T�■Y'P�. R No. -" ! M t! DATE i)°' °'""man xwe mm "per of aea lea t FSRNo, X __ --- CUSTOMER _ 175365 R 175174 �".�"� ��..^`, - .-,�, r -___~_- - wv■