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WILSON WAY TIRE CO.,INC. FLEET SERVICE RECORD <br /> U.S.TIRE SALES MD10ooa37, 175379 33 <br /> na us nn s•r.. •].ua nn s.r« <br /> m w,Nen w.y m. mmm w.y nn R.un ens conn.b n,. rx us nn s.r.. 9fa9 rnnu9e el•d. s• <br /> T>i N.N'rinnn W IlJf MM9•r ar. }}II N.WIi•nn W� Teen Yn]•mn•arM. 19tf H•Ilvnal Ar•. 6«nm«ro,CA 9laJJ n ahri. <br /> A 91}e> arocMnn.CA 9!]e! aleeRron,CA 90 int Mod•9ro,CA 9Sie9 H,yY f,CA 9.l9f ]-"" ro V alai <br /> ]n9l,ItM1 NIr _ >9�n9J]!} To9.1•ealel xnasn-!en !H)Jm-nex r! <br /> —04xE y ---_ <br /> PIIoHF VEHICLEM --_ <br /> -TATE <br /> L(TfAii�7N nr.aER\'rLl <br /> OECALa <br /> / /�,�--JL / { ' <br /> —O I• ' I ! <br /> CUSTOMER TPID (/ /1j//- �n <br /> l9•rliN rM1•t ond•r Mn9lfV nl grlruY und•rrM inn el lhed61n1.a1C Illernl•Ih•IlM lnrorm.H.ulvt Renlcln111on Pun nnl ie Pu�cPl«eurc••nLedn•«unnr�]v69.nJ mQdn <br /> unN«ran,m9c•t en,ar •nrtl of r•,nwer nl lh•Wnt•Tr^ yerdeY«d••cnb•d In Public UATEm••Cod••.cII°n�] <br /> ...rn m.�i.�i wnelin.w ro izi.v9a P.,d.r.P•r•rnl.nnn n.dmml.rnn..P.n.m«an ro a,9o9 wr•Imm�nn <br /> HRIVEP.�IC.NnTUPE , <br /> DRIVER NAME <br /> X STATE OOOMETEPRtVO <br /> •LIOENSF. . <br /> MAKE TRUCH/TRAILER a <br /> ON <br /> RK COMPLETED OTY. DESCRIPTION OF WORK COMPLETED <br /> P <br /> OF OF WO BRASS VALVE STEMS) <br /> PTY. DESCRIPTION OPWORICCOMPLEiEO MOUNT I DISMOUNT(S)ON VEHICLE <br /> SERVICE CALL ALUMINUM STEMS) <br /> LOOSE <br /> MOUNT f DISMOUNT(-) VALVE STEM REBUILD(S) <br /> FLEET INSPECTION LOOSE MOUNT(S) ALLIGATOR CAPS) <br /> AIR SERVICE <br /> FLAT REPAIR(S) LOOSE DI-MOUNTS) METAL VALVE CAP(S) <br /> TIRE(S)BALANCED O RING(S) <br /> REPAIR MATERIAL(S) RECONDITIONED WHEEL(') <br /> FINISH MILES: <br /> WHEEL SWITCH(S) <br /> —�� <br /> 7Y SIZE <br /> 0ESQ IPTION STPRT MILES: <br /> FG <br /> TOTAL MILES: ----� <br /> AF <br /> START TIME:--.-- <br /> n <br /> / f ON SITE TIME'-- <br /> OUTTIME:_----- <br /> - FINISHTIME.__ — <br /> _ <br /> OTHER <br /> -d-LEA-EXEMPT <br /> EXEMP_T_ION IF_APPLICABL� <br /> )AMOUNL-�� I — QGGVERNMENT ❑LEA EXEMPT <br /> _1•L// C:)AGRICULTURE ❑COMMON CARRIER BACK HAUL _ <br /> — LO_AD TYPE _ --- —-- <br /> PICK UP __ _ HOLE TIRE COUNT ❑WEIGHT IN PO <br /> ;_)IMPORT FROM - - _. <br /> DELIVERY 0 UME CUBIC YARDS ❑WEIGHT IN TC <br /> 7 EXPORT TO <br /> I candy thnt under penalty of perjury under the Iowa of the Stele o alllornla that the Informallen provided III le txu-and atIve I <br /> aef„l am swam That fal-Iticatlon of this Informatlon may result In cl. enol a P 5,000 Par day,par violation or admin{almlWe <br /> y "'.0 parvlolstlan perdey as diirmlbed In Public Resource-Code so on 4Z <br /> G I <br /> CUSTO ERS N URE <br /> CUSTOMER PRINT NAME <br /> OATEI <br /> No. i7)379 <br /> x. <br /> � . <br /> 2812 <br /> -�— 12"]4877 Mc •,re` <br /> 7/ 014 Truck-� <br /> -- <br />