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GARDNER/DIRKSEN Fa:x::12098248855 May 27 2005 1633 P. 17 <br /> I NGFOOT WORK ORDER W.O. # -4"6 309 r <br /> Customer: _ Address; <br /> Cit State: Zi ®ate: - U1 <br /> Cp,nter No. Customer Number Location Code Sales Ret. Code Phone. No. <br /> CR Repair Seriat No. Treat!& Width Vehicle No. Times <br /> Sar Code Label Y/N YIN Brand T re Size or or R Capped <br /> Dot Number Scrg Code Tire TH No. &32nds <br /> ..�„",.•.�.�f { .�1 .rte- �� ?l.�i <br /> t� <br /> �iTOYt <br /> rw ss <br /> t S 1 <br /> c 1 r <br /> wr w amm.. <br /> a:r�:.nra:aw,aammaua�.a �L�+..N ovc c,rmcarro.:.mnmr...wa'«%��..fu��r+ •r- . ... m.m. r,�.e:, <br /> customer Signature: <br />