v2169-429

^^

A 838701

Uus AND snvici ncncr

-//

NAMl

ADDRSSl_

SpMdomcter Reading.

-LioMiM Nombw-

Mak* of AntocnobUe.

GiJl and DeUvcr.

TlraSlML.

Wetautch:

Shock AbMTben:

HydrauUcBrakeSMp.TTtFUIed:

TrannnlMion :

Dtflerentlal:

Crankcaae : Brand Grad..

3^^

Flush Motor:

New Oil Filter Cartridge

Gaollne FiU^ or Callons

Upper Cylinder Lubricant. BottI

CarWaahed:

CarPolUlMd:

Car Qeaned and Waied:

Radiator QMner Compownd;

Radiator Anti-Fraeae Type .

PARTIAL LUBRICATION

M^

y^

j

UniTcraab only, each

Steering Poit only

Greaae FIttinta, each

Wheel Bearings, each

^^^

_

Spring Spray or Grease

Spring* Graaaad (If remorable Corer)

TIRE SERVICE

Tire Condition : yr. R. Fr. L. r K

NewTlrea

New Tubes

Tire or Tube Repairs

Tires Caianged Number..

Tires Inflated to

?

Front

Rear

Spares

BATTERY SERVICE

Battery Condition: UtCaU 2nd 3rd CaU Cr.Stn.

New Battery-Plate Siaa... ...Type _

New Battery Osbia

New Battery Ground Strap

Battery Recharged

Battery Rental

Spark Plugs (includiag initaUstwo) No._ Cleanad. No. JIew.

Auto Light Bulba

Accessories

TOTAL

^

_

Courtesy Sarvie at No Extra Charv

CUui Wlndowm, Windshield, LaaMs, Intvlar. Radtatw WMv.CfaM rmaiiBias

(SMjbMTMJW*)

---

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