HomeMy WebLinkAboutInv# 28-192978 - BOULEVARD TIRE CENTER - 07/02/202128-192978
WO # 28-192978 Page 1 of 1
Oate 07 lo2l21
ln Ju!02,2021 7:57 AM
Sold To:
CITY OF DANIA BEACH
'1OO W DANIA BEACH BLVD
DANIA BEACH FL 33004
Contact: 954-237-97'l I
Safesman Mechanic Paft#
BOULEVARD TIRE CENTER
4201 SOUTH STATE RD 7
FORT LAUDERDALE, FL 33314
954-792-7799
EmD: 'l-'162916291 1-16291629 Dealer lD#: 000155026
****VVORK ORDER****
Ship To:Unit #: sFck
Vehicle:
License:
l\4ileage: In:0 Out 0
Vin#:
PO#: THOT AS
BAR ID: MV.68093
EPA lD: MVR-26109011Parts Labor FET Total
Fax Numberi 954-923-1 109
QTY Description
1629
SHERIFF PROG
TIR-TAX 2.OO STATE TIRE FEE 1.00 0.00 0.00 2.oo
START TIME FINISH TIME ROLL TIIUE
rRUCK#TRAILER#HUBOMETER
Ltc#YEAR- MAKE/MODEL
TIRE SIZE WHEEL POS TREAD DEPTH
DOT# ON
DOT# OFF BRAND
CAUSE OF FAILURE
MT/DISMT FLAT REPAIR SWITCH VALVE STEM
VALVE CAP OFF TIRE NOTES
ADDL. ITEMS
INVENTORY OUT INVENTORY IN
Labor:
Subtotal:
Sales Tax:
0.00
209.72
0.00
Customer SignaturePrint Name
Page 1 of 1
Total:$209.72