Loading...
HomeMy WebLinkAboutInv# 28-gs195203 - BOULEVARD TIRE CENTER - 08/27/2021BOULEVARD TIRE CENTER 4201 SOUTH STATE RD7 FORT LAUDERDALE, FL 33314 954-792-7799 Emp: 1-1629 1629 I 'l-16291629 Dealer lD#: 000'155026 ****vv'oRK oRDER**** ShiD To: Fax Number: 954-923.1 109 QTY Description Parts Labor FET Total '1.00 SALESShopSuDDlies 1.OO MOUNT DISMOUNT MEDIUM TRUCK 10.00 0.00 0.00 '10.00 ,1.00 MEDIUM TRUCKSTM SCRAP TIRE DISPOSAL 13.00 O.OO O.OO't629 TIR-TAX ,I.OO STATE TIRE FEE 1.00 0.00 0.00SERVICE AT BTC 28 RRI TIRE REPLACE LOW TREAD 28-GS'195203 WO # 28-GS195203 Page 1 of 1 Date Ogl27l21 ln 4u927,2021 10:57 AM Sold To: CIry OF DANIA BEACH 1OO W DANIA BEACH BLVD DANIA BEACH FL 33004 Contac't: 954-237-971 9 Salesman Vendor# Paft# 607 2016 FREIGHTLINER xE3687 ln: 0 Out: 0 1FVCXDT8GHHC9743 MV$8093 MVR-26109011 Bridgeslone DR Unit #: Vehicle: License: Mileage: Vin#: P@: BAR ID: EPA ID: '1629 YY1853OO EXP-XSHOP1629 YY184500 MDMT1629 YY197100 STT 0.00 42.00 0.00 42.00 13.00 1.00 START TIME MILEAGE FINISH TIME ROLL TIME TRUCK# YEAR- MAKE/MODEL TRAILER#HUBOMETER vtN#Ltc#ST TIRE SIZE WHEEL pOS DOT# ON DOT# OFF TREAD DEPTH BRAND CAUSE OF FAILURE MT/DISMT FLAT REPAIR swtTcH VALVE STEM VALVE CAP OFF TIRE NOTES ADDL. ITEMS INVENTORY OUT Labor: Shop Supplies: Subtotal: Sales Tax: 42.00 10.00 489.08 0.00 Customer SignaturePrint Name Page 'l of 1 Total:$489.08