HomeMy WebLinkAboutInv# 28-GS196096 - BOULEVARD TIRE CENTER - 09/22/20214201 SOUTH STATE RD 7
FORT LAUDERDALE, FL 33314
954-792-7799
Invoice # 28-GS196096 Dealer ID# 000155026 Page 1 of 1
Date 09/22/21
Emp: 1-1629 1629 / 1-1629
1629
* * * * I N V O I C E * * * *
Unit #:
Vehicle:
License:
Mileage:
Vin#:
PO#:
514
2015FREIGHTLINER
XE8890
In: 0 Out: 0
1FVACXDT7GHHA7541
THOMAS
BAR ID:MV-68093
EPA ID:MVR-26109011
Business Phone: 954-237-9719
In Sep 21, 2021 1:24 PM
CITY OF DANIA BEACH
100 W DANIA BEACH BLVD
DANIA BEACH FL 33004
Out Sep 22, 2021 9:30 AM
Salesman Vendor # Part # QTY Description Parts Labor FET Total
28-GS196096 Bridgestone DR
1629 003159 003159 11R22.5FSTONE FS821 16ply1.00 332.82 0.00 0.00 332.82
1629 YY185300 EXP-XSHOP SALESShop Supplies1.00 10.00 0.00 0.00 10.00
1629 YY184600 FLMT FLAT REPAIR MEDIUM TRUCK1.00 0.00 45.00 0.00 45.00
1629 YY184500 MDMT MOUNT DISMOUNT MEDIUM TRUCK2.00 0.00 42.00 0.00 84.00
1629 6 PTS-NSTP COMMERCIALMISC TIRE PATCHES & REPAIR MAT1.00 12.50 0.00 0.00 12.50
1629 YY185300 SCFS FUEL SURCHARGE1.00 0.00 17.50 0.00 17.50
1629 YY185400 SCRH EMERGENCY TIRE SVC REG HOURS1.50 0.00 103.00 0.00 154.50
1629 YY197100 STT MEDIUM TRUCKSTM SCRAP TIRE DISPOSAL FEE1.00 13.00 0.00 0.00 13.00
service at garage
trk# 514
replaced rri / repaired rro flat only
cib jaime
state prog # 7490
_________________________
Print Name
Parts:
Labor:
Shop Supplies
Subtotal:
Sales Tax:
358.32
301.00
10.00
669.32
0.00
$669.32Total:
Cash: 0.00 Check: 0.00 Credit: 0.00
Change: 0.00
Charge: 669.32
Due Date: 11/06/2021
__________________________
Date
X_________________________________
Customer Signature
IMPORTANT! It is the customer's responsibility to have all lug nuts checked and retorqued to manufacturer's specification after 25
to 100 miles of service.
All Merchandise is limited to the manufacturers warranty unless otherwise noted.
Terms: Terms are net 10th Prox. On all accounts over 30 days, a FINANCE CHARGE of 1 1/2% per month, which is an ANNUAL RATE of 18%, will be
added to your bill. Customer agrees to pay attorney's fees and court costs for the collection of this invoice.
Remit to: Boulevard Tire Center 816 S. Woodland Blvd Deland, FL 32720
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