HomeMy WebLinkAboutInv# 28-197764 - BOULEVARD TIRE CENTER - 11/03/20212A-1977d4
WO # 28-197764 Page 1 of 'l
Date 11103121
In Nov 03,2021 8:00 AM
Sold To:
CIry OF DANIA BEACH
1OO W DANIA BEACH BLVD
DANIA BEACH FL 33004
Contact: 954-237-9719
Salesman Mechanic Part #
BOULEVARD TIRE CENTER
4201 SOUTH STATE RD 7
FORT LAUDERDALE, FL 33314
954-792-7799
EmD: 1-1629 1629 I 1-16291629 Dealer lD#: 000155026
****vvoRK oRDER****
ShiD To:
Fax Number: 954-923-1109
Qw Description
1629
TRUCK # 5506
SHERIFF PROG
Unit #: stpck
Vehicle:
License:
Mileage: In: 0 out: 0
Vin#:
PO#: THOMAS
BAR lD: MV-68093
EPA lD: IJVR-26109011
Parts Labor FET Total
TIR.TAX 4.OO STATE TIRE FEE 1.00 0_00 0.00 4.00
START TIME FINISH TIME ROLL TIME
TRUCK#TRAILER#HUBOMETER
YEAR- MAKE/MOOEL Ltc#
TIRE SIZE
DOT# ON
WHEEL POS TREAD OEPTH
OOT# OFF
BRAND
BRAND
CAUSE OF FAILURE
MT/DISMT FLAT REPAIR SWITCH VALVE STEM
VALVE CAP OFF TIRE NOTES
ADDL. ITEMS
INVENTORY OUT INVENTORY IN
Parts: -ZE83d
Labor:
:
Subtotal:
Sales Tax:
0.00
0.00
488.60
0.00
Customer SignaturePrint Name
Page 1 of 1
Total;$488.60