HomeMy WebLinkAboutInv# 28-GS199325 - BOULEVARD TIRE CENTER - 12/20/20214201 SOUTH STATE RD 7
FORT LAUDERDALE, FL 33314
954-792-7799
Invoice # 28-GS199325 Dealer ID# 000155026 Page 1 of 1
Date 12/20/21
Emp: 1-1629 1629 / 1-1629
1629
* * * * I N V O I C E * * * *
Unit #:
Vehicle:
License:
Mileage:
Vin#:
PO#:
609
16FREIGHTLINER122SD
XE8900
In: 0 Out: 0
3ALHGNBG3HDW6367
THOMAS
BAR ID:MV-68093
EPA ID:MVR-26109011
Business Phone: 954-237-9719
In Dec 17, 2021 12:46 PM
CITY OF DANIA BEACH
100 W DANIA BEACH BLVD
DANIA BEACH FL 33004
Out Dec 20, 2021 11:11 AM
Salesman Vendor # Part # QTY Description Parts Labor FET Total
28-GS199325 Bridgestone DR
1629 005313 005313 11R22.5BSTONE M726ELA 14ply1.00 425.01 0.00 25.23 450.24
1629 7500010 EXP-SHOP INVENTORYSHOP SUPPLIES1.00 0.00 0.00 0.00 0.00
1629 YY184500 MDMT MT / DISMT MEDIUM TRUCK 20" THRU 24.5"1.00 0.00 42.00 0.00 42.00
1629 YY185300 SCFS FUEL SURCHARGE1.00 0.00 22.50 0.00 22.50
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
1629 YY189200 VC VALVE CAPS1.00 1.75 0.00 0.00 1.75
1629 YY184800 VSMT MED TRUCK VALVE TR572/5731.00 9.25 0.00 0.00 9.25
SERVICE 12/17/21 US-27 NB RAMP TO I-75 WESTON
CIB THOMAS 757-375-7801
TRK# 609
WP LRI REPLACED
COF RTD
GREG 954-401-4912
_________________________
Print Name
Parts:
Labor:
Subtotal:
Sales Tax:
474.24
219.00
0.00
693.24
0.00
$693.24Total:
Cash: 0.00 Check: 0.00 Credit: 0.00
Change: 0.00
Charge: 693.24
Due Date: 02/03/2022
__________________________
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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