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Inv# 28-200868 - BOULEVARD TIRE CENTER - 02/02/2022
BOULEVARD TIRE CENTER 4201 SOUTH STATE RD 7 FORT LAUDERDALE, FL 33314 954-792-7799 WO # 28-200868 Page 1 of 1 Date O2lO2l22 Emo: '1-1629 16291 'l-16291629 Dealer lD#: 000155026 ln Feb 02,2022 10:21 AM ****WORK ORD Ship To: Fax Number: 954-923-1 109 QTY Description 1629 2O4O 60600 2.00 12.5/80-181\rAXAlVl MS901 BKHOE12olv 354.00 0.00 0.00 708.001629 2040 94707 28-200868 Sold To: CITY OF DANIA BEACH 1OO W DANIA BEACH BLVD DANIA BEACH FL 33004 Contactr 954-237-9719 Salesman Mechanic Part # ER**** Unit #: Vehicle: License: Mileage: Vin#: PO#: BAR ID: EPA ID; In:0 Out: 0 THOMAS [/v$8093 tu!vR-26109011 Parts Labor FET Total 671 .00 0.00 0.00 't ,342.oo0.00 60.00 0.00 120.000.00 90.00 0.00 180.0019.00 0.00 0.00 38.00 1629 2040 MDFF1629 2040 MDRF1629 2040 STFF1629 2040 STRF dropped at 28 replace 4 tires call when ready TECH.# TRUCK# START TIME i,ILEAGE 2.00 '19.51-24HERC SUPER LUG R4 l2Dlv 2,OO MOUNT DISMOUNT FRONT FARM 2,OO THRU 16.9MOUNT DISMOUNT REAR FARM 2.OO FRONT FARMSCRAP TIRE FRONT FARM 2,OO REAR FARMSCRAP TIRE REAR FARM UPTO 5O.OO O.OO O.OO 1OO.OO FINISH TIME ROLL TIME TRAILER#HUBOMETER Ltc#YEAR- MAKE/MODEL TIRE SIZE WHEEL POS TREAD DEPTH DOT# ON DOT* OFF 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: 300.00 0.00 2,488.00 0.00 Customer SignaturePrint Name Page 1 of 1 Total:$2,488.00