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Inv# 28-203960 - BOULEVARD TIRE CENTER - 04/27/2022
28-203960 ″ WO#28-203960 Page l ofl Date 04/27ノ 22 !n Apr 27,2022 8:05 AM Soid丁o: CITY OF DANIA BEACH 100Ⅵ′DAN:A BEACH BLVD DAN!A BttACH FL 33004 Contact:954‐237‐9719 Salesman Mechanic Part# BOULEVARD丁 IRE CENttER 4201 SOUttH SttATE RD 7 FORtt LAUDERDALE,FL 33314 954-792-7799 巨mp: 1…16291629ノ 1-1629 1629 Dealer:D#: 000155026 彙彙轟wORK ORDER彙 彙★★ Ship To: Fax Number:954-923‐1109 QTY Desc"plon Unit#: stpck Vehicle: License: Mi!eage: inio out 0 Vin#: PO#: THOMAS BAR ID: Mv68093 EPA ID: MvR‐26109011 Parts Labor FET Total 1629 1629 SHttRIFF PROG TECH# TRUCK# YEAR MAKEノ MODEL 003490 2.00 LT245/75R17FSTONE TRANSFORCE H/T10p1 12115 0.00 0.00 24230 丁:R‐TAX 2 00 STAttE丁 IRE FE匡 100 000 0.00 200 START T!ME FIN:SH T!ME ROLL T:ME M:LEAGE TRAILER#HUBOMETER STL:C# T:RE SIZE WHEEL POS DO■離ON DO■摯OFF TREAD DEPTH BRAND BRAND CAUSE OF FA!LURE MTノDISMT VALVE CAP FLAT REPAIR SVV!丁CH VALVE STEM OFF丁 !RE NOTES ADDL:TEMS lNVENTORY OUT :NVENTORY Parts: 244.30Labor: 0.00: 0.00Subtotal: 244.30 Sales Tax: 0.00 Print Name Customer Signature Page 1 of 1 丁otal: S244.30