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Jiffy Lube#660 WORK ORDER#:73
Indiana ,Inc. DATE:02/0717
* jiffylubeo 1270 S.LubricantsRANGELINE RD. INVOICEM 1/78105310:36 AM
CARMEL,IN 46032
WWWJIFLUBE.com (317)843-9222
CUSTOMER INFORMATION VEHICLE INFORMATION
CITY OF CARMEL 2017 LICENSE PLATE:IN-HR138691
(317)571-2401 FORD VIN:3FA6PORUXHR138691
FUSION MILEAGE:7,664
2.01-4Cyl Alternate Fuel([U])Fuel Injected OIL CHANGE INTERVAL:5000
DESCRIPTION OTY PRICE
1.00
PZL GLD SAE OW20 SN/GF5 DEXOS1 4.50
SERVICE CHECKLIST
- -�77-7171-11
CHECK AIR F-I_Lf E,"R OK .................. CHECK WIPER BLADES CHECKED
C
" ,'COMIPL EJQ"-:�`,--'�WA
$#EXTERtQRW, R4 -T
#NPPWS,! OM
LUBRICATE CHASSIS ZERO FITTINGS TRANSMISSION/TRANSAXLE CHECKED
OYVIEIR'STEE�q 14
A
'T PC' fID'
WINDSHIELD WASHER FLUID ADDED BATTERY WATER MAINT.FREE
-,,',FRONT_,DkFFFRENT
TRANSFER CASE N/A BRAKE FLUID CHECK SENSOR OK
Y" �'iy. EP
ANTIFREEZE/COOLANT OVERFLOW LEVEL OK PCV VALVE INACCESSIBLE
SERVICE COMMENTS
FREE REFILLS FOR THE NEXT 3000 MILES
UP TO 2 QTS INCL.IN SIGNATURE SVC ONLY
PLEASE CHECK YOUR OIL REGULARLY
SERVICES PERFORMED BY:
GSA: SCOTT S. UPPER BAY: JERRY F.
LOWER BAY: KEVIN B. CT: KYEONDRE W.
CT: KYEONDRE W. TL SCOTT S.
CASHIER: SCOTT S.
Oi
�e�� C-06v-)
PAYMENT INFORMATION
GROSS SALES 57.99
NET SALES 57.99
TOTAL DUE USD$57.99
CASH USD$100.00
CHANGE USD$-42.01
[ED TAX EXEMPT ID 0031201550020
ShTISFACTION G A
CONTACT US AT 800-143-5823
or wwijv.pf1Ube.coM
AUTHORIZED AND RECEIVED BY
Cardholder acknovAedges receipt of goods and/or services in the amount of the Total shown hem on
and agrees to perform the obligations set forth in the Cardholder's agreement VMh the issuer
, MESSAGES
THANK YOU FOR YOUR BUSINESS
WE LOOK FORWARD TO SEEING YOUR VEHICLE IN THE FUTURE
1781053
@2015 Jiffy Lube International,Inc.All Rights Reserved. Page 1 of 1 ALL PARTS ARE NEW UNLESS OTHERWISE INDICATED