Mr. and Mrs. Pat Smith& Mr. and Mrs. Rod Jones
Request the honor of your presenceat the marriage of their children
Brittni Mae&
Cody TannerSaturday, the twenty-seventh of September
Two thousand and thirtyat four o’clock in the afternoon
United Methodist Church428 Wedding Street
Anytown, USA
Reception dinner and dance following the ceremony
Agri Hall400 Getogether Rd.
Anytown, USA
In
vites
ABC Daycare
123 Oak Street
Anytown, USA 12345 Envelopes
ww
w.w
este
rnio
wap
rint
ing.
com
Green Energy Now!
MidwestEnergy Summit
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Kdfieslkejflsakldxlejfijselkejs. eikakszeiehdld ksheil eisl bviclslekjf
Kdfieslkejflsakldxlejfijselkejs. eikakszeiehdld ksheil eisl bviclslekjf
June 18 - 202023
(800) 798-2635www.jumbojacks.com
left
transfer vehicle inspection report
as required by the d.o.t. federal motor carrier safety regulations
White - shopyellow - driverPink - truck
truck/tractor
®®® body®®® fuel tanks®®® front axle®®® mirrors®®® belts and hoses
®®® air compressor®®® air lines®®® oil level®®® engine®®® fluid levels®®® lights
head - stoptail - dashturn indicators
®®® tires®®® steering
Prt Pot rr
Prt Pot rr
trailer(s) no(s) #1 _______________#2___________________#3 ______________
®®®®®®®®®lights - all
®®®®®®®®®reflect/tape
®®®®®®®®®rims®®®®®®®®®tiresremarks: ________________________________________________________________
________________________________________________________________________
________________________________________________________________________
® condition of the above vehicle is satisfactory ® above defects corrected® above defects need not be corrected for safe operation
of vehicle
driver’s signature upon completion of tripmechanic’s signature: ___________________date: ___________
driver’s signature: ______________________date: ___________
mark clearly all damage or deficiencies found by using the folloWing symbol(s):
c = cut h = hole d = dent br = broken m = missing s = scratch P = Patched
interior
front
rear
left side
right side
bottom
fro
nt
rear
toP
fro
nt
rear
right
front
back
Prt Pot rr
®®® starter®®® radiator level®®® battery®®® muffler®®® exhaust®®® rear end®®® fifth Wheel®®® frame and assembly
®®® drive line®®® transmission®®® Wheels and rims
®®® suspension system
®®® coupling devices
®®® brake accessories
®®® brakes, Parking®®® brakes, service
®®® clutch®®® horn®®® reflectors®®® defroster/heater
®®® Windows®®® Windshield Wipers
®®® safety equipmentfire extinguisherflags-flares-fusesreflective triangles
spare bulbs & fusesspare seal beam,tire chains
®®® obc®®® other
#1 #2 #3Prt Pot rr Prt Pot rr Prt Pot rr
®®®®®®®®®suspension
®®®®®®®®®doors
®®®®®®®®®roof®®®®®®®®®brakes
®®®®®®®®®dollys
®®®®®®®®®hoses
®®®®®®®®®king Pin
®®®®®®®®®glad hand
®®®®®®®®®lift gate
®®®®®®®®®other
#1 #2 #3Prt Pot rr Prt Pot rr Prt Pot rr
#1 #2 #3Prt Pot rr Prt Pot rr Prt Pot rr
terminal: ________________________ driver: ____________________________
date of Post-triP: _______________ truck/tractor no.: ________________
check as comPleted/check rr and give details under “remarks”prt = pre-trip, pot = post-trip, rr = requires repair
Katherine Himes
123 My Street • Anytown, USA 12345
Stat
iona
ry
Miller
the
Tiller
(800)
555-7592
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