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Key ag �pC #: 4U0502274995501Q/ %'�
walmart #2274, 200 12th St Sw, Forest Lake, MN 55025
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Please note, your tires wlll be electronically reglstered for the name and address stated on this work orde�p��uant to 1eW�
Customer Arrival Time
03-21-Z023 05:31 PM
Daniel Ford
YEar. -- VIN; __ $erv��e Comp�eted Time
(763) 528-3639 Make: -- ��ce 03-21-Z023 06:02 PM
nse: --
5172 320th St Model: --
�durt�eter: --
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P1/'NA//'F���r.
tacy, Minnesota 55079 Color: --
Price
Quantity
Service Description $Q.00
1 0.00
Tire Mount (Store purchase) - Carry in: Vehicle Not Prese�t ` " � Tax & Govt. Fees): $
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.�,.�...�,�_�.�.:<u:,�..�.�.��,.M.A_...�,,:..�...�;�:_��, „ ; .�..�:�u.�_..,... ServiceTotai (Excluding
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Price
Merchandise Description Quantity
$68.00
Douglas All-Season 205/55Ri6 91T All-Season Tire ' f 1
s iy� ' � t ' . 1s�f ��� �:U � � .
�� , � �=._, .,.�.. 68.00
.....�,;� �.,...�,..�....,,,�„�.,.�: w_,.,,..m.:_..w_._..�.�; ,,...,.z.�.'�:..�.;;��;._�.:w.�w:-�.-",.M .,,_,,,, Merchandise Total (Excluding Tax): $
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Total (Excluding Tax & Govt. Fees): $68.00
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Vehicle Checks &Services Pertormed
Scan existing DOTs NOTPERFORMED Install Valve Stem DECLINED-Tire 1
Scan new DOTs COMPLETE-Tire i, NOT PERFORMED-Tire 1
Replace tires NOT PERFORMED-Tire 1 iPJAE041R09Z3 Tire pressure check
Mount Tires COMPLETE-Tire 1
Ssamages Noted Before Service Type of Damage Additional Comments
None �
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Teehnician Names Customer Comments Technician Comments
Service Writer/Greeter: Penny E. None None
� Tire tech: Steven N.
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Customer Service Agreement
I authorize the stated service to be completed with the necessary ma[erla�s. i gi�e permissmn eo operace che vehiue.
I understand:
1. Walmart does not lnsped tires to determine ff they are safe or have been recalled. Tires are not examined for Customer Sig�ature: Date: 03-21-2023
conditlons that may affed safe[y(tread depth, cuts,punctures, cracking, bulges, or uneven tread wear).
2. Only fhe service(s) listed on the servlce order are performed.
3. During oll changes, Walmart only checks and adJus[s tire air pressure.
4. Walmart does no[check tire age or a!r pressure of the spare tlre. ��
5. Customers should regularly confirm that their tlres, lncluding any spare, are properly fnflated, have tread depth
greater than 2/32"in all grooves, and have no cuts, punctures, aacking, bulges, or uneven tread wear.
6. Orlving condl[lons wil/affect ttre performance.
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Customer Noti�cation and Disclaimer
walmart may condud complimen[ary courtesy checks based on your seledlon of service packages. Courtesy checks vary by service pyckage and could include the followfng: checking of tire pressure, light bulb testing, fluid refills
(washer, transmisslon, and power steer(n9), battery check, tnterlor vacuuming and checking of the wiper blades.
HAVE YOUR LUG NUTS RETORQUED AFfER THE FIRST 50 MILES