Nunez NOTICE OF CLAIM FORM to the City of Saint Paul, Minnesota
Minnesota State Statute 466.05 states that " ...every person...who claims damages from any municipality...shall cause to be presented to the
governing body of the municipality within 180 days after the alleged loss or injury is discovered a notice stating the time,place,and
circumstances thereof,and the amount of compensation or other relief demanded."
Please complete this form in its entirety by clearly typing or printing your answer to each question. If more space is
needed,attach additional sheets. Please note that you will not be contacted by telephone to clarify answers,so provide as
much information as necessary to ezplain your claim,and the amount of compensation being requested. You will receive a
written acknowledgement once your form is received. The process can take up to ten weeks or longer depending on t6e
nature of your claim. This form must be signed,and both pages completed. If something does not apply,write`N/A'.
SEND COMPLETED FORM AND OTHER DOCUMENTS TO: CITY CLERK,
15 WEST KELLOGG BLVD, 310 CITY HALL, SAINT PAUL, MN 55102
�EC���p
First Name Farc�/E Middle Initial Last Name /U U/1���-
Company or Business Name � � � �5����C� , ��� M�''=� ��2
Are You an Insurance Company? Yes/�T If Yes, Claim Number? � ���+��� �:�=� �'
Street Address �g�� T/¢ Y L O�' �- v t` �-` �
City ��4�.��i P�4 u L State /1� /� Zip Code S��Oy
Daytime Phone(_� - Cell Phone (o( !7� )�/�-$�'/'�L�Evening Telephone(_) -
Date of Accidend Injury or Date Discovered s" ��' � � Time am/�
Please state, in detail,what occurred(happened),and why you are submitting a claim. Please indicate why or how you
feel the City of Saint Paul or its employees are involved and/or responsible for your damages.
�LZ" A-rT�� h e
Please check the box(es)that most closely represent the reason for completing this form:
❑ My vehicle was damaged in an accident ❑ My vehicle was damaged during a tow
❑ My vehicle was damaged by a pothole or condition of the street 0 My vehicle was damaged by a plow
❑ My vehicle was wrongfully towed and/or ticketed ❑ I was injured on City property
�Other type of property damage—please specify V N ,��°p���A 8[f T"/��'' 1�.4M�►9� _
_ � _. ,
❑ Other type of injury—please specify
In order to process your claim vou need to include conies of all auuGcable docume�s.
For the claims types listed below,please be sure to include the documents indicated or it will delay the handling of
your claim. Documents WILL NOT be returned and become the property of the City. You are encouraged to�Ceep a
copy for yourself before submitting your claim form.
O Property damage claims to a vehicle:two estimates for the repairs to your vehicle if the damage exceeds
$500.00; or the actual bills and/or receipts for the repairs
O Towing claims: legible copies of any ticket issued and a copy of the impound lot receipt
O Other property damage claims:two repair estimates if the damage exceeds$500.00;or the actual bills
and/or receipts for the repairs; detailed list of damaged items
O Injury claims: medical bills,receipts
O Photographs are always welcome to document and support your claim but will not be returned.
Page 1 of 2—Please complete and return both pages of Claim Form
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Failure to complete and return both pages will result in delay in the handling of your claim.
All Claims-please comulete this secNon
Were there witnesses to the incident? es No Unknown (circle)
Provide their names, addresses and telephone numbers: �'c=i9 N w icSo�cJ /�9� j�v y�o.t A�F �'' �
Sa,N�'P,�,�, �r.� .ssi o y ��s- a a-a• 8g�3
Were the police or law enforcement called? Yes No Unknown (circle)
If yes,what department or agency? Case#or report#
Where did the accident or injury take place? Provide street address,cross street, intersection,name of park or facility,
closest landmark,etc. Please be as detailed as possible. If necessary,attach a diagram. I N r�a�T ��
/��S T,�y'�o2 �}��f 5��..�%Pa��, ..��i Ssi�!
Please indicate the amou t you are seeking in compensation or what you would like the City to do to resolve this claim
to your satisfaction. �r�S� . s3
Vehicle Claims-please complete this section ❑ check box if this section does not avnlv ,
Your Vehicle: Year � a�� Make Foad Model �-3s'C% �
License Plate Number yax �a��s State /tnr/ Color u1�iR`
�
Registered Owner '��T�- 5 c=nv�C t 5� /ti�
Driver of Vehicle �'dd��- �uN��-
Area Damaged L F F r 2r-.��z i�2 c�'
City Vehicle: Year Make Model
License Plate Number State Color
Driver of Vehicle(City Employee's Name)
Area Damaged
Iniury Claims-please comalete this section check box if this section does not avvlv �
How were you injured? '
What part(s)of your body were injured? ' I'I
�
Have you sought medical treatment? Yes Planning to Seek Treatment(circle)
� rovide date s '
When did you receive treatment. �P � ))
Name of Medical Provider(s):
Address elephone '
Did you miss work as a result of your injury? Yes No �
When did you miss work? (provide date(s))
Name of your Employer:
Address Telephone �
�Check here if you are attaching more pages to this claim form. Number of additional pages.�_ '
By signing this form,you are stating that all information you have provided is true and correct to the best �'�
of your knowledge. Unsigned forms will not be processed
Submitting aJ'alse claim can result in prosecution. Date form was completed S � �`y ��
Print the Name of the Person who Completed this Form: �"d d�� - n�" '`��"L
Signature of Person Making the Claim: /
Revised February 2011
The Saint Paul Regional Water Services had recently dug up holes on the Taylor Ave
Street, and had not swept up the streets after completion of their work.
I was driving west on Taylor Ave on 5-11-12 and a foreign object punctured my left rear
tire. The object was so large and unusua.l that I believe is was inadvertently left on the
road. It appears to me that this object was buried for some time. (See attached pictures.)
Two different tire companies said that the tire was un-repaira.ble.
I would not be seeking financial compensation if I did not firmly believe this object was
dug out of the ground and not a standard nail or screw and could be repaired.
This incident forced me to buy two new tires long before necessary so even weaz may be
atta.ined. I religiously rotate my tires for even wear. I am seeking compensation for one of
the two tires. -
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RF�'C�IE
DISCOUNTTIRE.COM "�
' LIMITED WARRANTIES
' Discount Tire and America's Tire Stores
' ����,�,���� �,• ELIGIBILITY-These Limited V!'arranties apply to all owners of the tire using
it in non-commercial service,except for the Mileage Warranry which is limited
.�,�! to the original purchaser.
� FO R R E PAI R, R E FU N D O R R E PLACE M E NT ';,, To MnxE n c�.a�M -rresrn�Y���r��Tec�>aa�orig;��Sa�es;n��+�e t��y
Discount Tire or America's Tire Store.To locare a store you may call 1{8S8)774-
' For a fee collected at the time of the original tire purchase or for a fee collected to subject 6560,or visit the Discount Tire web site at www.discoun[tlre.com.The vehicle
other tires to the terms of this certificate, Discount Tire or America's Tire stores will �< on which the tire was used must be available for inspection.You will be asked
� refund the purchase price and the sales t�c,if any,on an}�tire covered in the ecent of a to complete the customer portion of the adjustment claim form.
, � failure due to workmanship and materials or a non-repairable road hazazd for the service
of the origizal tread down to i/32 inch remaining,or 3 years from dace of purchase, WARRANfY COVERAGE
� whichever occurs first.Upon refund or credit of sales tax,customer hereby acknowledges New Tires-Workmanship and Materials-If our examination shows
by acmal signamre oc elecvonic signature capture such credit or refund.This additional ffiat a passenger,SLN,or light truck tire covered by this warranry has become
' acknowledgement satisfies a technical requirement in the sales taY starutes and/or unserviceable due to a workmanship or materials defect during[he service
� �` regulations for many jurisdictions that a signed receipt must be obtained upon the refuud �'� down to 3/32 of an inch,it will be replaced on a pro rata tread wear basis.
� or credit of sales tases.At the election of the purchaser,we will sell a replacement tire �
� to the purchaser at the original price paid for the damaged tire,p(us the required sales New Tires-Road Hazazd(if applicable)-If our examination shows that
tas.In the eve�t the covered tire is discontinued or unavailable,a are of similar value will a patisenger,SUV,or light truck tire covered by this wananry has become
unserviceable due to a normal road hazard(i.e.,non-repairable puncwre,cut,
� be substitu[ed. snag,bruise,or impact break)during the service down to 3/3z of an inch,it
� ff in our opinion,the tire can be safely repaired,we will do so free of charge.The cost of will be replaced on a pro-rata tread wear basis.
this certificare is set forth on the receip[issued for the purch:�se of tire<s). New Tires - Mileage Warranty (if applicable) - In addition to the
i wamanties above, every mileage warranted passenger, SLN or light truck
Ttils certiRcate will be honored at any Discount Tire orAmeriea's Tire stores.This certificate tire is wama�ted w the original purchaser for the specified number of miles
� does not cover damage caused by wllision,vandalism,chain damage,mechanical defects of tread wear and against normal road hazards for the same mileage (if
of[he vehicle or willful abuse.No other property damage or co�sequential damage of any , applicable).If our examination shows[ha[the tire covered by this warranry
+ kind is covered by this certificate e°l� has worn down to its vead indicators before giving the specif3ed number
i There will be additionat charges to purchase a new certificace for a replacement tirr and of miles of non-commercial service on the passenger,SUV or light truck on
� ;�` which it was iostalled,it will be replaced on a pro-rata mileage basis.
to balance a replacement tire.
+ A1'V/Tniler Tires - If our examination shows that a trailer or ATV tire
By redeeming this certificate,the customer relinquishes the right to anr manufacturer's covered bv this wamnh�has become unsen�iceable,other than bv a road -
� warranry that ma}apply,and Discount Tire or America's Tire may claim for its own benefit hazard,during the three}•ear periocl following its date of purchase,it will
any such manufacturer's warranty. be replaced based o�a charge of 33'%per year or part thereof of the originai
' purchase price.
� • � • • • �
� CALCULATION OF REPI.ACEMENT CHARGES - Tires are replaced
S uoder these limited warranties with a comparably priced new tire at a pro-rata
� D'������ +�1 cost w the cusu�mer.Tread wear is pro-rated on the basis that t�e tire is�oo e
� out when[hr[read is wom down to 3/32 of an inch remainin [mad
depth or to the tread wear indicators on tires containing them.Tire replacement
T 1 R E cost is Jetermined by multiplying the original cost of the tire by the perce�tage
of tread used For example,if the original tread was ll/32 of an inch,and the
tire has 5/3� of an inch of[read remaining at the time of replacement, the
replacement cos[will be 75% of the original cos[((11/32-5/32)/(11/32-3/32)
� x 100).The replacement cost for mileage warranted Ures is prora[ed at a set
9 charge per 1,000 miles driven.F.E.T.and sqte ta�ces are added to the replaeement
cost.Additional chazges for mounting and balancing apply.
d A fi
� � � - -�°`�"'�'` � - ITEMS NOT COVERED-These warranties do noi covec
� The cost of any tlre includes any wheel weights used in the balancing of the tire. • Llse in commercial service such as commercial truck racing,street
sweepen,off-d�e-highwa}�taxi,limousine,or similar service(however
� commercial service does not include use b}•the owner as[ransportation in
his/her regular trade or business);
TI PS TO I M PROVE TI R E � Damage,destruction,or failure due to accident,fire,or vandalism;
I • Irregulaz or premature tread wear caused by improper inflation,
misalignment,imbalance of wheels,or worn out shock absorbers or bralzes;
' M I LEAG E AN D SAFETY • Damage or failure due to non-tire causes such as being nm flat,mechanical
� condition of the vehicle,cuts from rims or chains,or any willful abuse;
• Problems related ro the appearance of[he tire aker ffie first l0%of wear.
� �ROTATE TIRES �� REPLACE
every 6,���l0 8,000 miles or when wom-out tires when built-in wear bars OR'NER'S DU1'IES-It is the owner's responsibilin•to:
inecessary to equalize treadwear. appear across the tread surface. • ser cnac cne ures are ope�re�i�c p«>�r��auon,pressure and toads;
� �jr REBALANCE � REMEMBER TO RETURN ' Pay applicable taxes and deater services such as mounting and balancing;
j �,/ every other rotation to promote even to any Discount Tire/America's Tire store • Remrn cne adjustabie c�e aad compiere che cuscomer poccion ot cne
� tire wear and a smooth ride. for a tire inspection. adjus�ment aaim eorm.
�
' DURA1'ION OF COVERAGE-These warranties expice three(3)years from
j �MAINTAIN AIR PRESSURE � the date of purchase.
as recommended by the vehicle or tire �1 CONDITIONS AND EXCWSIONS - These Ihnited warranties are �ne
imanufaeturer.Check your air pressure at least � � exclusivr warranties of Dismunt Tire or America's Tire stores,are in lieu of the
� �
once each month when tires are eooL � wananties of the manufacmrer,and set forth the exclusive remedies available to
the tire user In the event that the terms of an applicable manufacmrer's warranry
� �MAINTAIN ALICiNI1�ENT exceed the protection given under these warrauties,Discount Tire or nmedca's
Tire stores wifl lionor those terms Discount Tire or America's Tire may claim
(Front&Rear)replaCe worn SuSpenSion partS. for its own benefit any such manufacmrer's warranry.These limited wananties
��// � ��������� do not provide compensation for any consequen[ial, special, incidental or
,
� �p���E pQ N�T USE ���R ��� � = wntingent damages. Some States do oot ailow the exclusion or limitation of
iocidental or consequential damages,so the above limitation or exelusion may
any"Fix•a•Flat"type produCts. � ��� = . � ��1' not appl} to you Tires presented for a claim remain the property of Discount
S � � � Tire or Amenca's Tire Stores.No representative or employee of Discoun[Tire or
��NSPE.� .. . America's Tire Stores ma}•enlarge or alter these warrdnties.
tires oeeasionaily for ezcessive wear,tread CONSiJ11fER RIGHTS - These limited warran[ies gice you specific legal
or sidewall euts,0�Otf10f defflHgB. rights,and you may also have other righ[s which vary from State to State.
:
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DISCOUNTTIRE.COM
�
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, - 3�,. �: _ _ � _ �:� LIMITED WARRANTIES
' �s. Discount Tire and America's Tire Stores
. }y�
,�:;yy
; ,,, ����,�,���� _ ELIGIBILITY-These Limited Warranties apply to all owners of the tire using
'0:�;7�q� it in non-commercial service,except for the Mileage Warranty which is limited
:ai
.� to the odginal pu�chaser.
.��a,'�.��,';4�
, FO R R E PAI R, R E FU N D O R R E PLAC E M E NT ._:;.;;,s,� TO MAKE A CLAIM-Present your tire(s)and original sales invoice to any
�;y,4� Dlscou�t Tire or Amedca's Tire Store.To bcate a store you may call 1{S88)774-
• For a fee collected at the time of the original tire purchase or for a fee collected to subject �'�'; 6560,or visit the Discount Tire web site at www.discounttire.com.The vehide
o[her tires to the rerms of this certificate, Discoun[Tire or Atnerica's Tire stores will --�' on which the t've was used must be available for inspection.You will be asked
refund the purchase price and the sales tax,if any,on any tire covered in the event of a r:'��; to complete the customer portion of the adjustment claim form.
failure due to workmanship and materials or a non-repairable road hazard for[he service "��`��''
' of the original tread down to 3/32 inch remair�ing, or 3 years from date of purchase, �:�4i WARRANI'Y COVERAGE
:�;:'
whichever occurs first.Upon refund or credit of sales taac,customer hereby acknowledges -_� New Tires-Workmanahip and Materials-If our examination shows
by actual signature or electronic signature capture such credit or refund.This additional '��:;� chat a passenger,SW,or tight truck tire covered by this warrenty has become
acknowled ement satisfies a technical re uirement in the sales tax stamtes and/or '-:};!
, 8 4 _ unserviceable due to a workmanship or materials defect during the service
regulations for many jurisdictions that a signed receipt must be obtained upon the refund c��?�e down to 3/32 of an inch,it will be replaced on a pro rata tread wear basis.
� or credit of sales talces.At the election of the purchaser,we will sell a replacement tire �.� New Tires-Road Hazard(if applicable)-If our examination shows that
to the purchaser at the original price paid for the damaged tire,plus the required sales ';
�<.,yy a passenger,SiJV,or light truck tire covered by this warranry has become
� taac.In the event the covered tire is discontlnued or unavailable,a tire of similar value will .�� unserviceable due to a normal road hazard(i.e.,non-repairable puncture,wt,
'� be substituted. ;;�y snag,bruise,or impact break)during the service down to 3/3�of an inch,it
� If in our opinion,the tire can be safely repaired,we will do so free of charge.The cost of will be replaced on a prorata aead wear basis.
j [his certiticate is set forth on the receipt issued for the purchase of tire(s). �;:�a�, New Tires - Mileage Wamnty (ff applicable) - In addi[ion to the
' %o:' warranties above, every mileage warrauted passenger, SW or Gght truck
� This certificate will be honored at any Discoun[Tire or America's Tire stores.This certificate �-' tire is warranted to the original purchaser for the specified number of miles
does not cover damage caused by collision,vandalism,chain damage,mechanical defects `;,,� of tread wear and against normal road hazards for the same mileage (ff
, of the vehicle or willful abuse.No other propem�damage or consequential damage of any _z.r� applicable).If our examination shows that the tire covered b}�this warranty
f�y , kind is covered by this cert�cate. �:w;k has worn down to its tread indicators before gicing the specified number
1 � ,�`i��` �s<:,���� of miles of noncommercial sen°ice on the passenger,SLiV or light truck on
' There wil(be additional charges ro purchase a new certifica[e for a replacement tire and - � which it was installed,it will be replaced on a pro-rata mileage basis.
� to balance a replacement tire. _ °.N,s'��
' —s'r✓� ATV/Ttailer Tires - If our examinaaon shows that a trailer or ATV tire
By redeeming this certificate,the customer relinquishes the right to any manufacmrer's yh
� � y covered by this warranry has become unserviceable,other than by a road
warranry that may apply,and Diswunt Tire or America's Tire may claim for Its own beneflt 4�'�,'�,'¢� hazard,durin�the three ear eriod followin ts date of urchase,it will
an such manufacturer's warran �`''�� � Y p �� p
� Y �Y� �� be replaced based on a charge of 33%per year or part thereof of[he original
•'�',�) purchase price.
� � • � • • • 'cr.
i
" .{�.� CAI.CUI.ATION OF REPI.ACEMENT CHARGES - Tires are replaced
� I ' `�O�� I� under these limited warranties with a comparably priced new tire at a prarata
:,�� cost to the wstomec Tread wear is pro-rated on the basis[hat the tire is wom
� D � � � '`� out when the tread is wom down to 3/32 of an inch remaining tread groove
�A4. depth or to the[read wear indicarors on tires containing them.Tire replacement
M � ' � � :�yf cost is determined by multiplying the original cost of the tire b}�the percentage
' of tread used.Fo�example,if the original tread was 11/32 of an inch,and the
I �f tire has 5/32 of an inch of tread remaiuing at the tune of replacement, the
�, _ replacement cost will be 75% of the original cost((11/3�-5/32)/(ll/323/3�)
1 ��� x 100).The replacement cost for mileage wairanted tires is prorated at a set
�, charge per 1,000 milrs ddven.F.E.T.and state taces are added to the replacement
� cost Additional charges for mounting and balancing apply.
� ;. ��
1 � � � ���`�-�� ITEM3 NOT COVERED-These wamantles do not cover:
� Tbe cost of any tire includes any wheel weig,hts used in the balancing of the tire. • Use in commercial service such as commercial truck racing,street
sweepers,off-the-highway taaci,limousine,or similar service(however
1 commercial service does not include use by the owner as transportation in
his/her regular trade or business);
� TI PS TO I M PROVE TI RE ' Damage,deswction,or failure due ro accident,fue,or vandalism;
1 • Irregular or prematurr tread wear caused by improper inflation,
misalignment,imbalance of wheels,or wom ou[shock absorbers or brakes;
1 M I LEAG E AN D SAFETY • Damage or failure due to non-tire causes such as being run flat,mechanical
+ condition of the vehicle,wts from rims or chains,or any willful abuse;
, � ROTATE TIRES � REPLACE • Problems related to the appearance of the tire a&er the first lo%of wear.
� every 6,000 to 8,000 miles or when wormout tires when built•in wear bars ow�En�s nu'riES-�c�s cne owner s responsibuiry co:
necessary to equalize treadwear. appear across the tread surface. • see cnac che c�res are�peraced ai proper;nttar;o�,pressure ana ioaas;
� � REBALANCE � REMEMBER TO RETURN ' Pay applicable taxes and dealer services such as moimting and balancing:
� • Return the adju,table tire and complete the cusromer portion of the
i every other rotation to promote even to any Discount Tire/America's Tire store adjuscmenc cia�m f<,rm.
� tire wear and a smooth ride. for a tire inspection.
i
IDUBATION OF COVERAGE-These warranties expire three(3)}'ears from
�MAINTAIN AIR PRESSURE � ctie dace of purchase.
as recommended by the vehicle or tire
manufaeturer.Check your air pressure at least �! 1 � CONDITIONS AND EXCLUSIONS - These limited warranties are cne
exclusive warranties of Discount Tire or America's Tire stores,are in lieu of the
once each month when tires are cool.
w
arranties of the manufacmrer and set fo
rth the exclusiv r s v '
, e emedie,a ailable to
� � the tire user.In the event that the urms of an applicable manufacmrer's wananry
� MAINTAIN ALIGNMENT exceed the protection given under these warranties,Discount Tire or America's
Tire stores will honor those terms.Discount Tire or Amerlca's Tire may claim
(Front&Rear)replaee wom suspension parts. I ��' for its own benefit any such maoufacturer's warranry.These limiced warra�ties
� � � � � � do not provide compensation for any wnsequential, special, incidental or
� PLEASE DO NOT USE A'���CHEC � contingent damages. Some States do not allow the exclusion or limitaaon of
Y incidental or consequentiai damages,so the above limitation or exclusion may
8ny"Fix-a-Flat'�type produets. � \ � � ��' ' not apply to you.Tires presented for a claim remun the property of Discount
S���� � � Tire or America's Tire Stores.No representative or employee of Discount Tire or
� INSPECT � America's Tire Stores may enlarge or alter these warranties.
tires occasionally for excessive wear,tread CONSUMER RIGHTS - These lunited warranties give you specific legal
Of SId2Wdll CUtS,or other damage. dgt,cs,and you may also have other rights which vary from State to State.
� •/� ���� How did we do? Receive a $10 off oil change coupon on
your next visit. Please, complete the survey at
TIRES�SERVICE•BRAKES•BATTERIES �++•tkcares.com Use password 30724060 00001
MN NATL TIRE & BAT # 984 * FINAL BILL -INVOICE** Page 1
1671 UNIVERSITY AVE Invoice# 58862141 - RI
ST PAUL NIr7 55104-3726 Order Num 30724060 - WI
(651) 646-0035 Date/Time In. . . . . . . . 05/14/12 17 :40 : 12
Date/Time Promised. . 05/14/12 18 :42 :46
2007 LOOSE LOOSE
Tag: St : Mileage: 1
Engine: VIN#
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Customer: 30030165 PO# : Ship To:
JET SERVICES
1893 TAYLOR AVE
SAINT PAUL MN 55104
Opening Salesperson 1?991069 Home# 612-619-8484 Work#
Email :
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Item Number Item Description Qty Price Each Extended
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MSG MESSAGE 1
TECHNICIAN FOUND VERY LARGE CUT IN TREAD OF TIRE, PATCH
WILL NOT HOLD - NEED TO REPLACE. INFORMED CUSTOMER, CUSTOMER
DECLINED AT THIS TIME.
IF YOU HAVE A QUESTION OR CONCERN PLEASE SPEAK
TO OUR STORE MANAGER, DEREK CHAMBERS
AT (651) 646-0035
- ---- - -_ __ _ _ - �;
S ecial Credit : '
P �
Total Charges . . !
Total Credits . . . pp '
Sub-Total . . . . . . . 00
New Tire Fees** . 00
Shop Fees (*) . 00
All Taxes . . . . . . . pp
Payments. . . . . . . . 00 �
Net Amount . . . . . . 00
PLEASE PAY ABOVE AMOUNT.
THANK YOU! Closer: 12991069
I have received the goods and services as represented on this invoice. If this is a credit card
purchase I agree to pay and comply with the cardholders agreement with the issuer. *This charge
represents costs and profits to the vehicle repair facility for miscellaneous Shop Supply or
Waste Disposal.
Customer Signature
PLEASE SEE REVERSE SIDE FOR WARRANTY,TERMS,CONDITIONS AND OTHER IMPORTANT INFORMATION CUSTOMER COPY
. a
,�i�t,T'IRE�i1!lI�Q�1 id'��1Y7��::t'�,1'':��rr��r,n�s
' �.�*�.�...�+,�++.� � .,�....�......e,..M.� .�: ,..M,.,..:,.
New Tire Limited Warranty
"What is covered and[or how long:
Every new tire purchased at a Tire Kingdom,Merchants Tire,NTB or Big O Tires s[ore(collectively'TBC Retail')is warranted by the manufacturer against defects in workmanship or materials
down[0 2i32nds of an inch remaining tread grove depth.Additional warranties may apply to some tires.TBC Retail will honor the manufacturer's warranty on any such tires,and any such tires
which fail under the tenns of the manufacture's warranty will be repaired or replaced in accordance with the manufacturer's warranty program.You must comply with the conditions of the
manufacturer s warranry program to receive this warranty coverage.
*How credit is determined:
If a tire covered by this warranty becomes unserviceable due to a defect in workmanship or ma[erials(tire separation,etc.)during the usable tread life of[he tire(usable tread depth is original
tread depth minus 2!32nd of an inch),you will receive a credit far the amount of usable tread remaining on the unserviceable tire times the cuttent selling price(example 60%usable remaining
tread times the current selling price of$80 equals a credit of$48).This credit will be applied to the invoice of the replacement tire.
xWhat is not covered:
This warranry does not cover tires which become unserviceable due to:
L Conditions resulting from road hazards such as cuts,snags impact breaks or punctures.
Z. Conditions resulting from improper installa[ion,wheel misalig�meut or tire/wheel assembly imbalance.
3. Conditions resulting from consumer damage such as improper tire and vehicle maintenance,misuse,abuse or accident.
4. Tire uniformiry complaint after the first 2/32nds inch of tread wear.
5. Usc in any commercial application.
*See Other General Terms and Conditions below.
Limited Mileage Warranty
"What is covered and for how long:
If a mileage warranty is no[ed on the front of the documenta[ion attached hereto,such tire whose remaining tread depth grove is reduced[0 2/32nds of an inch or less prior to receiving the
spe:if ied mileage.ti ill be replaced with the same or an equivalent new tire at the then current retail price,induding applicable taxes,less an allowance based on the actual mileage received at tlie
time presented to a"rBC Retail store compared to the specified mileage.Mileage warranty claims will only be honored within 6 years of[he date of original tire purchase and before the tire
deli��ers the warranted mileage.The following tires are excluded from the limi[ed mileage warranty:commercial use tires,tires worn from excessively aggressive driving conditions such as racing
and tires worn f}om improper maintenance such as lack of rota[ion,improper air pressure,alignment or mechanical wear.
"Owner Obligations:
Proper tire care is necessary to obtain the maximum mileage and wear from a tire.It is your obliga[ion ro see that your tire-wheel assemblies are in balance and property aligned,tUat your tires
are operated at vehicle manufacturer's recommended cold inflation pressure and that your vehicle is well maintained.Your tires must be inspected by us a minimum of every 6,000 to 10,000
miles.Clieck air pressure in each of your tires including the spare,at Ieast monthly when the tires are cool.TBC Retail will check alignment,treadwear,tire pressure and the mechanical condition
of the vehicle anytime at no charge at any TBC Repil location.
xWhat is not covered?
l. Defects in workmanship and,or materials(covered bv sen�rate ne���tire limited warranry)
2. Failures caused by road hazards.
3. "lires used on special applica[ions such as light trucks(unless specifically covered),vans,recreational vehicles or commercial vehicles including taxi,police,etc.
4. Cires with premature or irregular wear or damage due[o improper inflation,misalignment of wheels,mechanical defects of vehicle or tires on vehicles where necessary vehicle
repair or maintenance has not been perfonned.
5. Tires dainaged by fire,wrecks,obstructions on the vehicle or willful and malicious damage.
6. Repairable puncmres or[ires run flat.
7. Sidewall da�nage from scuffing curbs or other cosmetic damage.
8. 7'ires transferred from the veliicle on which they were originally installed.
9. Use in any comuiercial application.
'`See Other Generxl Warranty Terms and Conditions below.
Road Hazard Warranty
*What is covered and for how long:
This warranty covers all tires for which this warranty has been purchased that has become unserviceable as a result of normal road hazards(i.e.w[,snag,bruise,impact breaks or irreparable
punctures).This limited warranty tenninates when the covered unserviceable tire is adjusted or when the tire is worn to a level of 2;32nds of an inch,the minimum tread depth required for safe
vehicular operation.
*N'hat is not covered:
Tires removed from service due to being overloaded,intentional abuse or tires used in other than nonnal passenger vehicle service.Tires tUa[can be safety fixed will be repaired FREE OF
CHARGE.Road service,towing cos[s and other incidental daivages or costs are not covered.
`How is replacement price determined?
tionual Road Hazards,Run Flats and Workmanship/Nlaterial Defects
In the cvent o tire covered under die warranty becomes unserviceable due to normal road hazard(example:cuts,snags,impact breaks or non-repairable punctures),(usable tread life is the original
tread depth minus Z�32nds of an ir.ch),in the firs[12months or L2,000 miles,whichev?r comes first,you will receive full credi[of the original purchase price of the tire towards the cost of
replacement.After tlie FREE REPLACEMENT period of 12 months or 12,000 miles,whichever comes first,you will receive a credit for the amount of usable tread remaining on the damaged
tire based upon your original purchase price.(example:50%usable tread remaining times the original purchase price of$50 equals a credit of$25).This credit wiil be deducred from the wst of
die replacement tire.When ihe tire is worn down ro 2r32nd of an inch or less,the tire is worn out and the warranty ends,regardless of the age of the tire.
*This warranty must be purchased for this coverage to apply.
'`See Other General Terms and Conditions below.
Other General Warranty Terms and Conditions
"Who gets the warranty?
All warrauties apply to Ihe original purchaser and may not be assigned to a subsequent purchaser or owner of Ihe motor vehicle on which the tire�s)covered by our warranties are ins[alled.A tire
(s)mounted on any vehicle other than the vehicle on which it was first mounred is also not covered by these warranties.
x�Vhere to go for warranty replacement and/or service?
All TBC Retail warranties will be honored at all TBC Retail locations,including any Big O,Tire Kingdom,MerchanPs or NTB store nationwide.For warranty service,you must present your sales
invoice and service records,along wi[h the unserviceable tire(s).TBC Retail store locations can be obtained by calling I-800-NEW-T1RE,or in PA or NJ.I-888-TIRES NTB or in the whitc
pages or yellow pages under Tire Dealers RetaiL In the event you are unable to locate a TBC Retail store or require furtlier assistance,you may contact our CUSTOMER SERVICE OFPICE at
800-926-8473 anywhere in Ihe Continental United States.
*Consumer Rights: ,
_ — ---=ritis-cs.^.2�i;.gt:'es}°w�c;c .d r��F.s��::d}„��.:a�1�.�,c vi:,t���b1� . .�.ary;�.,...,��..,�v,�ntc. S «��z>c:u r��a:�vw�u���tnu��r<,:,;�,r h�iiE an iiuNii.,�i wnu..ttiy id5.o,au[i�e
warranty limitations may not apply�to you.
'`Conditions and Exclusions:
Nothing in this warranry is intended to be a misrepresentation that tire failure cannot occur.To the extent permitted by law,liability for consequential damages is disclaimed.To the extent that a
manufacturer's warranty applies,sucli warranry shall be primary and tlie TBC Retail warranry shall not apply to the extent of the manufacturer's warranty.
*Owners Obligations:
�' Proper tire care and vehicle maintenance are necessary to obtain maximum treadwear and service from a tire.It is your obligation to properly maintain your tires and[he vehicle,upon which Ihey
�� are installed,including:operating your tires at the vehide manufac[urer's recommended cold inflation pressures,insunng your tire and wheel assemblies are in balance,[ires rotated on a regular
basis(every 6,000 miles is recommended),velticle in proper wheel alignment and vehicle steering,suspension and driveline components are well main[ained.TBC Retail will check and inspect
tire condition,wheel alignment and vehicle condition at any time without charge.
I�
*Replacement warranty:
I If you receive a replacement tire under the terms of this warranty(s)the replacement tire will be covered by the warranty TBC Retail gives that tire.Road Hazard Coverage will need to be
purchased separatety to cover[he replacement tire.
'�. Mechanical Service Terms&Conditions
Unless othenvise stated,all mechanical service parts are warranted for 12 months or 12,000 miles whichever comes first All labor is warranted for 90 days or 4,000 miles whichever comes first.
both to the original purchaser during[his period.
TBC Retail will replace the parts and redo the labor at no further cost.Warranties do not apply to vehicles used in commercial application.
I By execution of the repair authorization on the front of the invoice,customer autl�orizes repair work to be done as described.Custouier agrees to pay cash on the delivery of the vehicle,and until
paid in fulL TBC Retail shall have a lien on[he vehicle for the amount owing.In the event of default by the customer in payment.TBC Retail is hereby specitically audiorized to retain possession
of the vehicle without notice and without process of Iaw,and said possession sha(I invest TBC Retail with all rights of possessory lien holder under the law.Customer further agrees that TBC
Retail will not be held responsible for the articles Ieft in vehicle in case of fire,theft,accidents or any other causes beyond its control.
Customer's vehicle may be driven by TBC Retail employees at customer's risk.Storage will be charged at a rate of$15.00 per day beginning 3 days after notice to customer that repairs have been
completed.If TBC Retail is forced to take any action for collection of any balance oe�ing by customer to TBC Retail by lawsuit or otherwise,customer agrees to pay interest on the amount owing
until paid and the collection costs.The provisions herein set forth shall become part of any independent agreement for payment made between customer and TBC Retail in connection with work
authorized by this order.If customer cancels this order,TBC Retail may charge for the cost of the teardown,the cost of parts and labor to replace items that were deshoyed by teardown and the
cost to reassemble the components of Uie vehicle. TBC Retail will not be responsible for damages to the vehicle due to causes beyond it's control(ask about limi[s and extent of insurance).
Some states do not allow die exclusiou or limitation of incidental damages,so the above limitations may not apply to you.
Disclaimer of Warranties
Except as described herein,TBC Retail makes no express or implied warranty whatsoever with respect to tires,maintenance or repair work,including but not limited to the implied warranties of
merchantability and fitness for a particular purpose. Any implied warranty is limited to the same duration as the written warranry. Some states do not allow limitation on how long an implied
w2rranty las�s,so the above limitations may not apply[o you. TBC Retail disclaims any liability for incidental or consequential damages to the extent permitted by law. Some states do not allow
the exclusion or limitation of incidental or consequential damages,so the above limitations or exclusions may not apply to you. The customer's remedies described herein shall be exclusive of
any other remedies.The warranties described herein are for the exclusive benefit of the cusromer and are uot assignabie except as provided otherwise.The customer must present this document
and correspo�iding invoices to TBC Retail in order to resolve the benefits of any warranty covtained herein.
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