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44
NOTE TO CUSTOMER:
T his
page is provided for
your
cODvenience
in keeping a
record
of
the
times and p
laces
at
which
msintenance
aervicoo
are
performed.
In
addition. boxes are also
provided for
the use of
first and
reinsta ted second
retail
purchasers
if they wish
to maintain a record
of
the
a
nnual certification
fonns
that
m
t
b
>:luhmitted
by
an authorized
Ford
or Lincoln MercUIY
dea ler each year to
keep
their extended
5
year or 50
000
mile
warranty
COVentges
in effect
"'
•
•
6000 MILES OR 6
MONTHSt
•
12000 MILES OR 12
MONTHSt
D."
M ileap
Date
M
ileage
'FIRST ANNUAL
Dealel"lhip
Dealerahip
DEALER
CERT
I
FICATION
N.~
Name
MAlNTENANCE
CERT.
NO.
DealeMlhip
OealeNhip
Addres.
Addre-
Si,ned
S;gn<d
DATE
•
18000 MILES OR 18 MONTHSt
•
24000 MILES OR 24
MONTHSt
D ...
Mileage
Date
Mileage
SECON
D
ANNUAL
De8lenhip
Dealf!fShip
DEALER
CERTI
FICATION
Name
Neme
MAINTENANCE
CERT. NO.
Dealenhip
OealeT8hip
AddI'NN
Addl'f'"
Signed
Siene<!.
DATE
• 30000 MILES OR 30
MONTHSt
• 36000 MILES OR 36
MONTHSt
Dat
e
Mileage
Dote
Mileage
THIRD
ANNUAL
DeeJenhip
Dealer.hlp
DEA
LER CERTIFICATIO
N
Name
Name
MAINTENANCE
CERT. NO.
DNlerahip
Dealel'llhip
Addreee
Addre.
Signed
Signed
DATE
•
42000 MILES OR 42 MONTHSt
•
48000 MILES OR 48 MONTHSt
Da
te
Mileare
Date
Mileage
FOURTH
ANNUAL
Dealerehip
Dealerehlp
DEALER
CERTI
F
ICATION
Name
Name
MAI NTENANCE CEnT.
NO.
Du.lerahip
Add,.....·
Dealership
Addre-
S;gn<d
S ; _
DATE
t
WHICHEVER COMES FIRST
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