______________________________
Odometer reading
______________________________
Repair order number
______________________________
Date
______________________________
Authorized retailer signature
______________________________
Odometer reading
______________________________
Repair order number
______________________________
Date
______________________________
Authorized retailer signature
Automatic Transmission Oil and Filter Change
Stamp of
Sprinter
Retailer
Stamp of
Sprinter
Retailer
______________________________
Odometer reading
______________________________
Repair order number
______________________________
Date
______________________________
Authorized retailer signature
______________________________
Odometer reading
______________________________
Repair order number
______________________________
Date
______________________________
Authorized retailer signature
Stamp of
Sprinter
Retailer
Stamp of
Sprinter
Retailer
23
2006 Dodge Sprinter