______________________________
Odometer reading
______________________________
Repair order number
______________________________
Date
______________________________
Authorized retailer signature
______________________________
Odometer reading
______________________________
Repair order number
______________________________
Date
______________________________
Authorized retailer signature
Additional Work Every Year
______________________________
Odometer reading
______________________________
Stamp of
Repair order number
Sprinter
______________________________
Retailer
Date
______________________________
Authorized retailer signature
______________________________
Odometer reading
______________________________
Stamp of
Repair order number
Sprinter
______________________________
Retailer
Date
______________________________
Authorized retailer signature
Stamp of
Sprinter
Retailer
Stamp of
Sprinter
Retailer
29
2006 Dodge Sprinter