| Ticket ID | 109 | VIN | 1HD1KRM19GB681522 |
| First Name | Dylan | Last Name | Okruski |
| Year | 2016 | Make | HARLEY DAVIDSON |
| Model | FLHXS / STREET GLIDE SPECIAL | ||
| Email Address | Phone Number | 8156742191 | |
| Location | Shop | Due Date | 2019-05-31 |
| Status | Complete | Php POS ID | 0 |
| Miles in | Miles out | 0 |
| Description of Issue/Upgrade | ||
| Paint front fender | ||
| Service note 1 - Date - 0000-00-00 | ||
| 11 | ||
| Service note 2 - Date - 0000-00-00< | ||
| 11 | ||
| Service note 3 - Date - 0000-00-00< | ||
| 11 |
| Ticket Number: | Vin Number: |
| I hearby authorize the listed items and repairs to be performed on my vehicle. | |
| Signature: | _____________________________________ |