| Ticket ID | 112 | VIN | 5VPTW36N6E3O27162 |
| First Name | Sal | Last Name | Victory |
| Year | 2014 | Make | VICTORY |
| Model | Cross Country Tour | ||
| Email Address | Phone Number | 0 | |
| Location | Shop | Due Date | 2019-06-07 |
| Status | Complete | Php POS ID | 0 |
| Miles in | Miles out | 0 |
| Description of Issue/Upgrade | ||
| Charging issue | ||
| Service note 1 - Date - 0000-00-00 | ||
| Service note 2 - Date - 0000-00-00< | ||
| Service note 3 - Date - 0000-00-00< | ||
| Ticket Number: | Vin Number: |
| I hearby authorize the listed items and repairs to be performed on my vehicle. | |
| Signature: | _____________________________________ |