| Ticket ID | 152 | VIN | 1HD1MAM13CB850665 |
| First Name | Kathy | Last Name | Hartzog |
| Year | 2012 | Make | HARLEY DAVIDSON |
| Model | Tri Glide Ultra Classic | ||
| Email Address | Phone Number | 8503265235 | |
| Location | Out Front | Due Date | 2019-10-11 |
| Status | Complete | Php POS ID | 0 |
| Miles in | Miles out | 0 |
| Description of Issue/Upgrade | ||
| Audio and paint | ||
| 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: | _____________________________________ |