I certify the above identified truck has been thoroughly inspected and adjusted in accordance
with the “4,000 km/2,500 miles free inspection and service” procedures prescribed by MFTA.
Owner’s Name:
Address:
City, State: Zip:
Vehicle identification number
Date NVI was Performed:
Mileage at time of NVI:
Dealer Code of Servicing Dealer:
Dealer Reference R.O./Dealer Claim No.:
JL
Dealer imprint / Dealership Name and Address
Dealer Representive Signature Date
(MFTA COPY)
New Vehicle: 4,000 km/2,500 Miles
FREE INSPECTION AND SERVICE CERTIFICATE
(NVI)
FE/FG
FEFG.book Page -2 Thursday, March 10, 2005 7:30 PM
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