` Case2:O4—cv-00161-ROS D0cument156-5 FiIed11/30/2005 Page10f2 H
II!).
WORKHORSE CUSTOM CHASSIS DELAYED WARRANTY START
5: TT’C 1
Vehicle Identification Number .3 ,,7 p C; J? <_ g L 5 rg 5 , V}?
(WCCVlN,ALL17CHARACTERS) 1 2 3 4 5 6 7 8 9 101112 1314151617
Vehicle Date*: IEE/ifi Odometer Reading*: x1mm1ma..1.,...,1.,.tU
Vehicle Application: @ Commercial I School Bus
(CIRCLE ONLY ONE)
*Date, odometer reading at tlrst retail sale of uptitted (special bodyl equipment) recreational, commercial or school bus vehiclef
—·0l’-—
*Date, odometer reading when vehicle is placed In service by WCC authorized lieet or political subdivision.
/ »’ , ·-
Customer Name: ¢—~*>»·/E *7 —§¢V"â€â€™Â¥â€f"
Business:
· Address:T?"`?4"f "’T @’°>·’ KV I 5f»·1%1=‘¢*577'»??L I
. STREET crrv STATE! ZIPI ` ··
- · · - PROVINCE POSTAL CODE .
Phone: (?¤4»’ W? - we el- I
Customer Signature: `··‘ .r-·‘‘ Date: __I__I__
K -@ 5 I H "" ’ :::‘ r:’ _t:’_ ii
WCC DSZIBTIRQIZGIIGT COGE (if retailed by WCC dealer/retailer): ·
Retail Outlet: g'L‘c.#»
STREET CITY STATE! ZIPI r
PROVINCE POSTAL CODE 1
Phone: (@5 léféf- /7:77 K
A EA A fj!
• • .. ~--·- "°`°-" lz / - `
Retail OutletIDeaIer Signature: ·"‘‘ ig; I :<< s- ~Date: fz/_I_§§L_Q§:
Reason for Delayed Warranty Start?-? / J,
/( ‘?`~*-" V¥j©—¢,—»gg5,@g; 4:*1.-· _
This form is to be completed, signed and mailed to: CUSTOMER ASSISTANCE CENTER
Workhorse Custom Chassis
, 29508 Southfield Road
Suite 200
Southfield, Michigan 48076
-·‘· " ‘ ··-·
15745123 WHITE: WARRANTY DEPT. · YELLow: CUSTOMER · PINK: FILE
FIIDR 0198 g
_v ___ __Qas_e_g:04—cv-0_(y61-ROS Document 156-5 Filed 11/30/2005 Page20f2 ____’
Case 2:04-cv-00161-ROS
Document 156-5
Filed 11/30/2005
Page 1 of 2
Case 2:04-cv-00161-ROS
Document 156-5
Filed 11/30/2005
Page 2 of 2