INSPECTION |
DATE OF INSPECTION |
ACTUAL MILEAGE |
NAME OF SERVICE FACILITY |
AUTHORIZED SIGNATURE |
120,000 km / 72 months |
||||
130,000 km / 78 months |
||||
140,000 km / 84 months |
||||
150,000 km / 90 months |
||||
160,000 km / 96 months |
||||
170,000 km / 102 months |
||||
180,000 km / 108 months |
||||
190,000 km / 114 months |
||||
200,000 km / 120 months |
||||
210,000 km / 126 months |
||||
220,000 km / 132 months |
||||
29 |