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This information is true and accurate to the best of my knowledge and ability. <br />Typed Name of Person Completing this Form: <br />Title: ./I-. Ll)—' I - <br />Signature: Date <br />1.4 Shop Description <br />Shoo Hours (M -F) Prw - Ste! <br />Shop Hours (Saturday) 10 <br />Perform Warranty Work? „ 4 Yes ,—, No Describe <br />Number of Lifts S QP�rI <br />Lift Capacity (ies) /Boor) /65 <br />Towing Equipment No <br />Describe <br />Number of Bays S <br />Bay Sizes r2 r <br />Height <br />Length L9 ; <br />Width /2 <br />Auto Transmission <br />Drive Train <br />Steering & Suspension <br />Brakes <br />Electrical System <br />Heating & A/C <br />Federal A/C Recovery <br />Wheels & Tres <br />Hydraulic Lift <br />State Inspections <br />ago/* of "rl- / -1 e� 91 o{fit- <br />r'r-Ir; Aaf q e 0wmor/2PO? <br />nna/ klltNOap <br />1.5 References <br />Provide the names and contact information of at least three (3) references that we may contact to help <br />us get to know you as a service provider- These references should help us determine your timeliness, <br />accuracy, cost effectiveness, and customer service. <br />Reference Name <br />Phone <br />Relationship �y-pdr/ PuNi a��A <br />Reference Name <br />OS rnos� (�� r �tes Seyc vices <br />51 <br />Aftchmenl number 1 \n <br />F-3 Page 169 <br />