us jasusa) lal Tm zea) Pee customer ‘Company: ‘Company: Contact Person: Contact Person: Phone: Phone: Pe Company: Phone: Contact Person: Vehicle details Make: Engine: Model: Power Engine capacity: 1st Registration Year: eran ees bate. O Rebuilded head Replace of valve stem seals O Renewed head O Repair of valves seats kms, before assembly: O New head © oi change Kins, after assembly: O Replace of Head bolts Replace of oi iter O Rebuilded block O Replace of oi! pump O Replace of hydraulic lifters CQ Cooling liquid change O Replace of Camshaft. Replace of thermostat eed Tere en ae cn ced INCLUDING DESCRIPTION OF THE PROCESSED REPAIR AND VEHICLE DATA SHEET CARD NOTE: For any warranty its needed to complete the form inthe shaded areas and atach ths form with the claimed parts eet ee eee 02007 - ALBACETE (Spain) - Apdo./RO. Box 415 (02080) - e-mail: customerservicewajusa.es www.ajusa.es