VEHICLE REPORT CARD

Please complete this card and return it immediately after delivery

Chassis No. Serial Chassis No. Marketing Type VIN No. Dealer
MFF 824774 CWE280 MFFCWZ50DPK824774 AIUDT-ROMO

Customer No. Delivery Date / STNK Date Vehicle Operation Gross Weight Reg No. Remarks
(DDMMYY)
1/16/2023 64 20

Buying Customer
PT DUTA BANGSA MANDIRI

Address
JL RAYA BROMO, DS REJOSALAM, KEC. PASREPAN, PASURUAN

Post Code Postal Address

JL RAYA BROMO, DS REJOSALAM, KEC. PASREPAN, PASURUAN

Telephone No. Telefax No. Superstructure

082237017593 082237017593 MIXER

Comments

Using Customer (Registered Company Name)

PT DUTA BANGSA MANDIRI

Address
JL RAYA BROMO, DS REJOSALAM, KEC. PASREPAN, PASURUAN

Post Code Postal Address

0

Owner Type Owner Size Branch/Site Support

TRADISIONAL 60 PASURUAN

Own Workshop Dealer Stamp & Signature Customer Stamp & Signature

Yes / No

Delivery service on this truck has been completed, include the following items. Check (√) each item for completed.

Operation Manual, Maintenance Information & Service Interval

Warranty Terms & Conditions
Truck Condition and Safety Device
Preliminary Safety Checks & Operation Preparation
Operation Training & Guide Operating Control