Page 1 Page 2 Page 3 DR 2411 (08/99) APPLICATION FOR TITLE

.-
refI1CiE INSPECTION REPORT
VEHICLE HISTORY RECORD
FLEET UNIT NUMBER
.,""'"
•••••••
DATE
MOTOR CARRIER
W
ADDRESS
/'d 11
VEHle TYPE
INSPE
OPERATOR
Ct:7 f?b 7.2t:"
0 TRACTOR 0 TRAILER
RUCK
0 BUS
o (OTHER)
Exhaust system leaking
forward of or directly below
the driver/sleeper
compartment.
b. Bus exhaust system
leaking or discharging in
violation of standard.
c. Exhaust system likely to
bum, char, or damage the
electrical wiring, fuel supply,
or any combustible part of
the motor vehicle.
List any other condition(s)
which may prevent safe
operation of this vehicle.
Any U-bolt(s), spring
hanger(s), or other axle
positioning part(s) cracked,
broken. loose or missing
resulting in shifting of an
axle from its normal position.
b. Spring Assembly
c. Torque, Radius or Tracking
Com onents
Frame Members
nre and Wheel Clearance
c. Adjustable Axle
Assemblies (Sliding
Subframes)
All lighting devices and
reflectors required by Part 393
shall be operable.
INSTRUCTIONS:
MARK COLUMN
ENTRIES
TO VERIFY INSPECTION:
CERTIFICATION:
THIS VEHICLE
HAS PASSED
ACCORDANCE WITH 49 CFR PART 396.
-.L
OK, _X_
ITEMS
~
IF ITEMS DO NOT APPLY, __
FOR THE ANNUAL
VEHICLE
REPAIRED
DATE
INSPECTION
2OC).FS-e3
o Copyrighl 2010 J. J. KELLER & ASSOCIATES,INC.Neenah, WI. USA. (800) 327-6868
jjkallet.com • PrinTed in !he United 51316$
NEEDS REPAIR.
ALL THE INSPECTION
IN
22" 1
Rev. 6110
DUPLICATE
KEN'S REPAIR
Invoice
831 E. RAILROAD
AKRON, CO 80720
Date
Invoice #
1/7/2013
2502
970-345-6665
Bill To
YW ELECTRIC #28
250 MAIN
AKRON, CO 80720
Vehicle
Mileage / Hours
Terms
2001 F350 FORD #28
155184
Due on receipt
Quantity
Item Code
1
DOT
Description
Price Each
DOT INSPECTION: PASS BUT HAS
TRANSFER CASE LEAK AND LEFT
FRONT AXLE LEAK.
Sales Tax
Amount
120.00
120.00
6.90%
0.00
Vi
~
Total
$120.00
South Fork Automotive Repair
2443 HWY 385
Burlington, CO 80807
RECEIVED JAN 30 2013
Date
Invoice #
1/22/2013
857
Y-W ELECTRIC ASSOCIATION
BOXY
AKRON, CO 80720
Vehicle
Terms
c;8-DA;)
Ship Date
1/22/2013
Net 30
GLOW PLUG (LEFT AND RIGHT)
STARTER
STARTER (1 HR) + GLOWPLUGS (3.6 HRS)
12.71,
245.93
i
5000
,
'.
.,~
:.
1
9703547599
!
South Fork Automotive Repair
2443 HWY 385
Burlington, CO 80807
RECEIVED FEB 15 2013
Date
Invoice #
2/13/2013
887
Y-W ELECTRIC ASSOCIATION
BOXY
AKRON, CO 80720
Vehicle__
Ship Date
Due Date
• _\i.RUC~DAN)
Terms
Net 30
I ALTERNATOR
I 7796AN
I
I
3/15/2013
50.00
jLABOR
I
2/13/2013
..~
247.79T
50.00
.,'
i
1
I
I
I
i
I
.
I
Ii
l-------------------J---------------------------------------.--------------------.---------------------------------------------.------------------------
I
$7.43
i
I
_____
$297.79
$305.22
~
~_
_
__
_
_
__
_
_
H
._
_
_
__
H
H
•••••••
••••••
H •••••
H.H
•• __
• __
•
H •• _
••••••••••••
9703547599
South Fork Automotive Repair
2443 HWY 385
Burlington, ,CO 80807
RECEIVED MAR 15. 1613
Date
Invoice #'
iy-w ELECTRIC
lsoXY
I AKRON,
3/11/2013
906"
ASSOCIATION
CO 80720
I.
,
i........
................ -•..•...... '
Vehicle
TRUC!<28-DAN,
Terms
NET 10th
156-2426
11111
I LABOR
F81Z
16757
i
Ship Date
Due Date
iGLOW PLUG RELAY
IGLOW PLUG
,
i 1 (GLOW PLUG RELAY) + 3.2 (GLOW PLUG R&R)
lOlL INDICATOR-(DIPSTIK)
INDICATOR TUBE
1
I GLOW
8
1
PLUG
I TO R&R GLOW PLUGS
IWIRE
11111
1LABOR
IpW18G
13050 R31 L1...
IMISC
I
MISCELLANEOUS
1
4.7
1
1
3/11/2013
4/10/2013
75.10T!
101.68TI
210.00 i
45.58T!
58.82T I
75.10 i
12.71 i
50.00 I
45.581
58.821
I
12.71, I
50.00 !
6.92j
101.68TI
235.00 I
6.92Ti
8.35TI
5.00 [
8.351
5.00!
SHOP SUPPLIES
I
I
II
I
j
,
I
i
...........1
"""",'"., .. --, ....,... """'!
.
$848.13
1PLEASE SEE SECOND PAGE
...........
.. -1.
_
_ -
,
,-~. __
!
I
)
.._._._ -.__.__._..~___..!
-
9703547599
$11 ;94
_ ;-_
$860.07
_
,
i
When truck 28 returned, the alternator was overcharging and burnt itself out. High
voltage was assumed on the alternator, therefore causing the glow plugs to burn out a
second time. R&R was completed on the alternator and glow plugs; all was well,at the
time. When the truck returned two weeks later, the glow plugs had yet again burnt. All
glow plug components were in good working order and operational, no obvious indicator
to what was causing the problems with the glow plugs. After extensive research and
testing, it was found there was a short in the ground side control for the glow plug
solenoid, grounding against the frame of the vehicle. The issue would only arrive when
the truck was being driven. A new wire from the ECM to the glow plug solenoid was
installed, as well as 8 new glow plugs to replace the ones that had burnt.
If there are any questions about this, please call Eric at 970-354-7599.
Thank you!
Stratton Equity CoEOperative Coロ
RECEIVED JUN 0 4
STATEMENT
RO.Box 25 0 Stratton,Coiorado 80836‐ 0025 0 719‐ 348‐ 5326
s/3:-/13
?013
Regular
Y―
6/■ 5/■ 3
P.〇
L
DAY
OESCRIPIION
Chg
KIRK ELEV.
' Tot―
407872
24
■―■/2 PVC CLS■
■―■/4 PVC CLS■
PLASTIC
PLASTIC
PLASTIC
PLASTIC
3
S2′
4■ 3.47
AMOUNT
I
1
DETACH AND
PCrcilenrxsonlenLANce
UNffS
■′66■
6
3■ .■
'CARDTROL TAX DIESEL
05/23 15:21 Crd-0004033
' Tot― Chg KIRK STAT.
408325
4■ 3.47
REMITTED
80720
」
■CKET
52′
l
6/■ 5/■
. BOX Y
AKRON CO
BY I
NET OUE F PAD鮮
W ELECTRIC ASSN. INC.
4
ACcouNT
TO私 LAMOUNTDUE
￢
「
17436
090
879000
■20
■20
6.0000
6.0000
2.0000
■ .0000
■ .0000
1.0000
60-200
60-200
FITTINGS
FITTINGS
FITTINGS
FITTINGS
.490000
.370000
7.990000
3.990000
■ .790000
.990000
.79
67
■′782.46
2.94
2.22
■5.98
8.99
■ .79
.99
' Pick99 ,p ゃy
ANDY HASE
32.9■
.95
' Sub Tota■
= Sales Tax
' Tot― Chg KIネ K EI軍 V.
■′8■
6.32
４可Ｉ
Ｍ最
K 2767
33.86
)08 FORD F-550
TIT 8
:LES ■74075
)URS ■339
SERVICE 」OB
MAXTRON ■5-40 2.5
MAXTRON 15-40
1CF1 843■ 2 01L FILTER
CF1 83886 AIR FILTER
■ .0000
2.5000
5.0000
■ .0000
■ .0000
.5000
■.0000
25_000000
■5.350000
4.340000
30,990000
9■ .990000
3.750000
■ .000000
25.00
38.38
2■
.70
30.99
9■
.99
■ _38
■ .00
0.94
5.36
2■ 6.30
2■
22.4050
34■ 0820
3.879000
032.62
2′
1■
86.9■
86.9■
■2
2′
9.53
―F550
1リ
閂yt
釜
qTTpFpT.TTRF TMs
CASH SALES
PREPAY BALANCt
STRATTON EQUITY CO―
■ .0000
CHAR3E SALES
PAYMENIS
BECINN!NG BALANCE
OV=R90
OPERATiVE C0
, 0000
40 GAl
1馬
61・
90
31・
60
25_000000
■3 770000
ADJuSIMENIS
25.00
TOTAL AMOUNT DUE BY:
CURRE‖ T
continued
98 COLORADO AVE
l'7436 Y-W ELECTRIC ASSN. INC-
Regular
PO BOX25
STRATTON,COLORAD0 80836-0025
719-348‐
5326
RECEIvEo JUti
14
South Fork Automolve Repair
2443 HllVY 385
201J
Date
３
０
２
７
槻９
６
Bur‖ ngton,C080807
lnvoice #
Ship To
VV ELECTRIC ASSOCIAT10N
80X Y
Y―
︱︱︱ ︱︱︱︱ ︱ ´
NET 10th
一
Ship Date
Due Date
一
ｅ
TRUCK 28
一
１Ｌ
ｓ
ｍ
ｍｅ
ｒ
Ｔ
￨
一
一
￨
一
‘
︱ ︱ ，１ １ １ １
AKRON,C080720
6/12/2013
7/10/2013
Description
F」
738
LABOR
ECTOR
R&RINJECTOR
40843T
13500
FUELIN」
ー
ト
￨
￨ __
$1225
S55568
9703547599
South Fork Automotive Repalr
2443 HWY 385
Burlington,C080807
Date 7/3/2013
!nvoice# 1018
RECEIVED JuL 0 8 2045
B‖ lTo
Y W ELECTRIC ASSOCIAT10N
BOX Y
AKRON,C080720
￨
￨
―
￨
￨
_________」
―
Vehicle
Terms
2001F250
Ship Date
7/3/2013
NET 10th
Due Date
7/10/2013
腱em
１
５
1CP SENSOR
LABOR
MISC
１
AIR FILTER
OIL FILTER
１
88728
85734
５
BELT
MOTOR OIL
１ ■
15VV40
Price
１
K081223HD
Qty
Description
MISCELLANEOUS SHOP SUPPLIES
7578
452
4025
2436
19530
5000
500
Amount
7578T
6780T
4025T
2436T
19530T
7500
500
S1210 1
一
9703547599
イ′ζ
PM
9/262013 2:16
Stde:
salos Rocslpt #13783
1
Outback Fuol and F€ed
27035 H\vY 36
ldalia, CO 80735
970-354-7260
otltback@Plainstel com
Blll To:
Y-W Electric
Po Box Y
Akron. CO 8072G0570
Cashierl justin
cry
Namo
iiiiiiou'i*'
iiri o" r,rro
26
lu^0,s.
""n"
3 $24 s6 $74 68 T
g! s2o oo
I -Subiotai:
-q2o
$162.13
,"o,.i"i
oi
:'r-ct '-":
Local Sales
Pr!99 El! Pfl!:
_
$25eer
i1 s2sss
$41'26 $41 r
lu6m
I 0,6 Tax + $4'12
RECEIPT ToTAL: it66 25
Tal
2
Accounl: $166.25
耐
I脚 ‖
‖
鰤Ⅶ
10′
22/2013 414 PM
Stα ●
Sa:eS Rec●
1
lpt
15601
“
。utbaCk Fuel atid Feeti
27035 Hwy 36
dし
.a c0 80735
970-354‐ 7260
∞ lback@口 函nStd
Cm
Blll'0:
Y W EloCtnc
P03oX Y
n C0 807200570
Ak・ い
Cashicr iuslin
機跳ごll曇計
罵
曇l
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み
ACCOtlnti$95268
ltti t:翌
1:
P O Box l134,Sterlin9,C0 80751
970‐ 520-2525o「
888-32NOVUS
Invoice: 5000
Date:10/29/2013
Scheduled:
Sold To:
YW ELECTRIC
PO BOX Y
AKRON C0 80720
Ph:(97 O)3 45 -229
I
F
ax:(97 0)345 -215 4
PO (2リ
Tech:
TeHlls: NET 30
Vchiclc2001 FORD F SERIES F250 2 D00R STANDARD CAB Vnヾ :lFTNF21F61EC01912 Unit:28 Lic
Plate#:092-PRB CO
List Pncc
韓
1 0000 Windshleld
Repair
…
Material
O.00
Tax lnfo:
AKRON CITY TAX
0_00
ltem Total
5000
O llll
WASHNCrTON CO TAX
STATE TAX
Labor
5000
0 00
0 00
WARRANTY FOR WINDSHIELD REPAIR
Novus guarantees its windshield repair will not crack further and will pass vehicle inspection in all states, for as long
as you own your vehicle, or we will refund the price of the original repair. Or, a complete refund will be given as
credit toward the purchase of a new windshield from the Nolus facility that repaired the windshield. In the event
that a Novus facility is not able to replace the windshield, the price ofthe original repair will be refuded.
to allow you to give us your opinion. Signing this invoice serves as conseot for Novus Auto Glass to call you and
customer satisfactio[ survey. Thank you in advsnce for your time.
Thrnks
Again! Kent & Judy
MateJhl
Labor
000
5000
Tax
Total
0_00
5000
Deductiblc
0.00
vers:8.0.71
Pagc:1 0fl
South Fork Automotive Repair
2443 HWY 385
Burlington, CO 80807
RECEIVED
NOV
2110T5
Date 1111812013
lnvoice # 1133
Ship To
Y-W ELECTRIC ASSOCIATION
2001 FORD F25o
BOX Y
AKRON, CO 80720
Vehicle
Terms
Item
6ilD),o*
NET l Oth
Description
Ship Date
11t18t2013
Due Date
12t10t2013
1
I
1.4
:MISC
IV]ISCELLANEOUS SHOP SI,PPI IFS
Amount
Price
Qty
203.78
75.84
50.00
?fiiar
75.84r
70.00
5.00
970 354 7599
RD
5.00
l
South Fork Automotive Repair
2443 HWY 385
Burlington, CO 80807
RECEIVED NOV2O2013
Date 1111812013
lnvoice # 1116
Ship To
Bill To
Y-W FI EC I RIC ASSOCIA I ION
BOX Y
AKRON CO 80720
Vehicle
Terms
Item
PD14E
DS246
LABOR
@oo*
Ship Date
Due Date
NET lOth
Qty r
Description
WIRE
SWITCH
REWIRE GLOW PLUGS TO MANULA, INSTALL
BUTTON
MISCELLANEOUS SHOP SUPPLIES
I
11t18t2013
12t10t2013
Price
11
.40
2
21.03
50.00
1
5.00
1
11
.407
21 .037
1
00.00
5.00
$137 43
$0 97
$138.40
970 354 7599
1219/2013 3 33
Stcre:
PM
Sales Roc6lpt #18747
'1
outback Fuel and Feed
27035 HwY 36
ldalia, CO 80735
s7 0-354'7 260
lainstel con)
Blll To:
Y-W Eleclric
PO BOX Y
Akron, Co 80720-0570
CBa,hier
iustin
oty
Itom Namo
911 Diesel Treatmen
PS Diesel SUPP 80o
Oil Change
6728 Air Frltet
Motorcrat 15/40 (5
85734
Prlce
Ext Prlcs
$7.40
s12.69 T
$2o.oo $20.00
$z.co
$12 69
r
$36.10
$24.96
$25.99
$36.10 T
$74.88 T
$25.99 T
subtdal: $177.06
I $4 55
2.9 o/o
(
O fiter
lax
Local SEles Tar
RECEIPTTOTALi
Account: $181 61
$'I81,6'1
ANNUAL VEHICLE IITSPECNON REPOBT
VEHICLE HISTORY RECORD
FLEET UNIT NUMBEB
7
- l?
DATE
MOTOA CABBIER OPEHATOFI
Ii(SPECTOB'S XAME (PRINI OB TYPq
AOORESS
rlrs [{spEcroR lEErs
rHE ouAUFtcATto aEoolREMENTs lr{ sE€noN
as.lg.
EFYES
ctry,
vEHrcLE TDENnFlc nON
STATE. ZtP COOE
(/
ANo COMPLETE)
fl
LtC. PLATE
NO. O VIN tr
OTHER
(
VEHICLE TVPE
D TRACToB
fl
f] TBAILER E TRUCK trruS
htsPEcTroNAGEircY @ATTON
(orHER)
VEHICLE COMPONENTS INSPECTED
ffi;l
ITEM
1. BRAKE
t.
oilgsl ;;;l
nEM
6.
SYSTEM
Part(s) oI vehicle or
Lorv Pressure Waming
b.
condition ol loading such
that th€ spare tire or any
part ol the load or dunnage
can fall onto the roadway.
Protection againsl shitting
Device
€rgo.
c- Coniainersecurement
i.)
g. Tractor Protection Valve
h. Air Compressor
i.
j.
Electric Brakes
Hydraulic Brakes
b. Steering Column
c- Front Axle Beam and All
2. COUPLING DEVICES
a. Fifth Wheels
b. Pintle Hooks
Sleering Components
Other Than Sleering
Column
d. Steering Gear Box
e. Pitman Arm
f. Povver Steering
g. Ball and Socket Joints
h. Tie Rods and Drag Links
i. Nuts
c. Drawbar/Towbar Eye
d. Drawbar/Towbar Tongue
e. Safety
Devices
3. EXHAUST SYSTEM
a. Exhaust system leaking
loMard oI or direcily below
v
the driver/sleeper
compartment.
exhaust system
leaking or discharging in
violation of standard.
c. Exhaust syslem likely to
bum, char, or damage the
electrical wiring, luel supply
or any combustible part of
the motor vehicle.
4. FUEL SYSTEM
a. Visible leakb. Fuel tank filler cap missing.
b. 8us
U
5. LIGHTING
u
DEVICES
All lighting devices and
rellectors required by Part 393
10. T|RES
L
a.
Tires on any steering axle
of a power unit.
12
I1. WHEELS AND RIMS
a. Lock or Side Ring
b. wheels and Rims
t
devices on intermodal
7. STEERING MECHANISM
a. Steering Wheel Free Play
ITEM
I oKl
SAFE LOADING
a.
a. Service Brakes
b. Parking Brake System
c. Brake Drums or Rotors
d. Brake Hose
e. Brake Tubing
l/
(OPTIONAL)
L/
c.
Fasteners
d. Welds
12. WINDSHIELD GLAZING
Requirements and excePtions
as stated pertaining to any
crack, discoloration or vision
reducing matter (relerence
13. wlNDSHIELD WIPERS
Any power unit that has an
inoperative wiper, or missing
or damaged parts thal render
14. OTHEB
List any other condition(s)
which may prevent sale
operation ol this vehicle.
rN
8.
a.
Any U-bolt(s), spnng
hanger(s), or other axle
positioning part(s) cracked,
broken, loose or missing
resulting in shifting oI an
axle frcm its nomal
b-
Spnng Assembly
Radius or Tracking
c. Torque,
9. FRAME
a. Frame Members
b. llre and Wheel Clearance
c. Adjustable Axle
Assemblies (Sliding
lNSTRUcTloNS:MABKCoLUMNENTRlE9ToVERlFYlNSPEcTlo
INSPECTION IN
CERTIFICATION: THIS VEHICLE HAS PASSED ALL THE INSPECTION ITEMS FOR THE ANNUAL VEHICLE
ACCORDANCE WITH 49 CFR PART 396.
@Copynghl201O J. J. KELLEB & ASSOCIATES.INC!
Neenah. wt . usA. (80o) 3276868
ijkeller.com . Pnnted in the uniled slalos
aDFS:C3
DUPLICATE
2241
KEN'S REPAIR
!nvoice
831 E. RAILROAD
AKRON, CO 80720
Date
lnvoice #
1t12t2014
2900
970-3456665
Bill To
YW ELECTRIC #28
250 MAIN
AKRON, CO 80720
Vehicle
Mileage / Hours
Terms
2001 F250
40561
Due on receipt
Quantity
Item Code
1
DOT
Description
130.00
Amount
130.00
6.90%
0.00
Price Each
DOT INSPECTION
PASS
Sales Tax
$7
Total
$130.00
Sales Recoipl #2.
2t4n014 917 AM
Stcae 1
Outback Fuel and Feed
,\
27035 Hwy 36
ldalra CO 80735
970.454-7260
outback@Plarnslel conl
Blll To:
Y
W Electr,c
PO 8ox
Y
Akron CO 80720 0570
Cashier
llcm
Katie
Namo
Tire Specral Order'
Ne'iv Trre Fee'Llghl
Local Sales
-lI
C[y Prlc€ Ext Prlco
1 S17i 12 $177 12 f
1 51.50 51 50
Sublotal
I n/o Tax
RECEIPT TOTAL:
fa)
Accolnt $183
2
S178 62
+ $5 14
$183.76
76
Signature
I agree to
rssuer agreemenl (nlerchant
if credrt voucner)
Thanr you for
yor.rr
bus ness
ilrilillllru|[,llffiilrl[/0
RECEIVED FEB 13
2014
South Fork Automotive Repair
2443 HWY 385
Burlington, CO 80807
Date
lnvoice #
Ship To
Y-W ELECTRIC ASSOCIATION
BOX Y
AKRON, CO 80720
Ship Date
Due Date
Vehicle
Terms
Description
Item
:NEW REAR RIM
970 354 7599
2t812014
3110t2014
21812014
1196
RECEIVEDMA(i?7T14
South Fork Automotive Repair
2443 HWY 385
Burlington, CO 80807
Date
#
lnvoice
311412014
1220
Y-W ELECTRIC ASSOCIATION
BOX Y
AKRON, CO 80720
Vehicle
Terms
DAN S TRUCK
Ship Date
Due Date
NET lOth
Oty
ltem
7565
LABOR
MISC
2
05
BATTERY
TO R&R BATTERIES
MISCELLANEOUS SHOP SUPPLIES
3t14t2014
4t10t2014
Price
Amount
145.60
50 00
5.00
291
.20r
25 00
5.00
$321 .20
$8.74
$329.94
970 354 7599
*lp
Outback Fuel and Feed, LLC
Po Box
113
RECEIVED
MAy o
5
Statement
2011
27035 US Hwy 36
Idalia, CO 80735
Date
4130/2014
To:
Due Date
Y-W Electric
PO Box Y
Akron. CO 80720-0570
5/10/2014
Amount Due
Amount Enc.
$1,21',7.59
Date
Amount
Transaction
03/31/2014
Bala[ce forward
04/02/20t4
INV #97735.
Balance
|,625.63
109.63
1,735.26
116.17
1.E81.4.1
t02.'71
1.98,1.1,1
POS Receipt# 25767
unit 06
01t02i20t1
--- ROAD DIESEL - Cash./Outback #104, 27.762 @$3.949 = 109.63
-- Tax: POS Sales Tax A.0.Oo/o- O.O0
rNV?in:-<
POS Receipt4 25903
Unit 28
Mileage
174229
-- Oil Change # 145, I @ $20.00
\
20.00
\
74.88 I
-- 6728 Air Filter #'101. | @$29.73333 - 29.'73
I
--- 1734Oil Filler164l. I @$18.00= 18.00
/
-- Tax: [email protected]/o= 3.56
-/
-- Tax: POS Sales Tax @ 0.0o'o 0.00
H
-----."'
--- Motorcraff l5/40 (5 Qt Jug #351. 3 @524.96 =
04/07 t2014
POS Receipt# 2621I
Unit 28
--- ROAD DIESEL - Cash/Outback #104, 26.009 @$3.949 = 102.71
04/08/2014
--
Tax: POS Sales Tax @ 0.0o/"= 0.00
2,t t1.91
INV #98125,
POS Receipt# 26258
Unit 0006
--- ROAD DIESEL - Cash./Outback # 104, 33.129 @ $3.949 = 130.83
-- Tax: POS Sales Tax @0.0o/.= 0.00
CURRENT
1-30 DAYS PAST
DUE
31.60 DAYS PAST
6,1.90 DAYS PAST
DUE
DUE
OVER 90 DAYS
PAST DUE
Amount Due
1.217.59
0.00
0.00
0.00
0.00
$t.271.59
A finaflce charge of l.75yo per month (an annual p€rcentage rate of2l%) will be charged on the amount ofthis invoice remaining unpaid one day from
the date on which the same becomes due.
Page
1
P. O. Bor
h
I134, Stedinq, (O 80751
D /, a, o&r96t
97O-520-2525 or 888 32NOVUs
Invoice: 5516
Date:0413012014
Scheduled: 0413012014 10:10
Sold To:
YWELECTRIC
POBOXY
AKRON CO 80720
Ph:(970)345-2291 Fax:(970)345-2 154
PO 28
Terms: NET 30
Vehicle200l FORD F SERIES F250 2 DOOR STANDARD CAB VIN:1FTNF21F61EC019l2 Unit:28 Lic.
Plate#:092-PRB CO
Otv Part / Descriplia!
1.0000 DW0I505GBY - Windshield Green Tint/Blue
1.0000 HAH000004 - Adhesive(Nags)...
List Price
Material
Labor
226.60
200.00
60.00
260.00
25.00
0.00
25.00
WARRANITY FOR REPLq,CENIENT
Your replacement glass is warranted against defects in mat€rial and llorkmar:ship as long as the original customer
owns the vehicle. This warranty expires when you sell your vehicle. The sealing of any unit is guaranteed with the
exception of leakmg due to body deterioration.
Warr-anty work can be completed only with this invoice.
e1,
/\
Signature
We appreciate the opportunity to work with you. Keep us in mind for all your auto glass needs.
Novus Auto Glass values your opinion- We may attempt to call you on any of the telephone numbers listed on this invoice,
to allorv you to give us your opinion. Signing tbis invoice serves &s consent for Norars Auto Glass to call you and conduct a
customer satisfaction suryey, Thank you in advance for your time.
Thanks Again! Kent & Judy
Material
225.00
Labor
60.00
Tax
6.53
Total
291.53
Deductible
0.00
Parrments
0.00
vcrc:8.0.74
291.53
Pagel
1
RECEIVED
JUt-::?fil
South Fork Automotive Repair
2443 HWY 385
Burlington, CO 80807
Date
#
lnvoice
711412014
1311
Ship To
Y-W ELECTRIC ASSOCIATION
BOX Y
AKRON, CO 80720
Vehicle
Terms
Date
Due Date
200'l F250
Ship
NET l Oth
Oty
Description
1
15
98273/BN
LABOR
LINE
N4ISC
MISCELLANEOUS SHOP SUPPLIES
7t14t2014
811012014
Price
75.90
60.00
5.00
Amount
75.907
90.00
5.00
628
Rt
$170.90
970 354 7599
RECEIVED
.,1011
South Fork Automotive Repair
2443 HWY 385
Burlington, CO 80807
Date
lnvoice #
711412014
1324
Ship To
Y-W ELECTRIC ASSOCIATION
BOX Y
AKRON. CO 80720
Vehicle
Terms
200't F250
Ship Date
Due Date
NET l Oth
Description
253565
OTHER
OTHER
OTHER
OTHER
OTH ER
OTHER
OTHER
LABOR
MISC
otv
WIRING HARNESS
7
t14t2014
8t10t2014
Price
1
475.00
83 73
63.47
1
89.42
63.47r
89.42r
1
172.67
172.677
5.01
47 .97
47 .977
1
TRANS RANGE SENSOR
SHIFT CABLE
BELT
TENSIONER
STEERING BUSHING
SHIFT TUBE
SHIF TUBE PLUNGER
1
1
1
1
8
MISCELLANEOUS SHOP SUPPLIES
20.30
60.00
5.00
475.007
83.737
5.0'l T
20.307
480.00
5.00
fN
K1/
Subtotal
Sales Tax (3.0%)
Total
970 354 7599
$1,442.57
$28.73
$1,471 .30
8/29D014
Stcre.
I34
Salos R6colpl #37720
AM
1
Outback Fuel and Feed
27035 Hwy 36
ldalra CO 80735
.9701354-7260
outback@plainstel corn
Blll To:
Y-w Electflc
Po Bor Y
Arroh CO 80720-0570
Cashrer jusln
olv
llem l{amo
6728 Arr Frlter
Prlc.
Exl Prlce
73 S29 73 T
00 $18 00 T
00 $20 00
s2s 55 $76 66 T
Subtotal $144 39
2 9okfax + $3 6'l
$29
s1E
$20
'1734 Orl Filter
Od Change
Mdorcralt 15/40 (5 (
Local Sales Ta)
RECEIPT
TOTAL:
1148.00
Account $148 00
rssuer agreemenl (merchanl agreement
if credit voucher)
Thank you for your businessl
I
lilll
lllll
lllll,l,ll,l.ll!il
llt Ill
w
South Fork Automolve Repair
2443 HVVY 385
RECEiVED ttЮ Y2 6 mt4
Burlington,C080807
Date
1nvoice#
l1/3/2014
1407
VV ELECTRIC ASSOCIAT10N
BOX Y
AKRON C0 80720
Y―
Vehic!e
Terms
2001F250
NET 10th
ship Date
Due Date
l1/3/2014
llノ 10/2014
７
９
９
０
０
０
５
０
０
３ ６
ｅ ２
Ｃ
Ｐ
的
ｍ
“
Ｒ
６ＯＣ
３ＢＳ
２Ａ︲
２﹂Ｍ
FUEL PUMP
FOR FUEL PUMP
MISCELLANEOUS SHOP SUPPLIES
Amount
23799T
6000
500
Subtotal
Saies Tax(30%)
Total
9703547599
S714
S31013
lnvoice
Ken's Repair
831 E Railroad Ave
Akron, CO 80720
Date
lnvoice #
01n4t20ts
285
Bill To
YW Elecfric #28
250 Main Ave
Akron, CO 80720
Mileage /Hours
Vehicle
2001 Ford F250
Item
Due on receipt
186601
Description
DOT Inspec... DOT Inspection - FAIL
Sway bar links, front brakes, tag
lights
Sales Tax
Thank you for your business.
Terms
Quantity
Rate
130.00
6.90Yo
Total
Amount
130.00
0.00
$130.00
RECEIYED
JAN
1g
20fr
THIRD STREET AUTO REPAIR
129 East 3rd Street
Wray CO 80758
97
0-3324649
YOUR NAPA AUTOCARE CENTER
M-F 7:00-5:00 SAT BY APPOINTMENT
111412015 4:32 PM
Y.W ELECTRIC ASSOC. INC,
BOX Y
AKRON CO 80720
Day Phone 18006602291
Eve Phone 630-3932DOUG
-fold here -
Truck F250 Super Duty 3t4fon - pickup 7.3
:1FTNF21F61EC01912
Created : th4l20't5 10.27.29 AM
Complete : 111412015 2:16:22 PM
lnvoiced : 111412015 2'.16:22 PM
Vehicle
: 2001 Ford
L
VIN
2222'
2222.
GUIDE
Tag/State
Color
ln
:092PRB/CO
:
White
: 187093
Odometer
Odometer Out i 187093
R&R
STABILIZER BAR CONTROL LINK.
M
SWAY BAR LINK
New
$145.99
PCH545-1423
SWAY BAR LINK
$148.99
PCH550-1534
SWAY BAR BUSHING
New
$25.49
GUTOE
BRAKE SHOES 8,,/OR PADS M
lncludes: Repack wheel bearings on fullfloating rear axies with drum brakes. Clean lube and/or replace brake hardware as
necessary. Adjust brakes where applicable.
1
,|
1
2
.
PCI.i54*1422
R&R
DOES NOT include refinishing.
PMD824H
POPPMDTsTH
.
.
-
WBHH5643O
WBHH5060
New
New
New
New
BMKE PAD SET FRONT
REAR BRAKE PADS
BMKE HARDWARE KIT
BMKE CALIPER BOLT PIN
Note: M - Labor Database, Copyright, Mitchell lnternationat,
A
SubleUMisc.
2222
$145.99
$148.99
$25.49
$'t60.00
$80.99
$80.99
$83.99
$83.99
$20.94
$6.87
$20.94
$'13.74
Rights Reserved
Labor
Parts
Shop Supplies
Charges
Sales Tax
sr20.00
Tax@$529.93-5.4000%
$280.00
$520.13
$0.00
$9.80
$0.00
$28.62
ASE-18696608
#-;lu_r-
[ilt
ANNUAL VEHICLE INSPECTION REPORT
VEHICLE HISTORY RECORD
FLEET UNIT NUMBER
DArE
MOTOB CAFIRIER OPERATOR
AOORESS
U r-,1
/a
6 /.. /.
A<n J*1.n
o
rBAcroR ft
TRATLEB
(orHEB)
{-ves
vEHrcLL TDENTIFTCAIoN
)
f,rnucr neus
a. Service Brakes
b. Parking Brake System
c.
d.
e.
L
f.
Brake Drums or Botors
Brake Hose
rNgFEcTroN
u
Low Pressure Waming
u
1I
1
Electric Brakes
Hydraulic Brakes
k. Vacuum Systems
2. COUPLING DEVICES
a. Fifth Wheels
b. Pintle Hooks
c. Drawbar/ToMar Eye
d. Drawbar/Towbar Tongue
e. Safety Devices
f. Saddle-Mounts
3. EXHAUST SYSTEM
a. Exhaust system leaking
fonrard of or directly below
the driver/sleeper
compartment.
b. Bus exhaust system
leaking or discharging in
violation of standard.
c. Exhaust system likely to
bum, char, or damage the
electrical rviring, fuel supply,
or any combustible part of
the motor vehicle.
4. FUEL SYSTEM
a. Visible leak.
b. Fueltank filler cap missing.
c. Fuellank
5.
securely attached.
LIGHTING DEVICES
All lighling devices and
refleclors required by Part 393
shall be operable.
INSTRUCTIONS: MARK COLUMN ENTBIESTO VERIFY
".
corlPrrliF) trUC. PLATE NO_
L
,
L
z,/
Column
z.
d. Steering Gear Box
e. Pitman Arm
L
//
Power Steering
s. Ball and Socket Joints
h. Tie Flods and Drag Links
i.
j
All other tires.
11. WHEELS AND RIMS
a. Lock or Side Bing
b. Wheels and Rims
c. Fasteners
d. Welds
12. WNDSHIELD GLAZING
Flequiremenls and exceptions
as staled pertaining to any
crack, discoloration or vision
reducing matter (ref erence
393.60 lor exceotions).
lE llltlllEli!3.llrutl3its:r
l.
u
2
Z,
Steering Components
Other Than Steering
L
10. TIRES
a. Tires on aoy steering axle
o, a power unit.
b.
equiDment.
-
OOTHER
ITEM
7. STEERING MECHANISM
a. Steering Wheel Free Play
b. Steering Column
c. Front A(le Beam and All
ly
2IVtN
r C/Z /a ///2
aGENcy @ATtoN (opTroNAL)
Coniainer securement
devices on intermodal
i.
j.
L
Zt
cargo.
g. Tractor Protection Valve
h. Air Compressor
,
ANo
Part(s) of vehicle or
condition of loading such
that the spare tire or any
part of the load or dunnage
can ,all onto the roadway.
Protection against shifting
Brake Tubing
Device
,
r 7./,8
t/
ffi
OK
L
1,
C
n
THIS INSPECTOF MEETSTHE qUALIFICATION FEQI'FEMENTS IN SECTION g'6,19.
4 //rzrz (a 8a 72o
rYpE o
2-/l-)s
INSPECTOF'S N'II'E IPFIMI OR TYPEI
ctTY_ STATE_ ZIP COOE
vEHrcLE
2r
Nuts
Steerinq Svstem
Any power unit that has an
inoperative wiper, or missing
or damaged pans that render
it ineffective.
14. OTHER
List any other condition(s)
which may prevent sare
operation ol this vehicle.
tEEEUSIEUSUa.
l,
Any U-bolt(s), spring
hanger(s), or other axle
positioning part(s) cracked,
broken, loose or missing
resulting in shifting of an
axle from its normal position.
/
,
2
,
INSPECTION:
b. Spring Assembly
c.
9.
!/
Torque, Radius or Tracking
Comoonents
FRAME
a. Frame Members
b. Tire and Wheel Clearance
c. Adjustable Axle
Assemblies (Sliding
Sublrames)
OK. X NEEDS REPAIB, NA
IF ITEMS DO
'IOTAPPLY,
BEPAIREDDATE
CERTIFICATION: THIS VEHICLE HAS PASSEO ALL THE INSPECTION ITEMS FOR THE ANNUAL VEHICLE INSPECTION IN
ACCORDANCE WITH 49 CFR PART 396.
g
CopyrDhl 2O12 J. J. KELLEB A ASSOCIATES, INC
tl6er'ah. wl . USA. (8O0) 3275868
tjk6rror com. Pnnred in
tr;
unne<,
srares
.
2241
DU
PLICATE
(Rev.'1lfl2)
RECEIVED AI'G 17
N6
THIRD STREET AUTO REPAIR
129 East 3rd Street
Wray CO 80758
970-332-4649
YOUR NAPA AUTOCARE CENTER
M-F 7:00-5:00 SAT BY APPOINTMENT
page
8t1212015 10:23 AM
1
lnvoice #38591
Y.W ELECTRIC ASSOC, INC,
BOX Y
AKRoN Co
Day Phone 18006602291
Eve Phone 630-3932DOUG
80720
-foldiere -
Vehicle : 200'l Ford Truck F250 Super
VIN
Duty 3/4 Ton - Pickup 7.3
:1FTNF21F61ECO19'12
Created : 8/7/2015 3:34:33 PM
Complete . 811212015 10:22:56 AM
lnvoiced : 811212015 10:22:56 AM
Srv Writer: MGR
1-
MGR'
Tag/State
Color
ln
: 092PRB / CO
:White
Odometer
:0
Odometer Out : 195941
sciz4A376D
onlw snnrr
GEN
R&R ORIVE SHAFT FRONT
LBR
L
New
$503
09
Labor
Parts
$80.00
$503.09
$0.00
$0 00
$0 00
SubleUMisc.
Shop Supplies
Charges
Sales Tax
Tax@$503.09.5.4000%
Total
MGR
-
$503 09
s80 00
$27 17
Due
-561026
eSe,ZSZS-regO
I HEREBY AUTHORIZE THE REPAIR WORK HEREIN SET FORTH TO BE DONE ALONG WITH THE
NECESSARY MATERIAL AND AGREE THAT YOU ARE NOT RESPONSIBLE FOR LOSS OR
DAMAGE TO VEHICLE OR ARTICLES LEFT IN VEHICLE IN CASE OF FIRE. THEFT OR ANY
OTHER CAUSE BEYOND YOUR CONTROL. I HEREBY GRANT YOU AND/OR YOUR EMPLOYEES
PERMISSION TO OPERATE THE VEHICLE HEREIN DESCRIBED ON STREETS, HIGHWAYS OR
ELSWHERE FOR THE PURPOSE OF TESTING AND/OR INSPECTION. AN EXPRESS
GARAGEKEEPER'S LIEN IS HEREBY ACKNOWLEDGRD ON ABOVE VEHICLE TO SECURE THE
AMOUNT OR REPAIRS THERETO. l2MONTH OR 12,OOO MILE WARRANTY'A
"'.OA'*"
/D
6n32015
Stdo
Sales Recelpt #61423
4 03 PM
'l
Outback Fuel and Foed
27035 Hwy 36
rdalia,
-
co
80735
9VO-3d-7260
outback@plainstel corn
BlllTo:
Y'W Electric
PO BOX Y
Akron. CO 80720-0570
Cashier tustin
qy
1
3
Mdo(cralt 15/40 (5 (
1
5728 Arr Frller
1
1734 Oil Fill€r
1
Wrndo, Washer Flu
Name
ChEnge
llem
Oil
Prlco
Ext Prlco
$20 00
$76 66 T
S31 73 T
$19 00 T
$2 79 T
Sublotal $'1 50 18
2.g'Afax + $3 78
Local Sales Tar
RECEIPT TOTAL: 3153.96
Accornl $153
00
S25 55
$31 73
$19 00
$2 79
$20
96
SlOnatu,6
laoree
issuer agreemenl (merchani agreement
rfcredit voucher)
Thank you for your busrnessl
.SECTION 30-20.1403 COLORADO REVISED
STATUTES REOUIRES RETAILERS TO COLLECT
A WASTE TIRE FEE SET BY THE SOLID AND
HMARDOUS WASTE COMMISSION ON THE
SALE OF EACH NEW MOTOR VEHICLE TIRE AND
EACH NEW
TRAILER TIRE"
riilil
llfllillilllllllliltllL "
^
*t
(l'U
8/18/2015 4 09
Stoe
Salos R€colpt #61809
Pt\4
1
Outback Fual and Foed
27035 Hwy 36
ldalra CO 80735
.t970-3517260
outb6ck@plainstel corn
Blll To:
Y-W Elecinc
PO 8or Y
Akrori CO 80720-0570
Cashrer justn
Itom
Namo
Trre Specral Order -
New Tire Fee"Lighi
L
ocal Sales
I
1
Cly Prlco Ext Prlc.
4 $238.14
$952 56 T
$6 00
Subtot6l $958 56
+ $27 62
2I o/u
RECEIPT TOTALi 1986 18
4
$1
Tax
Accornt $986
50
lax
18
Slgnaturo .!L=
lagree lo pay
rgsuer aoreement (merchant agreement
rf credrt vouchert
Thank yor for Yo!r buslnessl
.SECTION 30.20.1403 COLORADO REVISED
STATUTES REOUIRES RETAILERS TO COLLEC I
A WASTE TIRE FEE SET 8Y THE SOLID AND
HMARDOUS WASTE COMI\4ISSION ON THE
SALE OF EACH NEW MOTOR VEHICLE TIRE AND
EACH NEW
IRAILER TIRE'
|
ffilltillrillr |lilfllllil
61609
ll]
I
{ffiv
Lr23s,8sR16
G@drarffiEtlvenrure(4)
RECEIYED SEP
O4 ?06
THIRD STREET AUTO REPAIR
129 East 3rd Street
Wray CO 80758
97
0-3324649
YOUR NAPA AUTOCARE CENTER
M-F 7:00-5:00 SAT BY APPOINTMENT
lnvoice
Page
#38769
1
Y-W ELECTRIC ASSOC, INC,
BOX Y
AKRON CO 80720
Day Phone 18006602291
Eve Phone 630-3932DOUG
-fold here -
Vehicle
VIN
:
2001 Ford Truck F250 Super Duty 3/4 Ton - pickup 7.3
L
Tag/State
Color
1FTNF21F61ECo1912
Created : 8/31/2015 2:10:56 PM
Complete: 9/2/2015 10:00:18 AM
lnvoiced 9/2/20'15 10:00:18 AM
Srv Writer: 2222
:
.092PRB/CO
:White
Odometer ln : '197309
Odometer Out : 197309
kr(
:
2222-
GUIDE
STEERING GEAR (COMPLETE) - R&I OR R&R
lncludes: Adjust toe-in on Rack & Pinion type gears.DOES NOT include transfer parts or alignment.
F7UZ35O4FBRM STEERING GEAR
$427,11
TIE ROD &/OR ENDS M
lncludes: Adjust toe-in on all models.
DOES NOT include R&l rack & pinion gear.
NOTE: Manufaclurer recommends removal of rack & pinion steering gear when replacing inner tie rod ends on some
models. lf removal of rack & pinion gear is ne@ssary use Steeri
NCP
Tie Rod End - tnner
$103 14
Tie Rod End - tnner
$233 04
TWO WHEEL ALIGNMENT M
Cancel check operation if alignment is made.
Note: M - Labor Oatabase, Copyright, l\ritche tnternational,
Rights Reserved
1 2222"
NCP
2222'
Box
R&R
GUIDE
New
2693081
2696087
GUIDE
CHECK
$192.00-
$427.11
$80.00
$103.14
s233.04
$40.00
A
Labor
Parts
$31 2.00
$763.29
$0 00
$10 92
$0.00
SubleUMisc.
Shop Supplies
Charges
Sales Tax
,uu,
2222
ar,r,-,,u.,
ASE-1869-5608
rax@$774.2't'5.4000%
'ot"'
o'"
...W
$41.81
ffiB