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Niederlassung/Vertretung - Betriebs-Nr. | Kunde | |
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Fahrzeug-Ident-Nr. | Reparatur-Auftrag Nr. | |
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Prüfer: Name | Datum | |
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Amtliches Kennzeichen Erstzulassung Typ | Motor-Nr. | Tachometerstand: km/Meilen |
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Verrechnungsnummer: | 5891249 |
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