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Verkstad - referensnr | Kund | |
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Chassinummer | Reparationsordernummer | |
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Besiktningsman: namn | Datum | |
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Officiellt registreringsnummer Första registrering Typ | Motornummer | Mätarställning: km/miles |
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Avräkningsnummer: | 5891249 |
Kontaktperson: | ____________________________________________________________ |
Telefonnummer: | ____________________________________________________________ |
Fax: | ____________________________________________________________ |
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