Call Report CFSID

19~10523 SIGCODE

74

Address : PERSHING RD@PINE ST

City 1 State 1 Zip : ZANESVILLE, DH 43701

Phone:

Ordinance No. 19-87

CALL DATEITIME 4127/2019 7:34:49PM

Can Description : DISABLED VEHICLE-"SEE CALLER AT 804 PINE ST~ADV HE WAS DRIVING DOWN THE RD AND BOTH DRIVER'S SIDE TIRES POPPED. BELIEVES THE MANHOLE DUE TO THE CONSTRUCTION

Calier Name : SEEVERS, MARK

CFS VEHICLES

Type Year Make Model SIyIQ Color

Plate # State VIN Tow?

FIX4526

GHA6073

2011 MAZD PRO

OH JM1BL1U53B1390035

GRY

False

2008 VOLK RAB WHI

OH WVWBA71F78V033271 ?',..J. c....,. s..,.... ~ False

Aulhority CAD - Civica eMI - CopyRight 2009

413012019

11 :41 :34AM Page 2 of 3

.. .. i"formation

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, .lti ('untit,,1

Buckey Tire, Inc .

Invoice Datc 1128/2019 Hcfcrcncc !,/3t>f Salesperson.

Houter ')cllvcry Date 1/2812019

, ~.';1I ( !.1 3 5 IIC Nc f IX4!J'6 LJn ,t

VIN JM1BI 1U~3B139003!> ' ~., ~; ' Il.JIPIXX1 "' ,19 I OfQI)C (ft Ibsl 6!:t 81 'Inflalion I-rontlHoar (P5t1 37/37

Description

,' :1,,1l7:17H 70~)I"OH1189V. Assurance ComforTrcd lounng IIW SI Goodyea r 11'f: D ismount/Mount Pass

lJ INhnci Bulance PU::i~cngcr

)ISPOSA! PASS

1 ~ (!p!aGemen1 Valve Stern Where Applicable

l;t)(lCn l lOn Synthetic

',~ , I I ! H M~688 (51-1. VI HS)

Ordinance No. 19-87 Invoice #573~ .

Additional Information PO Number Work Ordcrll W 1OU1GA

Comment Comment

I nlnrcd I ;y: BnannH I lood

M:I<:agc IN 13h?l~1 Mllcctg<: OlJ I 13!,;i n,

Unit Price 167 ;'0

0.00 0.00

7 "0 0 .00

099;

16 00

Subtotal: 01 I Siale Salos 1 ax

Ott State 1 Ire 1 el!

ext. Price 6!,O 00

o 00

o 0:;

1000 () 00

!,n Btl

1H DO

735.95 !)3 ~)B

Ii 00 Shop Supply /-eo'

Total: 1I78120191'aymcnt# I' 1991/1 ,\mount

$796.68 $196 OR

• ~j , )1 1 l.N~t) {no 68

Signature

Balance: 50.00

Thank You For Your Business! " :" ... ' ,lieu 'UPitu ..... ork ~o 00 dl)nt~ a lOllg with the! m!ccs~aly m Olter",1 alld t'lOfoby grant JOQ Buckqy Ilrt} In,: perl ' IIM,'O" 10 01)(>'," ' :

.. " . ' (lm.r.',lmd ron s{mr' IS tU!~hW'ays or c ISl.."Wh(!U! for the purpose 01 tl!SIIf1!J andlor Inspection An cxpn:ss mt:chan,C':4 III:n I' hCU'uy 'r t n ,inn\o t~ vcn letc to !-.cC!urC' !lIn amount or ropalfs thereIn Joe Houckt!y l11C Inc II'; not respons.lble ror less o r d::.rnilQll to v, ' !l 'C!cs U' .. , I -:'\.~ n CI1.!*C of h'l~ Inc.i'l or tlnV oth.cr C<lLl5C br.yond 11 '!5 centrol 1\ t ~% ( 1 a", AI'H) ~CrvICC charge Will be iI!;SCSSCtl Ofl .. ny Hfn llUI ~

:" :; ':' ,:(!h'lQuont lmvor.o :!O days

Sl9natufe

Orclinance No. 19-87

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",1m""", No. 19-87

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