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To: |
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Assured: |
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Claimant: |
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Status:
Open
Closed |
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Location of
Insp: |
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| License # (State):
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| Mileage: |
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| VIN: |
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| Engine (Make,
Model, Size): |
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| Engine Type: |
Diesel
Gas |
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Wheel (Size): |
Bud
Spoke
Aluminum |
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Cab Type: |
Conv
COE |
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Sleeper/size: |
Cab Material:
Aluminum
Steel
Fiber |
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Trans (Make, Model,
Speed, aux.):
|
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| Rear Susp. (Make,
Tandem, Tag, Single, Pusher): |
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| Differential (Make,
Model, Speeds): |
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| Steering: (Make,
Manual, Power) |
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| Brakes: |
Hydraulic
Vacuum
Air
Springload |
| Frame: |
Steel
Aluminum
Standard
Extended |
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Fuel Tank (Capacity): |
|
Type |
Aluminum
Steel |
# of Tanks |
1 |
| Step |
Yes
No |
2 |
| Fifth Wheel
(Make): |
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| Fifth Wheel
(Type): |
Stationary
Slider
Manual
Air |
| Paint Condition: |
Exterior
Interior
Lettered
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| Cab Air/Condition (Make): |
Cab
mounted
Built
in |
| Cab Condition: |
Excellent
Good
Average
Poor |
| Mechanical
Condition: |
Excellent
Good
Average
Poor |
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©1999-2003 Bob Kinder and Son, Inc All Rights Reserved
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