~~~~~ ~~ ~~~~ ~~ ~~~~~~~~~ ~~~~~ ~~~~~~~
~~~~~ ~~1000V~
108000 KM 114000 KM
YETKİLİ SERVİS : YETKİLİ SERVİS :
KAŞE VE İMZA : KAŞE VE İMZA :
TARİH:............................KM:................................... TARİH:............................KM:...................................
120000 KM 126000 KM
YETKİLİ SERVİS : YETKİLİ SERVİS :
KAŞE VE İMZA : KAŞE VE İMZA :
TARİH:............................KM:.... TARİH:............................KM:....
132000 KM 138000 KM
YETKİLİ SERVİS : YETKİLİ SERVİS :
KAŞE VE İMZA : KAŞE VE İMZA :
TARİH:............................KM:.... TARİH:............................KM:....