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Goodyear Account Manual

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Goodyear Account Manual 0102 5 J TRUCKING LLC ~ 4090 N US HWY 79, Palestine, Texas 75801 A Purchase Order Number is required for purchases over $500. Servicing dealer must FAX a copy of signed delivery receipt along with their call back phone# to Attn: Tommy Meritt at 903-729-0910. Fleet will call back with Purchase Order #. Purchase Order Number Required for purchases over $500 Complete SHIP - TO Name and Address of Location Making the Purchase Vehicle Number Odometer Reading 0016 A-1 FREEMAN ~ 11517 N Broadway Extention, Oklahoma City, Oklahoma 73114 Purchase Order Number A Purchase Order Number MUST be obtained by calling TOLL FREE 800/654-9286 Vehicle Number Location Code Odometer Reading 0046 A DUIE PYLE INC ~ 650 Westtown Rd, West Chester, Pennsylvania 19381 Complete SHIP-TO Name and Address of Location Making the Purchase Wheel Location Vehicle Number Disposition of Old Tire Return tire with driver whenever possible 8683 A N WEBBER, INC ~ P O Box 95, Chebanse, Illinois 60922 NOTE: TIRE PREFERENCE FOR OVER THE ROAD PURCHASES: STEER TIRE 1. G399 2. SP384 DRIVE TIRE: 1. Gold Medallion Retread 2. G399 3. SP384 TRAILER TIRE: 1. Gold Medallion Retread 2. New G316 Purchase Order Number A Purchase Order Number MUST be obtained by calling TOLL FREE 800/435-0940 or 800/845-8704. Vehicle Number Odometer Reading 0006 A & A EXPRESS INC ~ 1015 9th Ave North, Brandon, South Dakota 57005 Purchase Order Number A Purchase Order Number MUST be obtained by calling TOLL FREE 800.658.3549. Complete SHIP - TO Name and Address of Location Making the Purchase Page 1 of 261 4/5/2012 file://C:\acctmanUS.htm
Transcript
Page 1: Goodyear Account Manual

Goodyear Account Manual

0102 5 J TRUCKING LLC ~ 4090 N US HWY 79, Palestine, Texas 75801

A Purchase Order Number is required for purchases over $500. Servicing dealer must FAX a copy of signed delivery receipt along with their call

back phone# to Attn: Tommy Meritt at 903-729-0910. Fleet will call back with Purchase Order #.

Purchase Order Number

Required for purchases over $500

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

0016 A-1 FREEMAN ~ 11517 N Broadway Extention, Oklahoma City, Oklahoma 73114

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/654-9286

Vehicle Number

Location Code

Odometer Reading

0046 A DUIE PYLE INC ~ 650 Westtown Rd, West Chester, Pennsylvania 19381

Complete SHIP-TO Name and Address of Location Making the Purchase

Wheel Location

Vehicle Number

Disposition of Old Tire

Return tire with driver whenever possible

8683 A N WEBBER, INC ~ P O Box 95, Chebanse, Illinois 60922

NOTE: TIRE PREFERENCE FOR OVER THE ROAD PURCHASES:

STEER TIRE

1. G399

2. SP384

DRIVE TIRE:

1. Gold Medallion Retread

2. G399

3. SP384

TRAILER TIRE:

1. Gold Medallion Retread

2. New G316

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/435-0940 or 800/845-8704.

Vehicle Number

Odometer Reading

0006 A & A EXPRESS INC ~ 1015 9th Ave North, Brandon, South Dakota 57005

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.658.3549.

Complete SHIP - TO Name and Address of Location Making the Purchase

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Vehicle Number

Odometer Reading

0030 A & K EARTHMOVERS INC ~ 515 Windmill Dr, Fallon, Nevada 89406

Purchase Order Number

A purchase order number will be provided

Vehicle Number

Unit Number

Odometer Reading

0002 AAA COOPER TRANSPORTATION ~ 1751 Kinsey Road, Dothan, Alabama 36302

Purchase Order Number

You MUST obtain PO# by calling Randy at 334-836-8261

Complete SHIP - TO Name and Address of Location Making the Purchase

Terminal #

Odometer Reading

0027 ABC PROFESSIONAL TREE SERVICES INC ~ 4831 Old Galveston Rd, Houston, Texas 77017

Purchase Order Number

Authorization MUST be obtained BEFORE service is performed by calling Martin Arriola at 281.638.3558, Martin Jasso at

713.875.8222 or Maria Garcia at 713-645-5825. Once service is completed a return call MUST be made to obtain a Purchase

Order Number.

Unit Number

Odometer Reading

VIN Number

Branch Manager's Name

Name of Manager/General Foremen who is ordering tires and/or service

Reason for Replacement

Reason casing not purchased

Driver's Name

Driver's Telephone #

0028 ABE'S TRASH SERVICE INC ~ 8123 Christensen Lane, Omaha, Nebraska 68122

Vehicle Number

Name of person placing order

0003 ABF FREIGHT SYSTEM INC ~ 3801 Old Greenwood Rd, P O Box 10048, Fort Smith, Arkansas 72917-0048

Purchase Order Number

A Purchase Order Number is only required for purchases exceeding $100. Obtain when required either from the local breakdown

person (driver will have the telephone number) or call Bill Holloway at 501-945-9874.

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application, so you MUST

ask the customer for correct information.

0019 ABILENE MOTOR EXPRESS INC ~ P O Box 34507, Richmond, Virginia 23234

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/486-5985.

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Trailer Number

Vehicle Number

Odometer Reading

0023 ACE SERVICE CENTER INC ~ 204 County Highway 157, Gloversville, New York 12078

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.544.0011 Ext 106.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

License Number and State Issuing

Odometer Reading

0022 ACE WORLD-WIDE MOVING & STORAGE COMPANY ~ 1900 E College Ave, Cudahy, Wisconsin 53110

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 414.918.4306 between the hours of 8AM and 5PM CST. After hours driver

is to call dispatch to obtain a PO.

Authorized By

Purchase Order Numbers must be obtained from one of the following people ONLY:

Terry Rogers or Scott Szuta.

DO NOT use drivers name.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Vehicle Number

Driver's License Number And State Issuing

0032 ACME BRICK COMPANY ~ 3024 Acme Brick Plaza, Forth Worth, Texas 76109-4104

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL-FREE 800.607.4493

Complete SHIP-TO Name and Address of Location Making the Purchase

Location Code

VIN Number

Last 6 digits

Wheel Location

Odometer Reading

0034 ACME CONCRETE PAVING INC ~ 4124 E Broadway, Spokane, Washington 99202

Manufacturer Equipment (Y)es or (N)o?

Your (Y)es or (N)o answer will determine if transaction is exempt from sales tax.

Complete SHIP - TO Name and Address of Location or Job Making the Purchase

Job Number

Vehicle/Equipment Number

License Number and State Issuing

0036 ACME REFINING COMPANY ~ 3357 S Justine St , Chicago, Illinois 60608

Purchase Order Number

A Purchase Order Number must be obtained by calling Brian at 312.296.2328 or Mac at 773.617.9315 during regular business

hours of 6AM to 6 PM CT. Call next business day for after hours road service call.

Vehicle Number

Wheel Location

License Number and State Issuing

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0042 ACTION MESSENGER INC ~ DBA Action Express 6023 S Howell Ave, Milwaukee, Wisconsin 53207

NOTE: TIRE DELIVERY RESTRICTED TO THE FOLLOWING:

Steer Position - First Choice G-395 or call

Drive Position - First Choice G372 - Second Choice Used Tire or call

Trailer Position - First choice G-314 - Second Choice Used Tire or call

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Wayne at 414.406.0589

Truck Number

0045 ACTION RESOURCES INC ~ 40 County Road 517, Hanceville, Alabama 35077

NOTE: FIRST PREFERENCE: STEER G395, DRIVE G372, TRAILER G316 OR G314

NOTE: SECOND PREFERENCE: STEER KLHA, DRIVE 305 or KDA, TRAILER KTSA

NOTE: THIRD PREFERENCE: STEER SP384, DRIVE SP453, TRAILER SP193

NOTE: A copy of the delivery receipt MUST be faxed to (256) 352-2687.

Purchase Order Number

A Purchase Order number will be supplied by location requesting service

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Wheel Location

0040 ADAMS MOTOR EXPRESS INC ~ Hwy 320 P O Box 450, Carnesville, Georgia 30521-0450

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/828-5919 or COLLECT 404/384-4533.

Vehicle Number

Odometer Reading

0048 ADAMS TRUCKING INC ~ 1655 Industrial Ave, Sidney, Nebraska 69162

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Monday through Friday 7AM to 5PM (MT) and Saturday 7AM to 12PM (MT)

308.254.0909.

After regular business hours call 308.249.5116.

Driver's Id Code

Vehicle Number

Truck and/or Trailer Number

Odometer/Hubdometer Reading

0047 ADVANCED DISPOSAL SERVICES INC ~ 9995 Gate Parkway, Ste 200, Jacksonville, Florida 32256

Purchase Order Number

A Purchase Order Number may be obtained by calling the individual branch manager. Each branch uses their own system. Some

branches may not issue a PO.

Complete SHIP-TO Name and Address of Location Making the Purchase

Branch Number

Vehicle Number

Odometer Reading

0051 ADVANCED WHEEL SALES LLC ~ 1645 Westbelt Drive, Columbus, Ohio 43228

Purchase Order Number

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A Purchase Order Number MUST be obtained by calliing 614.219.3052

Complete SHIP - TO Name and Address of Location Making the Purchase

0004 AG PRO-VISION INC ~ 277 Faison McGowan Rd, Kenansville, North Carolina 28349

Purchase Order Number (2 Digit Alpha Prefix Will Be Company Code Number)

A Purchase Order Number MUST be obtained by calling TOLL FREE or COLLECT the operating company making the purchase. The

company code numbers, name and telephone numbers are listed below.

Complete Ship-To Name And Address Of Location Making The Purchase

Company Code Number (First 2 Digits Of P O Number)

Vehicle Number

Odometer Reading

0079 AG VANTAGE FS INC ~ Division of Growmark Inc 1600 8th St SW, Waverly, Iowa 50677

Purchase Order Number

A Purchase Order Number will be provided by the driver.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

0072 AGGREGATE INDUSTRIES INC ~ PO Box 5637 , Rockville, Maryland 20855-0637

Purchase Order Number

Complete Ship - To Name And Address Of Location Making The Purchase

Vehicle Number

Wheel Location of tire replaced

Location Code

Vin Number

Odometer Reading

0080 AIM LEASING INC ~ dba AIM Nationalease 1500 Trumbull Ave, Girard, Ohio 44240

CO# CO NAME PHONE # CITY, STATE

AP Ag Protein Inc 910/289-2924 Rose Hill, NC

AV Ag Pro-Vision Inc 910-296-0302 Ext 223 (Ginger or Bud) Kenansville, NC

BC Browns of Carolina Inc 910/293-3600 Warsaw, NC

CP Carolina Food Processors 910/862-7675 Tarheel, NC

CT Carolina Turkey 919/658-6743 Mt Olive, NC

CA Carroll's Foods Inc 910/293-3434 Warsaw, NC

CV Carroll's of Virginia 804/357-0764 Waverly, VA

CF Circle Four Farms 801/387-5503 Milford UT

CO Coharie Farms 910/592-0105 Clinton, NC

CI Columbia Farms Inc 803/532-1528 Leesville SC

CL Columbia Farms Inc 706/356-1009 Canon GA

GW Gwaltney of Smithfield Ltd 804/357-3131 Smithfield VA

HR House of Raeford Farms Inc 910/875-5161 Rose Hill NC

LM Laurinburg Milling Co 910/276-1621 Laurinburg NC

LP Laughlin Poultry Farm Inc 919/778-6566 Goldsboro NC

MU Murphy Farms Inc 910/289-2111 Rose Hill NC

MI Murphy of Iowa 515/825-3883 Goldfield IA

MM Murphy of Missouri 417/398-2212 Nevada MO

OK Murphy of Oklahoma 417/667-0707 Laverne OK

JO Nash Johnson & Sons Farms Inc 800/476-9688 Rose Hill NC

PM Prestage Farms of MS 662/494-0813, Ext 251 West Point MS

PR Prestage Farms Inc 910/592-5771 Clinton NC

SL Sleepy Creek Turkey Inc 919/778-3130 Goldsboro NC

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NOTE: Include Roll Time on delivery ticket for Emergency Road Service Calls AND FAX copy of Delivery Tickets to 330.759.5531 OR

330.759.5506

Purchase Order Number

Purchase Order Number MUST be obtained by the requestor of service. Do NOT service until PO received. FAX copy of Delivery

Tickets for emergency road service to 330.759.5531 OR 330.759.5506

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Disposition of Old Tires

Return tires with driver on ALL emergency road service calls

Wheel Location

Odometer Reading

0082 AIR LIQUIDE AMERICA CORP ~ P O Box 3047, Houston, Texas 77253

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the driver's home terminal COLLECT. The driver will have the phone

number.

Complete Ship-To Name And Address Of Location Making The Purchase

Location Code

Odometer Reading

Vehicle Number

0085 AIR PRODUCTS AND CHEMICALS INC ~ 7201 Hamilton Blvd, Allentown, Pennsylvania 18195

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Not necessary for stock purchases

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Odometer Reading

0090 AIR TREADS INC ~ 13220 Molette St, Santa Fe Springs, California 90670

NOTE: Tire and Tubes (Batteries not eligible)

NOTE: Retreads and Repairs - Bill Locally

Purchase Order Number

Vehicle Number

License Number And State Issuing

Odometer Reading

0115 AIRGAS INC ON BEHALF OF ITS SUBS AND ITS ~ AFFILIATES - C/O WFS 2240 South 5370 West, West Valley City, Utah 84120

Purchase Order Number

A purchase order number MUST be obtained by calling Toll-Free 800.350.1555

Complete SHIP - TO Name and Address of Location Making the Purchase

Unit Number

VIN Number

Wheel Location

Disposition of Old Tire

Linehaul casing MUST be purchased and casing credit given IF NOT purchased WHY.

Odometer Reading

0081 AIR/GROUND XPRESS INC ~ 55 Matchette Dr, Clinton, Pennsylvania 15026

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Purchase Order Number

Authorization MUST be obtained for any tires and/or service in excess of $500 by calling TOLL FREE 800.247.1188

Vehicle Number

Complete SHIP-TO Name and Address of Location Making the Purchase

Employee Number

Driver's Employee ID Number

Wheel Location

Driver's Name

0121 ALABAMA CARRIERS INC ~ 3800 Industrial Dr, Birmingham, Alabama 35217

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/721-7107.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

0124 ALABAMA MOTOR EXPRESS INC ~ 10720 E US Highway 84, Ashford, Alabama 36312

NOTE: All Tires are 295/75R22.5

All 18 tires to be aired to 100 psi

Steer:

1st - G399

2nd - SP384

Drive/Trailer:

1st - Gold Medallion

2nd - KTSA

3rd - G316

4th - SP193

AMX employee to drive to tire dealer (preferably truck stop open 24/7) when possible

Take extra tire for road service

IF AMX breakdown cannot handle issue, contact shop manger Jackie Dansby at [email protected] or cell #334.790.7371.

Purchase Order Number

A purchase order number MUST be obtained by calling 1-800-633-7590 Ext 101 OR 1-888-873-3425

Driver's Id Code

Vehicle Number

Wheel Location

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST ask the

customer for correct information.

Serial Number of Old Tire

Serial Number of New Tire

0122 ALABAMA POWER ~ 600 North 18th Street, Birmingham, Alabama 35291

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Odometer Reading

7160 ALAN RITCHEY, INC ~ 740 S I 35, Valley View, Texas 76272

NOTE: NO EQUAL IS TO BE ADDED TO TIRES FOR BALANCE

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/877-0273.

Vehicle Number

Odometer/Hubdometer Reading

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Driver's License Number And State Issuing

Wheel Location

0025 ALD AUTOMOTIVE, INC. ~ 901 Deming Way Suite 101, Madison, Wisconsin 53744-4009

Formerly known as Ultea, Inc.

Purchase Order Number

PO# must be obtained by calling 877-870-4999 option 2 twice.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Consists of last 8 digits of VIN#

Vehicle Type

Odometer Reading

VIN Number

0143 ALL-POINTS WASTE SERVICE INC ~ 1055 Van Bulen Ave, Indian Trail, North Carolina 28079

0141 ALL ERECTION & CRANE RENTAL ~ 7809 Old Rockside Rd, Cleveland, Ohio 44131

Purchase Order Number

Odometer Reading

0151 ALL TRUCK TRANSPORTATION COMPANY INC ~ 4924 South Austin, Chicago, Illinois 60638

Vehicle Number

Driver's Name

0158 ALLEGHENY POWER SYSTEM INC ~ 313 South Seventh St, Bldg #7, Connellsville, Pennsylvania 15425

CC Token Number

Credit Card Type

Visa (VS)

Credit Card Holders Name

Name as printed on the credit card

Credit Card Expiration Date

mm/dd/yy or mm/dd/yyyy format

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Printed Name of Person Authorizing Purchase

0166 ALLIANCE HEALTHCARE SERVICES INC ~ dba Alliance Imaging Inc 100 Bayview Circle, Suite 400, Newport Beach, California 92660

ONLY USE NA-0166 - DO NOT USE GE PROGRAM

FOLLOWING TIRES MUST BE USED AS FIRST CHOICE

IF NOT AVAILABLE MUST GET AUTHORIZATION FOR PURCHASE ORDER.

STEER - G399 LHS (G)

DRIVE - G572 LHD (G)

Approved 2nd Choice - G305 LHD (G)

TRAIL - G661 HSA (G) 295/75R225

TRAIL - G661 HSA (H) 255/70R225

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TRAIL - G661 HSA (H) 11R225

Purchase Order Number

Vehicle Number

Unit #

Odometer Reading

Driver's Name

0162 ALLIANCE SERVICE ADVANTAGE ~ DIV OF DAIMLER TRUCK NORTH AMERICA LLC 2477 Deerfield Drive Mail Code FTM-2, Fort Mill,

South Carolina 29715

Purchase Order Number

To be provided when service is requested.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Reference #/Release#

To be provided when service is requested.

0249 ALLIANT ENERGY CORPORATION SERVICES INC ~ 4902 North Biltmore Lane, Madison, Wisconsin 53707-1007

Purchase Order Number

A complete 15 digit Purchase Order Number must be provided. For assistance call Alliant Energy Fleet Central at 877.282.7900.

Vehicle Number

A 5 or 6 digit Fleet Focus vehicle number must be provided.

Hq Loc Of Vehicle

Indicate the SHIP-TO STATE (exp: WI or IA) for tax purpose

Repair Order #

A Repair Order Number must be provided. If repair order not required then input 'NOWO'. DO NOT enter zeros in this field. For

assistant call Alliant Energy Fleet Central at 877.282.7900.

Employee Number

Driver's Signature

Obtain complete name (first and last) of driver

Odometer Reading

0183 ALLIED PURCHASING CO ~ P O Box # 1249, Mason City, Iowa 50402-1249

NOTE: DO NOT CONFUSE PEPSI-COLA PURCHASES WITH

NEW BERN TRANSP CORP dba PEPSI COLA BOTTLING NA-6012

NOTE: ALL DELIVERY RECEIPTS MUST REFLECT THE FOUR-DIGIT NA SEQUENCE NUMBER AND THE APPROPRIATE SIX-DIGIT NON-SIG NUMBER

LISTED BELOW. SHOW AS FOLLOWS:

1. MANUAL DEALER TICKETS - Enter in the Customer Code

blank as: (EXAMPLE) 0183-XXXXXX.

2. GBMS - Enter the Non-Sig in the Ship-To Search Name field.

NOTE: Lilly Dairy discontinued membership eff 3-11-04

Purchase Order Number Or Credit Card Number

In an emergency or for verification call TOLL FREE 800/247-5956. Do not call for P O or Credit Card Numbers. The driver will have

these numbers.

Complete Ship-To Name And Address Of Member Dairy

Vehicle Number (Needed By A M P I Only)

Odometer Reading

Vin Number (Needed By A M P I Only)

NON-SIG # USE FOR:

202489 Deliveries to A M P I Mid-South Div

206874 All other Deliveries

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0204 ALLIED SYSTEMS HOLDINGS INC ~ (Various Locations)

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the terminal making the purchase.

Complete Ship-To Name And Address Of Location Making The Purchase.

Terminal Number

Vehicle Number

Odometer Reading

0148 ALLSTATE LEASING INC ~ 9428 Reistertown Rd, Owings Mills, Maryland 21117

NOTE: Valve Stems may NEVER be billed thru this program. If they are needed or desired by the customer THEY MUST BE PAID IN CASH BY

THE DRIVER.

Purchase Order Number

A five digit P O Number MUST BE OBTAINED for ALL maintenance and service over $50 by calling TOLL FREE 888/232-7555

Vehicle Number

License Number And State Issuing

Year, Make And Model

Odometer Reading

Vin Number (Last 8 Digits)

0252 ALPONT TRANSPORTATION LLC ~ 2797 Freedland Rd, Hermitage, Pennsylvania 16148

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.422.2436.

Vehicle Number

Odometer Reading

0247 ALTEC INDUSTRIES INC ~ 210 Inverness Center Dr, Birmingham, Alabama 35242

Purchase Order Number

A Purchase Order Number MUST be obtained from the Division making the purchase

Complete Ship-To Name And Address Of Location Making The Purchase.

Name Of Person Authorizing Purchase

Branch Number

Order Number

Required for West Palm Beach FL location ONLY

Odometer Reading

Disposition Of Old Tires

0251 ALTENDORF INC ~ 105 7th St, Minto, North Dakota 58261

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Unit Number

Odometer Reading

0253 ALTER TRADING CORPORATION ~ 700 Office Parkway, St Louis, Missouri 63141-7105

Purchase Order Number

You MUST obtain PO#, also known as MRO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Also known as MRO#

Yard #

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Odometer Reading

0257 AMAROK INC ~ 2227 W Pecos Rd, Suite 4, Chandler, Arizona 85224

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL-FREE 800.940.6027.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

0266 AMERADA HESS CORPORATION ~ 1 Hess Plaza P O Box 500, Woodbridge, New Jersey 7095-500

Physical Purchase Order Purchase Order Number Or Blanket Purchase Order Number

Amerada Hess Truck Terminals will use a Purchase Order Number only.

Blanket Purchase Order Number will be used by the New Haven Garage and Salisbury MD ONLY.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

License Number And State Issuing

Complete Ship-To Name And Address Of Location Making The Purchase

Odometer Reading

0495 AMERI-CO CARRIERS INC ~ 1702 East Overland, Scottsbluff, Nebraska 69361

Purchase Order Number

You MUST obtain a purchase order number by calling Mike Groskopf at 800.445.5400

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Trailer Number

Wheel Location

Authorized By

License Number and State Issuing

0466 AMERICA'S SECOND HARVEST INC ~ 35 East Wacker, Chicago, Illinois 60603

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 312/263-2303.

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Driver's License Number

Odometer Reading

0026 AMERICAN AUTOMOBILE ASSOC ~ CREDIT CARD PROGRAM ONLY - PREFERRED SUPPLIERS 1000 AAA Drive, Heathrow, Florida 32746-

5063

NOTE: ONLY 5 CLUBS ARE AUTHORIZED TO PURCHASE THROUGH THIS PROGRAM.

(Alabama, Hawaii, New Mexico, Texas and Southern California)

ALL OTHER CLUBS PURCHASE THROUGH NATIONAL ACCOUNT PROGRAM NA-0001.

NOTE: Letter of Authorization MUST be presented at time of sale in order to purchase tires/service through this program.

Authorization Letter expries 30 days from the issue date.

Emergency Road Service calls are NOT Authorized.

Purchase Order Number

Obtain from Letter of Authorization presented by driver

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Complete SHIP - TO Name and Address of Independent Contractor Making the Purchase

Club Number

Vehicle Number

Token Number

Credit Card Type

American Express (AX) Mastercard (MC) Visa (VS)

Credit Card Expiration Date

MM/YYYY

Credit Card Holders Name

Odometer Reading

0001 AMERICAN AUTOMOBILE ASSOC ~ dba: AAA 1000 AAA Drive, Heathrow, Florida 32746-5063

NOTE: DO NOT CONFUSE WITH NA-0026, AMERICAN AUTOMOBILE ASSOC. ONLY 5 CLUBS ARE AUTHORIZED TO PURCHASE THROUGH NA-

0026.

ALL OTHER CLUBS PURCHASE THROUGH THIS PROGRAM.

NOTE: TIRES AND TIRE RELATED SERVICES ONLY

Emergency Road Service Calls are NOT Authorized.

Purchase Order Number

Purchase order number will be issued by the local club

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Club #

Odometer Reading

0316 AMERICAN BUILDERS & CONTRACTOR'S SUPPLY CO INC ~ 1 ABC Parkway, Beloit, Wisconsin 53511

NOTE: Sent copy of Retread Work Order back to location for casing credits or retreaded tires

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the location the driver reports to. Driver will have the number. In an

emergency call COLLECT 608/362-7777

Complete Ship-To Name And Address Of Location Making The Purchase.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Center Number

Vehicle Number

Disposition of Old Tires

Casing Credit; Sent in for Retreading or Scrap

Odometer Reading

0332 AMERICAN CENTRAL TRANSPORT INC ~ 1700 Old 210 Hwy, Liberty, Missouri 64068

Purchase Order Number

A Purchase Order Number MUST be obtained at time of service by calling TOLL FREE 800/445-5235 Ext 311. For assistance

between the hours of 12:00 a.m and 6:00 a.m. press option 2.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Vehicle Number

Wheel Location of Tire Installed

Disposition Of Old Tires

Return old tires to driver

Hubdometer

0362 AMERICAN EAGLE TRANSPORTATION CORP ~ 8335 NW 64th St, Miami, Florida 33166

Purchase Order Number

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A Purchase Order Number MUST be obtained by calling TOLL FREE 800/823-2155 OR COLLECT 305/591-2155.

Vehicle Number

Odometer Reading

0366 AMERICAN ELECTRIC POWER SERVICE CORPORATION ~ 1 Riverside Plaza, Columbus, Ohio 43215

CC Token

Credit Card Type

MasterCard (MC)

Credit Card Holders Name

Name as printed on the credit card

Credit Card Expiration Date

mm/dd/yy or mm/dd/yyyy format

Complete SHIP-TO Name and Address of Location Making the Purchase

Garage Code

Must obtain for every transaction. (2 alpha and 1 numeric OR 3 alpha)

Vehicle Number

6 numeric digits or 5 alpha for Stock

Odometer Reading

0381 AMERICAN LAFRANCE LLC ~ 1090 Newton Way, Summerville, South Carolina 29483

Purchase Order Number

A Purchase Order number MUST be obtained by calling 843.486.7684

0391 AMERICAN MEDICAL RESPONSE ~ (Various Locations)

Vehicle Number

Complete Ship-To Name And Address Of Location Making The Purchase

Odometer Reading

0463 AMERICAN READY-MIX INC ~ 1475 E Greg St, Sparks, Nevada 89431

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 775.786.8773

Vehicle Number

0508 AMERIGAS ~ (Various Locations)

Purchase Order Number

Authorization MUST be obtained by calling TOLL FREE 800/257-8246.

NOTE: EVEN THOUGH ARI WILL BE GIVING THE PURCHASE ORDER NUMBER; CONTINUE TO PROCESS THE DOCUMENT THROUGH

THIS ACCOUNT.

Calls MUST PRECEDE REPAIRS. When a Purchase Order Number is used driver CANNOT authorize any repairs. After hours do only

what is necessary to return the driver to the road and call ARI the following day for approval. Driver cannot authorize repairs.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

License Number And State Issuing

Vin Number (Last 8 Digits Only)

Odometer Reading

Number of casings for possible credit

Qty Casing Retained (Quantity of casings that are returned by customer and being considered for retreading)

G82 Retread Work Order#

The work order number assigned to the casings being submitted for possible retreading

Preventative Maintenance Coupon

Light duty cars and trucks may have a SafeCare Preventive Maintenance Coupon Book. Each Coupon Book will contain pre-

numbered coupons denoting the service period and specific services to be performed for that period. The coupon number (7

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positions) will be used in lieu of a Purchase Order Number and becomes the sole authority for ONLY those services listed on the

Coupon. Additional purchases will require an approval by calling ARI TOLL FREE 800/257-8246. Each coupon will reflect the

complete description of the vehicle. No Coupon is to be accepted for a vehicle other than the one listed on the coupon. Dealers

and stores must adhere to the following:

VIN on coupon must match VIN on vehicle. Operator of vehicle must sign and date Coupon.

Lessee / Client Number

Requirements for Retreads:

Drive position;

Maximum one (1) retread per casing.

Maximum casing age of 60 months (5 years) for retread.

Trailer position;

Maximum two (2) retreads per casing.

Maximum casing age of 84 months (7 years) for 2nd retread.

All casings must be examined and meet acceptable level.

Repairs;

Drive Tires;

Maximum one (1) major repair.

Nail hole limit one (1) per tire quarter ( 4 Maximum).

Trailer Tires;

Maximum two (2) major repairs.

Nail hole limit one (1) per tire quarter ( 4 Maximum).

Casing Specs:

Casing requirements must be followed.

Special Requirements.

Replacement Cap and Casing must be a major Brand Casing ( Goodyear, Michelin, Bridgestone) maximum age 60 months.

Servicing Dealer must issue casing credit for reusable casing turned in at the time of purchase, or a NRT ( non-retreadable tire)

report for the out of service tire. DR's without a NRT will not be processed.

Service Requirements:

NRT's

The servicing dealer will complete an NRT ( non-retreadable tire) Analysis Form for all NRT tires and must be submitted every 30

days.

0518 AMERIQUEST ~ 457 Haddonfield Rd - Ste 220, Cherry Hill, New Jersey 08002

Ameriquest Contact Phone # 1-800-608-0809

Tire Purchase Requirements

In order to better monitor and evaluate the purchasing cycles of our members, we are requesting that all suppliers obtain an authorization

number from AmeriQuest for any individual purchase in excess of $40,000. Authorization numbers can be obtained by calling the AmeriQuest

Member Support line (888.267.8378) between 7:00 AM and 4:00 PM CST, Monday through Friday.AmeriQuest reserves the right to

refuse/reverse payment of invoices greater than $40,000 that do not have proper authorization numbers. This situation would arise only in the

event that AmeriQuest has not issued an authorization number and has also not been paid by its customer. We ask for your support in this

policy and request that you implement ASAP.

Purchase Order Number required for every purchase

Complete SHIP-TO Name and Address of Approved Member Company Making the Purchase

Trailer Number

Vehicle/Unit Number

Location Code

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

License Number and State Issuing

Wheel Location

Odometer Reading

0509 AMHOF TRUCKING INC ~ 651 N Sixth Ave, Eldridge, Iowa 52748

Purchase Order Number

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A Purchase Order Number MUST be obtained by calling Toll Free 800/362-3137

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

Odometer Reading

0542 ANDERSON BROTHERS CONSTRUCTION CO ~ 11325 Hwy 210 East, Brainerd, Minnesota 56401

Purchase Order Number

A Purchase Order # MUST be obtained by calling 218.820.0097. Alternative telephone #, if necessary, Rob Larson at

218.829.1768.

0535 ANDERSON COLUMBIA CO INC ~ 871 NW Guerdon St, Lake City, Florida 32056

Purchase Order Number

Driver will obtain PO # from location supervisor and provide.

Location Code

Driver will provide

Vehicle Number

MUST provide Truck # on all Service/Road calls

Tag Number

Provide when there is not a Truck #

Employee Number

Employee Signature

0537 ANDERSON ERICKSON DAIRY CO ~ 2420 E University, Des Moines, Iowa 50317

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/234-6455 OR COLLECT 515/263-6322.

Vehicle Number

Odometer Reading

0538 ANDERSON TRUCKING SERVICE INC ~ 725 Opportunity Drive, St Cloud, Minnesota 56301-5886

FAX COMPLETED DELIVERY RECEIPT TO 320/255-7470

Check Id Card

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 866.624.0365. PO's for Over the Road purchases will be 6 digits. PO's for

ATS Service Locations will be 5 digits and PO's for independent drivers will be 7 digits.

Vehicle Number

Vehicle Type

Wheel Location

Reason for Replacement

License Number and State Issuing

Odometer Reading

0544 ANDREWS TRANSPORT LP ~ 5601 Denton Highway, Haltom City, Texas 76148

TIRE PREFERENCES

STEER

1. G399

2. SP384FM

DRIVE

1. Gold Medallion G305AT

2. G572

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3. Kelly - TA

TRAILER

1. Gold Medallion G316

2. G316 New

3. SP193FM

Purchase Order Number

A Purchase Order Number MUST be obtained for all virgin tire purchases from terminal shop manager. Driver will provide

telephone number.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Tractor Number

Trailer Number

Location Code

Odometer Reading

Driver's Name

0545 ANDRUS TRANSPORTATION SERVICE INC ~ 3185 East Deseret Dr North, St George, Utah 84771

Purchase Order Number

A purchase order number must be obtained by calling TOLL FREE 800/888-5838 or 800/759-7649.

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York. Your Y/N answer will facilitate correct sales tax application so you MUST ask

the customer for correct information.

0549 ANHEUSER-BUSCH CO INC ~ 1 Busch Place, St Louis, Missouri 63118

Wholesaler Number (WSLR #) must be obtained and entered in the Location Code Requirement.

Purchase Order Number

A Purchase Order Number MUST be obtained for ALL Anheuser-Busch CORPORATE locations. Each Independent location will have

its own policy if a purchase order is needed. When dealing with an independent location of Anheuser-Busch be sure to ask IF their

company requires a PO.

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

WSLR # (5 digit numeric number)

Vehicle Number

License Number and State Issuing

Odometer Reading

0550 ANKRUM TRUCKING INC ~ 1305 Taylor Place, Billings, Montana 59101

Vehicle Number

Truck # or Stock

Authorized By

0015 APL CO PRIVATE LTD ~ 1111 Broadway, Oakland, California 94607

Blanket Purchase Order Number

A Purchase Order Number MUST be obtained by calling 973/465-5955 (Eastern Region) or 773/650-7153 (Central Region)

Complete SHIP-TO Name and Address of Location Making the Purchase

Location Code

Vehicle Number

Odometer Reading

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0018 APM TERMINALS NORTH AMERICA INC ~ 6000 Carnegie Blvd, Charlotte, North Carolina 28209

Purchase Order Number

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

0558 AQUA PENNSYLVANIA INC ~ dba Aqua Resources Inc 762 W Lancaster Avenue, Bryn Mawr, Pennsylvania 19010-3489

NOTE: PHONE SILVIO DEANGELO 610.541.4169 FOR AUTHORIZATION WHEN TIRE SERVICE AND/OR AUTOMOTIVE REPAIRS EXCEED $2,500.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Silvio Deangelo at 610.541.4169 when tire service and/or automotive

repairs exceed $2,500.

Location Code

Vehicle Number

0560 ARAMARK SERVICES INC ~ (Various Locations)

Laidlaw, formerly ARA Transportation Group, is not part of and is not authorized to purchase thru this program.

Purchase Order Number

Vin Number

Complete Ship-To Name And Address Of Purchasing Location. Get Full Correct Subsidiary Name and Phone Number.

Vehicle Number

License Number and State Issuing

Cost Center Number

All uniform cost center numbers are 3 digits.

Odometer Reading

0566 ARCHER DANIELS MIDLAND CO ~ P O Box 1470, Decatur, Illinois 62525

NOTE: ALL DELIVERY RECEIPTS MUST REFLECT THE FOUR-DIGIT NA SEQUENCE NUMBER AND THE APPROPRIATE SIX-DIGIT NON-SIG NUMBER

LISTED BELOW. SHOW AS FOLLOWS:

GBMS - Enter the Non-Sig in the Ship-To Search Name field.

Purchase Order Number Or Credit Card Number Or Blanket Purchase Order Number

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

Odometer Reading

Driver's License Number And State Issuing

0568 ARCILLA TRUCKING CO LLC ~ 9474 Georgia Hwy 57, Mintyre, Georgia 31054

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 478-946-3711 between the hours of 7AM and 2 AM.

Branch Number

Mine; Truck or Semcoa

Vehicle Number

NON-SIG # USE FOR:

201811 Deliveries to ADM Alliance Nutrition Inc

204484 Deliveries to ADM Trucking Co

201087 All Other Deliveries

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0577 ARIZONA PUBLIC SERVICE COMPANY ~ dba APS 405 N 5th St, Phoenix, Arizona 85072

All Arizona Public Svc Co Ship-To Locations are in Arizona. Do NOT process a delivery ticket for any other state through this account.

Purchase Order Number

Driver will provide purchase order number. Blanket PO # consists of 9 numerics a dash and unit #.

Complete Name and Address of person making the purchase

Unit Number

0580 ARKA LOGISTICS INC ~ 2202 W 166th St, Markham, Illinois 60428

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 708.975.4545. After hours emergency road service call 708.259.5655.

Vehicle Number

License Number and State Issuing

0590 ARMELLINI EXPRESS LINES INC ~ P O Box 678, Palm City, Florida 34990-678

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 772/287-0575.

Vehicle Number

License Number And State Issuing

Odometer Reading

0607 ARPIN VAN LINES INC ~ P O Box 1302, East Greenwich, Rhode Island 02818-0998

Purchase Order Number (4 Digits)

A Purchase Order Number MUST be obtained PRIOR to any tires or service performed on any Arpin vehicles. Call TOLL FREE

800/343-3500 Monday thru Friday between the hours of 8:00 am and 5:00 pm:

Shelia Archilla...........Ext 231

Jay Johnson..............Ext 288

Deborah Lee............Ext 214

The following individual may be contacted on Saturdays between the hours of 8:00 AM and 12:00 PM:

Shelia Archilla.................401-338-6443

Service is NOT allowed after hours or on Sundays UNLESS a Purchase Order Number is obtained in advance from one of the

individuals listed above.

Wheel Position Of New Tire

Odometer Reading

0630 ASHLEY DISTRIBUTION SERVICES ~ One Ashley Way, Arcadia, Wisconsin 94612

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 608/323-6962.

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Wheel Location

Driver's License Number

Odometer Reading

0655 ASPLUNDH TREE EXPERT COMPANY ~ 708 Blair Mill Rd, Willow Grove, Pennsylvania 19090-1784

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Truck Number Or Equipment Number

7 numeric number

Crew Number

6 numeric number

Complete Ship-To Name And Address Of Subsidiary Company Receiving Merchandise

Contract Number

7 numeric number

Odometer Reading

0736 ATLANTIC UTILITY TRAILER SALES INC ~ 137 Crown Point Rd, West Deptford, New Jersey 08086

NOTE: Advise FleetHQ MUST notify dispatcher when road service work is completed by calling 856.384.7800, Option 4

Purchase Order Number

A Purchase Order # MUST be obtained during regular business hours, Monday thru Friday 8AM to 5PM, by calling 856.384.7800,

Option 4. After hours call next business day.

Vehicle Number

Wheel Location

Reason for Replacement

Hubdometer Reading

0747 ATLAS TERMINAL COMPANY INC ~ 1212 St George Rd, Evansville, Indiana 47711

Purchase Order Number

A Purchase Order Number MUST be obtained before the work can be performed by calling Mon-Fri 8:00 AM to 5:00 PM TOLL FREE

800/247-3686 April Ward, Tammy Dunkin, Bob Johnson, Ron Herrenbruck or Liz English. After hours and weekends call Ron

Herrenbruck 812/422-5038 or Monte Vanover 812/867-0951. Be sure to obtain the name of the person issuing the Purchase

Order.

Atlas Unit Identification Number Of Tractor Or Trailer Receiving Tires

Name of person authorizing the purchase

Type Of Vehicle

Driver's License Number And State Issuing

Odometer Reading

0754 ATMOS ENERGY CORP ~ 5430 LBJ Freeway, Dallas, Texas 75265

NOTE: REQUEST DRIVER TO PRESENT COMPANY ID FOR IDENTIFICATION

Vehicle Number

License Number and State Issuing

Employee Number

Odometer Reading

7759 AT&T SERVICES, INC. ~ dba AT&T Leasing Affiliates 1 Bell Center 34QI, St Louis, Missouri 63101

FORMERLY KNOWN AS SOUTHWESTERN BELL AND BELLSOUTH

NOTE: Tires, Tubes, and Batteries. All tires must be mounted on vehicle except for the Telephone Div.

Repair/Purchase Order Number

A Repair/Purchase Order Number MUST be obtained for purchases by the Telephone Div by calling TOLL FREE 888/254-5355.

Authority Number

Required for purchases over $200 for the Telecom Div ONLY.

Complete Ship-To Name And Address Of Location Making The Purchase (You Must Distinguish Between Telephone,

Mobile Or Telecom)

Vehicle Number

License Number And State Issuing

Odometer Reading

Author Phone Number

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0760 AUCTION TIRES ONLINE LLC ~ 708 Glasgow Place, Brentwood, Tennessee 37027

Formerly Supply Trader, Inc.

Purchase Order Number

This number will be the Work Order Number which will be provided by the auction making the purchase.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Will consist of the last 8 digits of the VIN number.

Odometer Reading

Location Code

0796 AUTO EXPEDITING INC ~ 12300 Farmington Rd, Livonia, Michigan 48150

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/388-7926.

Vehicle Number

Wheel Position

Odometer Reading

0808 AUTO TRUCK, INC. ~ dba AUTO TRUCK GROUP 1420 Brewster Creek Boulevard, Bartlett, Illinois 60103-1695

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

0800 AUTOMOTIVE RENTALS INC ~ 9000 Midlantic Dr, Mt Laurel, New Jersey 08054

NOTE: WHEN HANDLING A ROAD SERVICE CALL YOU MUST CALL ARI FOR AUTHORIZATION TO PERFORM THE SERVICE CALL ONLY. ARI ISSUES

AN 'EVENT #' WHICH IS NOT A PURCHASE ORDER #. AFTER WORK IS COMPLETED A SECOND TELEPHONE CALL MUST BE MADE TO ARI TO

OBTAIN A PURCHASE ORDER #. ARI WILL ISSUE THEIR PO TO COVER COST OF COMPLETED ROAD CALL WHICH INCLUDES TIRE AND/OR

SERVICE. IF THIS SECOND CALL IS NOT MADE AND PO# NOT UPDATED IN ARI'S SYSTEM, YOU WILL BE CHARGED BACK FOR ANY TIRE

AND/OR SERVICE ADDED TO THE DELIVERY RECEIPT OTHER THAN INITIAL ROAD CALL.

NOTE: TO EXPEDITE YOUR CALL PLEASE HAVE FOLLOWING INFORMATION READILY AVAILABLE FOR TECHNICIAN TO ASSIST YOU:

CLIENT ID AND VEHICLE NUMBER or LAST 8 DIGITS OF THE VIN#

CURRENT MILEAGE ON THE VEHICLE

EXPLANATION OF REPAIRS/SERVICES NEEDED/SUGGESTED

BREAKDOWN OF PRICING FOR PARTS AND LABOR AND RELATED SALES TAX

NOTE: THE FOLLOWING CLIENTS ARE MANAGED BY ARI BUT SHOULD N O T BILL THROUGH ARI'S PROGRAM; THEY HAVE THEIR OWN

PROGRAMS AND SHOULD BE BILLED ACCORDINGLY:

NORFOLK SOUTHERN RAILROAD~ NA-6111 ~CLIENT #5K16~

SOO LINE RAILROAD~ NA-7633 ~CLIENT #5R28~

TENNESSEE VALLEY AUTHORITY~ NA-9467 ~CLIENT #5AF0; 5AF1; 5K80~

UNION PACIFIC RAILROAD~ NA-8332 ~CLIENT #5Z25 & 0J88~

NOTE: ALL REQUIRED AUTHORIZATIONS MUST BE OBTAINED AT THE TIME OF PURCHASE. THIS ACCOUNT WILL NOT ISSUE AFTER-THE-FACT

AUTHORIZATIONS MORE THAN 30 DAYS AFTER THE SHIP-DATE.

NOTE: PAY SPECIAL ATTENTION TO ALL INFORMATION GIVEN BELOW CONCERNING ADDITIONAL AUTHORIZATIONS REQUIRED WHEN THE

LIMITS OF THE ORIGINAL ARE EXCEEDED. UNAUTHORIZED SERVICE CHARGES WILL BE CHARGED BACK TO THE DEALER OR STORE INVOLVED.

STATE OF GEORGIA NA-9310 CLIENT #5AW1, 5C95 & 5F25

STATE OF UTAH NA-9343 CLIENT #5H79

AMERIGAS NA-0508 CLIENT #0738, 5738, 5AP3, 5AP4, 5BC2, 5BC3, 5BC4

BURLINGTON NORTHERN NA-1288 CLIENT #5265, 0156, 5F56 & 5C08

CSX CORPORATION - CSX TRANSP NA-1379 CLIENT #5AK0

DELAWARE & HUDSON RAILROAD NA-2457 CLIENT #5R25, 5R26, 5R27 & 0K77

HD SUPPLY, INC NA-4259 CLIENT #0B02, 0B11, 2N28 & 2N29, 5CB2, 5CB5, 5CB6, 5D50, 7B01

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NOTE: The authority for Tire Studding Service will be by Purchase Order ONLY. DO NOT install Safety Spikes unless the Purchase Order

specifically requests this service. INVOICES SHOWING UNAUTHORIZED CHARGES FOR THIS SERVICE WILL NOT BE ACCEPTED BY THE

ACCOUNT.

Purchase Order Number Or Service Card (5 Digits) Or Coupon Or Physical P O

NOTE: Do not confuse the Service Card with a Fuel Card (which has 14 digits and begins with 005).

NOTE: The use of MORE than ONE number will delay payment. A verbal P O Number when given to you by ARI Service

Technicians supersedes all other authorization numbers.

IMPORTANT - SEE NOTE BELOW

Name Of Fleet Manager Authorizing Purchase

Required only for NON Maintenance Management Clients when the dollar limit on the Purchase Order Service Card or Coupon is

exceeded.

Phone Number Of Fleet Manager Authorizing Purchase

Service Card Limit

Indicate N/A when no Service Card is used or

when they state "unlimited"

Complete Ship-To Name And Address Of Lessee Company Making The Purchase

IF Ship-To is: Burlington Northern process through NA Program 1288

IF Ship-To is: Norfolk Southern process through NA 6111

Lessee/Client Number (6 Digits)

Obtain from driver's Coupon Book, Service Card or Purchase Order.

CLIENT #5H79 (State of Utah) use Gov't Acct #9343, Non-Sig 169748 and Document D.

CLIENT #5C95 and/or 5F25 (State of Georgia) use Gov't Acct #9310, Non-Sig #153554 and Document D for TIRE-HQ OR TC73

for GBMS.

CLIENT 5K80 (Tennessee Valley Authority) use Federal Acct #9467 and Document E for TIRE-HQ OR TC74 for GBMS.

CLIENT #5R25, #5R26 and 5R27 (Delaware and Hudson Railroad) use National Acct #2457.

CLIENT #5R28 (SOO Line Railway) use National Acct #7633

CLIENT #5Z25 & 0J88 (Union Pacific Railroad) use National Acct #8332.

Vehicle Number (5 Or 6 Digits)

License Number And State Issuing

Year Make And Model

Vin Number

Odometer Reading

Coupon Mileage Interval

Required ONLY when a coupon is used

ASK THE DRIVER WHETHER OR NOT HE IS A MAINTENANCE MANAGEMENT CLIENT.

MAINTENANCE MANAGEMENT CLIENTS MUST HAVE:

1. A 11-digit Purchase Order number issued by ARI's Fleet Management Representatives (Triangle Pacific has a 4 digit P O

Number) OR

2. An ARI issued Service Card OR

3. An ARI issued Coupon

NON MAINTENANCE MANAGEMENT CLIENTS MUST HAVE:

1. An ARI Physical Purchase Order (Client controlled and issued) OR

2. An ARI issued Service Card (MUST have Goodyear logo on reverse) OR

3. An ARI issued Coupon

NOTE: You MUST get the Fleet Manager's Name and Phone Number if the Client does not use a Physical P O or Coupon. Fleet

Manager's Name and Phone Number is required if the purchase exceeds the dollar limit on the Purchase Order, Service Card or

Coupon.

To obtain a Purchase Order Number covering Maintenance Management Clients for:

Emergency repairs OR

Items not on Coupons used by Maintenance Management Clients

Call ARI Fleet Management Dept TOLL FREE 800/257-8246 8:30 AM thru 8:00 PM EST Monday thru Friday or 8:30 AM thru 5:00

PM EST on Saturday. Perform EMERGENCY repairs after hours or on weekends and holidays then call the ARI Fleet Management

Dept (above) the NEXT business day and obtain a P O Number.

ADDITIONAL AUTHORIZATION FOR PURCHASES EXCEEDING CREDIT CARD LIMITS IS TO BE OBTAINED AS INDICATED ON THE

CARD.

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NO UNAUTHORIZED ADDITIONS OR ALTERATIONS ARE PERMITTED TO ANY PURCHASE ORDER OR COUPON.

ADDITIONAL AUTHORIZATION FOR ITEMS NOT LISTED ON CLIENT-ISSUED PHYSICAL PURCHASE ORDERS OR ON COUPONS

USED BY CLIENTS WHO ARE NOT ON THE MAINTENANCE MANAGEMENT PROGRAM IS TO BE OBTAINED FROM THE DRIVER'S

FLEET MANAGER. DRIVER WILL HAVE THE TELEPHONE NUMBER. THE FLEET MANAGER'S NAME AND PHONE NUMBER MUST BE

INDICATED ON THE DELIVERY RECEIPT.

NO UNAUTHORIZED ADDITIONS OR ALTERATIONS ARE PERMITTED TO ANY PURCHASE ORDER OR COUPON.

Any service or merchandise covered by a manufacturer's warranty should be referred back to a dealership unless the repair is

authorized by an ARI Service Representative.

MATCH information on the Physical Purchase Order, Coupon or Service Card to that of the vehicle being serviced.

Attach ARI Purchase Orders or Coupons to the Wholesale Operations Centers copy of the delivery receipt.

Mepco Centralab and Standard Test Lab divisions of North American Phillips, a client of ARI, issue their own Purchase Orders and

MAY NOT be billed thru this program. They are to be billed on local dealer or store books.

COUPON PURCHASE ORDER DELIVERIES (Includes PREVENTIVE MAINTENANCE PROGRAM):

Coupon Books will contain prenumbered Coupons denoting the service period and specific services to be performed for that

period. The Coupon Purchase Order Number (five positions) will be used in lieu of a Purchase Order and becomes the sole

authority for ONLY those tires or services listed on the Coupon. Additional purchases of service work require an ADDITIONAL

PURCHASE ORDER to be obtained by calling either the TOLL FREE NUMBER listed above or the clients Fleet Manager depending on

whether he/she is on the Maintenance Management program or not. Dealers and Stores must adhere to the following:

Check individual item box to show what work has been done. Odometer Reading must be inserted on BOTH Coupon and Delivery

Ticket.

Operator of vehicle must sign and date Coupon.

0806 AUTOZONE TEXAS L.P. ~ 123 South Front St, Memphis, Tennessee 38103

Purchase Order Number

A Purchase Order Number will be supplied by the Distribution Center

Complete SHIP - TO Name and Address of Location Making the Purchase

Distribution Center #

Vehicle Number

Odometer Reading

0818 AUTUMN TRANSPORT INC ~ 6550 Courtly Rd, Woodbury, Minnesota 55125

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.328.1405 and the appropriate extension based on type of

vehicle being serviced.

Vehicle Number

Trailer Number

Odometer Reading

Driver's Name

0134 AVALON EXPRESS INC ~ 32453 64th Ave Way, Cannon Falls, Minnesota 55009

Purchase Order Number

Tanks ................ Ext #850

Hopper .............. Ext #890

Pneumatic ......... Ext #860

Van / Reefer ...... Ext #845

End Dump .......... Ext #870

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A Purchase Order number MUST be obtained by calling TOLL FREE 800.251.2463

Wheel Location

Vehicle Number

0840 AVERITT EXPRESS INC ~ 1 Averitt Express Dr, Nashville, Tennessee 37211

Must conference with dispatcher during huddle for approval for all service calls

Purchase Order Number

A Purchase Order Number MUST be obtained for non-maintenance work over $50 by calling between the hours of 7:30 AM and

5:00 PM Central time. Call TOLL FREE 800-398-8850. After hours a P O Number can be obtained by calling the next day. When

work has been completed FAX a copy of the delivery receipt to 931.520.5126. No cover page is required.

NOTE: If a service is omitted from delivery ticket, you MUST call for a new purchase order number. Same PO # CANNOT be used

twice.

Vehicle Number

License Number And State Issuing

Terminal #

Terminal # is REQUIRED for all stock purchases. NA may be used for all other purchases if terminal # is not known.

Odometer Reading

0888 AVIS RENT-A-CAR SYSTEM INC ~ AVIS LICENSEES 6 Sylvan Way, Parsippany, New Jersey 07050

NOTE: ONLY Approved Licensee's may purchase through this program:

Alaska Rent A Car Inc

Barbush Rentals Inc

Bob's Rentals Inc

Car Rentals Inc

Checker Leasing Inc

Clark Car & Truck Rental

Hoyt Rentals & Leasiing Co Inc

Larson Enterprises Inc

Lombardo Companies Inc

Murphy Leasing Company Inc

Reliance Leasing Inc

W & W of Alexandria Inc

Physical Purchase Order Or Letter Of Authorization

If the buyer is a renter presenting a copy of a rental agreement you must contact the Avis location that rented the car to obtain

both a P O Number and that location's Avis Licensee 10 digit ID # and 4 digit Station #. ALSO ASK WHETHER THE LOCATION IS

COMPANY OWNED (NA-0877) OR A LICENSEE (NA-0888).

Avis Licensee Accounting Code (14 Digits)

Obtain the number before completing the transaction.

The number will consist of the Licensee's 10 digit DBR code and the 4 digit Station code.

(NNNNNNNNNN-NNNN is the format for the Licensee ID)

Complete Ship-To Name And Address Of The Licensee Making The Purchase

Do NOT use the Avis name in the SHIP-TO but the correct Licensee tradestyle.

Vehicle Number

No need for bulk tire order

License Number And State Issuing

Year Make And Model

VIN Number

Odometer Reading

0877 AVIS RENT-A-CAR SYSTEM INC ~ COMPANY OWNED LOCATIONS 6 Sylvan Way, Parsippany, New Jersey 07054

This program covers company owned vehicles ONLY. DO NOT CONFUSE with the Avis Licensee National Acct Program (NA-0888)

Physical Purchase Order Or Multiple Supplier Credit Card

The Avis/Budget location needs to supply a 6 or 8 digit Purchase Order Number.

6 digit PO's are for services and tire purchases in relation to B/D (body damage, vehicle accident) repairs.

8 digit PO's are for normal fleet services and tire purchases.

IF the buyer is a rental customer sent by the Avis/Budget ERS (emergency roadside system), Avis/Budget ERS will issue a PO #

and location code.

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IF the buyer is a rental customer presenting a rental agreement requesting service, the Avis/Budget location that rented the

vehicle MUST be contacted to obtain a PO# and Location Code. Ask, when you call, whether the location is Company-Owned (NA-

0877) or a Licensee (NA-0888).

Ship-To Name and Address of location making the purchase

Enter the address of the Avis/Budget location along with the name of requestor in the address.

Avis Company-Owned Billing Code (10 Digit DBR #)

A 10 digit DBR number MUST be obtained

Vehicle Number

The 8 digit vehicle (MVA) number form the key tag or bar code in the vehicle's window is required. Stock purchases use NA.

License Number And State Issuing

Authorized By

Requestors Name and Telephone Number

VIN Number

Odometer Reading

0908 B A H EXPRESS INC ~ 4424 Thurman Rd, Conley, Georgia 30288

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Disp Of Old Tires

VIN Number

0904 B & G SUPPLY CO INC ~ 800 Railroad Ave, Albertville, Alabama 35950

Purchase Order Number

Phone TOLL FREE 800-624-6951 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

License Number and State Issuing

0910 B & J TRUCKING SERVICE ~ 4201 Utica Sellersburg Rd, Jeffersonville, Indiana 47130

NOTE: Delivery ticket MUST be faxed to 812.246.3609. This number is available 24/7

Purchase Order Number

A Purchase Order # MUST be obtained by calling 812.246.0405.

Wheel Location

Vehicle Number

Odometer Reading

0921 B & W CARTAGE COMPANY, INC ~ DBA RK TRAILER REPAIR 9850 Pelham Road, Taylor, Michigan 48180

Purchase Order Number

Vehicle Number

Odometer Reading

Drivers License Number

VIN Number

Required for Tractors only

Disp Of Old Tires

Reason for Replacement

Serial Number of New Tire

Serial Number of Old Tire

Wheel Location

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

0933 BAGGETT TRANSPORTATION ~ 2 South 32nd St, Birmingham, Alabama 35233-3098

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Purchase Order Number

Call Greg Calhoun 205/322-6501

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Year/Make/Model

License Number and State Issuing

Disp Of Old Tires

Return old tires to the driver

Serial Number of New Tire

Serial Number of Old Tire

Wheel Location

0935 BAGSHAW TRUCKING INC ~ 13110 Blue Lick Rd. PO Box 280, Memphis, Indiana 47143

Driver's Id Code

Vehicle Number

Odometer Reading

0940 BAKER CONCRETE CONSTRUCTION, INC ~ 900 North Garver Rd, Monroe, Ohio 45050-1277

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the Regional office COLLECT. Driver will have the telephone number.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle/Unit Number

Make sure that all Merchandise and Services are installed on a vehicle identified as BAKER CONCRETE CONSTRUCTION INC

Odometer Reading

0944 BAKER HUGHES INC ~ 2929 Allen Parkway, Houston, Texas 77019

Cost Center #

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

License Number and State Issuing

Odometer Reading

Driver's Name and Phone # required for every purchase

0945 BALDWIN TRANSFER CO INC ~ 1501 Telegraph Road, Mobile, Alabama 36611

Purchase Order Number

To obtain call 251-452-6721. If after hours do not hold up truck, perform service and call next day for PO #.

Vehicle Number

Trailer Number

If Applicable

Odometer Reading

Brand Number

If Applicable

Wheel Location

Disp Of Old Tires

Driver to take old tire(s).

0946 BALTIMORE TANK LINES, INC ~ P O Box 1028, Glen Burnie, Maryland 21060

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/433-0031.

Obtain verbal authorization for purchases over $500 by calling the above TOLL FREE number.

Vehicle Number

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0997 BARNART CRANE AND RIGGING CO ~ 1701 Dunn Ave, Memphis, Tennessee 38106

Purchase Order Number

Phone TOLL FREE 800/727-0149 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

0983 BARNES HEALTHCARE SERVICES ~ 200 S Patterson St, Valdosta, Georgia 31601

Vehicle Number

Last 4 digits of the VIN#

Location Code

Odometer Reading

0995 BARNEY TRUCKING INC ~ 195 S 800 W, Salina, Utah 84654

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

1000 BARTON SOLVENTS INC ~ 1920 N E Broadway, Des Moines, Iowa 50313

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1001 BASIC ENERGY SERVICES INC ~ P O Box 10460, Midland , Texas 79702-0460

Purchase Order Number

Driver will have number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

1003 BASIC RESOURCES ~ DBA BLACK DIAMOND AGGREGATES INC 928 12th St. Suite #700, Modesto, California 95354

Purchase Order Number

Driver will have # to call to obtain PO #.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1004 BASIN TOOL ~ DIV OF TEXAS CES INC P O Box 1299, Gainesville, Texas 76420

Purchase Order Number

Driver will have the number to phone to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

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1006 BATESVILLE CASKET CO INC ~ One Batesville Blvd, Batesville, Indiana 47006-9169

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1016 BAY STATE GAS COMPANY ~ 300 Friberg Pkwy, Westborough, Massachusetts 01581

Purchase Order Number Or Service Card Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/248-8360 Ext 7106

Vehicle Number

Odometer Reading

1012 BAYLOR TRUCKING, INC ~ 5114 N State Rd 101, Milan, Indiana 47031

When performing a service call, use UC314, PC314 or a new G314 on the trailer.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/457-9752 or 800/356-3705 or COLLECT 812/689-3935.

Name Of Person Authorizing The Purchase

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

Disp Of Old Tires

0903 BBL LEASING INC ~ 382 Carol Avenue, Bridgeville, Pennsylvania 15017

NOTE: Unit numbers beginning with HJL (HJ Heinz Co) and DEL (Delmonte) must have approval if TOTAL purchases exceed $150 card limit. Call

number on front of card. All other units must have authorization if amount exceeds $500 limit on card. Driver should contact company

supervisor.

Driver Must Have National Account Id Card.

This is not a credit card.

Name Of Person Approving Purchase

Required ONLY when service purchases exceed $150. Call as indicated above.

Vehicle Number

Odometer Reading

Year Make And Model Of Vehicle

Vin Number

1040 BEELMAN TRUCK CO ~ 1 Racehorse Dr, East Saint Louis, Illinois 62205

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

1064 BELL TRUCKING CO INC ~ P O Box 238, Shoemakersville, Pennsylvania 19555

Vehicle Number

Vehicle Number is the Purchase Order Number.

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Obtain by calling TOLL FREE 800/345-4115 during business hours or 888/319-2358 after hours.

License Number And State Issuing

Wheel Position Of New Tires

Odometer Reading

Disposition Of Old Tires

Return old tire to driver

1066 BENEFIT TRUCKING INC ~ 15W700 N Frontage Rd Suite 200, Burr Ridge, Illinois 60527

Purchase Order Number

Phone COLLECT 630-789-8680 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

1068 BENNETT MOTOR EXPRESS, INC ~ 1001 Ind Blvd, P O Box 569, McDonough, Georgia 30253

Please note on the invoice whether truck or trailer.

Purchase Order Number

A Purchase Order Number will be issued by the local branch you are servicing. After hours phone TOLL FREE 800/874-9259 or

770/957-1866 ext 280 to obtain purchase order number.

Vehicle Number

Unit number

Wheel Position

All wheel positions that are replaced need to be recorded under the system of one number and two letters. The number equals

the axle starting at the front of vehicle. The first letter equals either right side or left. The second letter equals inside or outside.

Example: Replaced right inside tire on fifth axle from the front on a trailer - 5RI.

Odometer Reading

Reason for Replacement

Location Code

1073 BERG GRAIN AND PRODUCE ~ 2202 5th Ave N, Fargo, North Dakota 58102

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1075 BERNER TRUCKING INC ~ 5885 Crown Road NW , Dover, Ohio 44622

Purchase Order Number

Phone 330-343-3394 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you must ask the customer for correct information

1083 BERRY VAN LINES, INC ~ 602 Pear St , Dover, Delaware 19904

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 302/674-1300.

Vehicle Number

Odometer Reading

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Driver's License Number And State Issuing

1088 BEST CARTAGE INC ~ 829 Graves St, Kernersville, North Carolina 27284

Purchase Order Number

Phone TOLL FREE 800/849-1818 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1092 BESTWAY EXPRESS INC ~ 2242 S Old Decker Rd , Vincennes, Indiana 47591

Purchase Order Number

To obtain phone 800-536-2317 ext 129 (24 hrs) or 812-882-6448 ext 129. Can also phone 812-885-2159 from 6am to 6pm M-F.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

1108 BIAGI BROS INC ~ 787 Airpark Rd, Napa, California 94558

Purchase Order Number

Complete Ship - To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading

Location Code

License Number And State Issuing

1113 BIFFLE WATER WELL ~ DIV OF TEXAS CES INC P O Box 1299, Gainesville, Texas 76420

Purchase Order Number

Driver will have the number to phone to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

1110 BIG G EXPRESS INC ~ P O Box 1650, Shelbyville, Tennessee 37162-1650

Purchase Order Number

Phone TOLL FREE 800/684-9140 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disp Of Old Tires

Always return old tires or remnants to driver. Account will not pay disposal fees.

1117 BIG MAC TANK TRUCKS, LLC ~ Div CES Mid-Continent Hamm, LLC 205 West Maple Suite 600 PO Box 3907, Enid, Oklahoma 75702

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

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Yard #

Odometer Reading

Signed By

Get signature and full name

1109 BILBO TRANSPORTS INC ~ P O Box 560109, Dallas, Texas 75356-0109

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/444-0070 or COLLECT 214/637-1910.

Vehicle Number

Odometer Reading

1145 BLACK EAGLE TRUCKING INC ~ 610 Crescent Dr, Chula Vista, California 91911

Purchase Order Number

Vehicle Number

Trailer Number

Authorized By

Name of person placing order.

Odometer Reading

1153 BLACK GOLD FARMS INC ~ 4575 32nd Ave S, Grand Forks, North Dakota 58201

License Number and State Issuing

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1162 BLACK HORSE CARRIERS, INC. ~ 150 Village Court, Carol Stream, Illinois 60188

Purchase Order Number

Driver will provide or will need to call terminal manager to obtain.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

1187 BLUE WATER TRUCKING INC ~ 110 McLean Dr, Romeo, Michigan 48065

Steer tire only new G399, all other positions Goodyear retread.

Authorized By

Phone TOLL FREE 800-360-6333 (24 hours) to obtain name of person authorizing work.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Truck or trailer

Odometer Reading

Wheel Location

Disp Of Old Tires

Always return old tire(s) with driver

1185 BLYTHE CONSTRUCTION INC ~ P O BOX 31635, Charlotte, North Carolina 28231

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Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 704/375-8474 EXT 602

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1201 BOART LONGYEAR COMPANY ~ 2640 W 1700 S, Salt Lake City, Utah 84104

Purchase Order Number

PO # provided by Branch making the purchase.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

1186 BOB'S BARRICADES INC ~ 921 Shotgun Rd, Sunrise, Florida 33326

NOTE: NO NEW TIRES MAY BE PURCHASED WITHOUT A LETTER FROM THE OFFICE MANAGER AUTHORIZING THE PURCHASE.

ONLY THE FOLLOWING TIRES ARE AUTHORIZED FOR DELIVERY:

139072303, 139172907, 271108795, 762174400, 762171406 and product department 687.

Any exceptions MUST BE APPROVED by calling Nanci at the Corporate office.

NOTE: MUST ALWAYS PROVIDE A VEHICLE NUMBER!!!!!!!

NOTE: THIS ACCOUNT PURCHASES TIRES FOR ARROW MESSAGE BOARDS, TARGET ARROW BOARDS AND RADAR UNITS.

NOTE: WE MUST ALWAYS HAVE A VALID VEHICLE NUMBER IN ORDER TO INSURE PROPER TAX APPLICATION. IF FOR ONE OF THESE BOARDS,

VEHICLE NUMBERS WILL START WITH VM, TA OR RU.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/432-5031.

Vehicle Number

Odometer Reading

1189 BOLUS MOTOR LINES INC ~ 700 N Keyser Ave, Scranton , Pennsylvania 18504

Purchase Order Number

Phone TOLL FREE 800/444-1497 or COLLECT 570/342-1903 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

1195 BONNIE PLANT FARMS ~ DIV OF AFC INC 1727 Hwy 223, Union Springs, Alabama 36089

NOTE: Preferred replacement tire for steer and drive is G661 HSA if available.

NOTE: Lug tires installed only as a last resort and must be approved by calling 800/345-3384.

Purchase Order Number

To obtain phone Wayne Redmond TOLL FREE 800/345-3384

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1216 BOSTON TRAILER LLC ~ 635 Manley St., West Bridgewater, Massachusetts 02379

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

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Vehicle Number

Odometer Reading

Location Code

Reason for Replacement

Wheel Location

1220 BOWMAN SALES & EQUIPMENT INC ~ 10233 Governor Lane Blvd, Williamsport, Maryland 21795

Purchase Order Number

A Purchase Order Number will be provided at time of request for service.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Wheel Location

New Tire

Disposition of Old Tire

Return with driver

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilate correct sales tax application.

Odometer Reading

Reason for Replacement

1222 BOYD BROTHERS TRANSPORTATION CO, INC ~ 3275 Highway 30, Clayton, Alabama 36016

NOTE: DuraSeal tires are not authorized.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling driver's office COLLECT. Driver will have the telephone number.If

service/tires are for WTI transport, you MUST put WTI prefix on PO# given when entering into your system.

Vehicle Number

License Number And State Issuing

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

0914 BP PRODUCTS NORTH AMERICA INC ~ P O Box 696049 , San Antonio, Texas 78269

Purchase Order Number

YOU MUST GET EITHER A PURCHASE ORDER NUMBER OR PAY KEY NUMBER FROM THE DRIVER

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

License Number and State Issuing

Drivers License Number

Cost Center Number

Contract Number

0916 BR DIVERSIFIED, LLC ~ 4703 SE 169 Highway, St. Joseph, Missouri 64507

Purchase Order Number

Driver will provide PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1226 BRANDENBURG INDUSTRIAL SVC CO ~ 501 West Lake St Suite 104, Elmhurst, Illinois 60126-1419

Purchase Order Number

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Phone 312-528-1132 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1234 BRENNTAG INC ~ P O Box 13786, Reading, Pennsylvania 19612

Purchase Order Number

FOR PURCHASES BY BRENNTAG MID-SOUTH INC:

A Purchase Order Number MUST be obtained for ALL TIRE PURCHASES. Obtain Purchase Order Number FOR TIRE PURCHASES by

calling Ron Eblen TOLL FREE 800-950-7267.

The alpha letters OO MUST be used as the prefix to the Purchase Order Number AND the Location Number for MID-SOUTH ONLY.

FOR PURCHASES BY BRENNTAG SOUTHWEST INC:

A Purchase Order Number MUST be obtained by calling the Branch Location making the purchase. The Location Number will be 2

alpha digits and should be obtained from the driver.

FOR PURCHASES BY BRENNTAG PACIFIC INC:

A Purchase Order Number MUST be obtained by calling the Branch Location making the purchase. The alpha letters BW MUST be

used as the prefix to the Purchase Order Number AND the Location Number for PACIFIC ONLY.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

License Number and State Issuing

Vehicle Type

Year, make and model

1240 BRICKMAN GROUP LTD, LLC, THE ~ 18227 Flower Hill Way Suite D, Gaithersburg, Maryland 20879

Purchase Order Number

Will be provided when service is requested. THE FIRST THREE DIGITS WILL BE THE BRANCH NUMBER.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Branch Number

Division Number

Region Number

Driver's Name

1235 BRINKS INC ~ 555 Dividend Dr, Coppell, Texas 75019

Branch Number

Vehicle Number

Odometer Reading

1243 BRITTON TRANSPORT INC ~ 1119 42nd St North, Grand Forks, North Dakota 58203

Purchase Order Number

A Purchase Order MUST be obtained by calliing during business hours of 8AM to 5PM Central Time TOLL FREE 800.437.5306.

After hours a Purchase Order Number MUST be obtained by calling Scott at 701.317.1002 OR Roger at 800.843.0040.

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

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0915 BSI HOLDING MANAGEMENT ~ DIV OF TEXAS CES INC P O Box 1299, Gainesville, Texas 76420

Purchase Order Number

Driver will have the number to phone to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

1259 BUDGET RENT-A-CAR- LICENSEE LOCATIONS ~ LICENSEE LOCATIONS (Various Locations)

Note: This Program May Be Used Only For The Approved Licensees Listed Below:

Adamson Car and Truck Rental Inc

BGS Rental & Leasing DBA Budget Rent-A-Car - N Holsted

BRAC - BH Inc

A Betterway Rent-A-Car Ind DBA Budget Rent-A-Car of Atlanta

Budget Car Sales

Budget Car & Truck Rental

Budget Rent-A-Car of Kansas Inc

Budget Rent-A-Car of Lafayette

Budget Rent-A-Car of Memphis Inc

Budget Rent-A-Car of Missouri Inc

Budget Rent-A-Car of Norfolk Inc

Budget Rent-A-Car of Towson

Budget Rent-A-Car of the Tri-Cities Inc

Chambers Leasing

Colony Rental & Leasing Corp DBA Budget Rent-A-Car of Malibu CA

Consolidated Enterprises Inc DBA Budget Rent-A-Car of Tucson

Dick 'N Walts Motor Co Inc

DMF Leasing Inc DBA Budget-Rent-Car

Duck Enterprises Inc DBA Budget Rent-A-Car

EAM, Inc dba Budget Rent-a-Car

ETH-Wha Inc dba Budget Rent-A-Car of Vero Beach

Easy Car Rental Co

James Elliot Inc

Garden State Car Rental Corp DBA Budget Rent-A-Car of Newark NJ

Hindsley Inc DBA Budget Car & Truck Rental

Huber's Inc DBA Budget Car and Truck Rental

Investsmart Inc DBA Budget Rent-A-Car-Alhambra

Lafayette Leasing Inc

Linsley Enterprises Inc

Looking Glass Associates LP dba Budget Rent-A-Car of Northern New Jersey

Malco Enterprises Inc

Marita Car Rentals Inc DBA Budget Rent-A-Car of Buffalo

Mary I Rigg Inc

Rubin Bird & The Mirkin Partnership dba Budget Rent-A-Car of So CA

Newport Beach Sales & Leasing Inc

Star LAX LLC

Swanson Leasing Inc

Vin-Gram Inc DBA Budget Rent-A-Car of W Hollywood

Western New York Park-N-Fly Inc DBA Safe-T-Park

Purchase Order Number

Complete Ship-To Name And Address Of Licensee Location Making The Purchase

Vehicle Number

Odometer Reading

1260 BUDGET RENT-A-CAR - COMPANY OWNED LOCATIONS ~ COMPANY OWNED LOCATIONS ONLY PO Box 981362, El Paso, Texas

79998-1362

Purchase Order Number

Complete Ship-To Name And Address Of The Location Making The Purchase

You must enter correct ship-to address of location making purchase.

GEAC Location Code (7 digits)

CAR locations use GEAC location code

Location code 10802 will be used for Emergency roadside service ONLY

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Vehicle Type

License Number And State Issuing

Rental Agreement Number

Required for BRAC Roadside Care ONLY

Odometer Reading

GEAC Account#

Authorized By

Must have name of requestor/authorizer of service.

1262 BUDGET TRUCK RENTAL ~ Various locations

Note: A PO# MUST BE SECURED PRIOR TO COMMENCING WORK. IF ADDITIONAL SERVICE IS REQUIRED, YOU MUST CALL BACK TO HAVE IT

APPROVED ON THE PO. ANY FUEL SURCHARGES OR MISC FEES MUST BE AUTHORIZED WHEN OBTAINING A PO#.

BUDGET TRUCK PO#'S ARE VALID FOR ONE TRANSACTION ONLY. IF ADDITIONAL DOCUMENT IS TO BE SUBMITTED.

YOU MUST OBTAIN ANOTHER PO#. EACH DELIVERY TICKET SUBMITTED MUST HAVE A UNIQUE PO#.

DUPLICATE PO#'S WILL RESULT IN A CHARGEBACK.

IF YOU ARE RE-SUBMITTING A DOCUMENT THAT HAS BEEN CHARGED BACK, YOU MAY USE THE ORIGINAL PO# BUT SHOULD USE LOCATION

CODE 40102.

16 " LIGHT TRUCK TIRES MUST BE LOAD RANGE E.

DO NOT USE EMERGENCY ROAD SERVICE CODES WHEN SERVICING AT THE BUDGET LOCATION (YARD CALL CODES SHOULD BE USED).

AUTO AND P-METRIC TIRES ARE NOT AUTHORIZED FOR PURCHASE BY BUDGET TRUCK LOCATIONS.

IF STEEL/STEEL 16" CANNOT BE DELIVERED THE BUDGET REPRESENTATIVE (MAC) WILL GIVE GUIDANCEON REPLACEMENT TIRES; DO NOT

MISMATCH TIRES ON AN AXLE WITHOUT PRIOR APPROVAL.

FAILURE TO COMPLY MAY RESULT IN A CHARGEBACK.

ALL CASING CREDITS MUST BE ISSUED THROUGH THE NATIONAL ACCOUNT AND NOT ON LOCAL BOOKS.

NOTE: ALL NON-EMERGENCY CALLS ARE NOTED BY BUDGET AND SHOULD BE BILLED AS SCHEDULED CALLS.

METAL VALVE STEMS SHOULD NOT BE REMOVED WITH EVERY TIRE CHANGE AND NEED TO BE APPROVED PRIOR TO REPLACING.

AS STATED ON PAGE 7 OF THE NATIONAL ACCOUNT MANUAL, A MAXIMUM LIMIT OF 30 DAYS FROM THE DATE OF DELIVERY HAS BEEN

ESTABLISHED FOR PROCESSING THE DELIVERY TICKET.

Purchase Order Number

BUDGET TRUCK REQUIRES UNIQUE PO#'S FOR EACH DOCUMENT SUBMITTED. DUPLICATE PO#'S WILL BE CHARGED BACK.

PROVIDER OF PO # MAY PREFIX WITH LOCATION CODE. 7-DIGIT PO # AND 5-DIGIT LOCATION CODE MUST BE ENTERED

SEPARATELY IN THE SYSTEM.

SHIP-TO ADDRESS or DELIVERY POINT

ON EMERGENCY ROAD CALLS, ENTER SHIP-TO ADDRESS OR INTERSECTION WHERE SERVICE WAS PERFORMEDUSE ADDRESS

GIVEN WHEN PO# PROVIDED

INCORRECT ADDRESSES MAY RESULT IN A CHARGEBACK

ALSO, ADD IN A MESSAGE LINE TIRE POSITION AND REASON REPLACED

Location Code

Vehicle Type

License Number and State Issuing

Vehicle Number

You MUST provide vehicle number for all deliveries. If stock purchase enter the word 'STOCK' for the vehicle number.

Tread Depth

Reason for Replacement

Odometer Reading

1270 BUILDERS TRANSPORTATION COMPANY ~ 3710 Tulane Rd, P O Box 16369, Memphis, Tennessee 38116

NOTE: The driver must take removed tire. Do not charge for scrap.

Purchase Order Number (Six Digits)

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/238-6803 Ext 196

Vehicle Number

License Number And State Issuing

Serial Number Of Old Tires

Serial Number Of New Tires

Wheel Position Of New Tire

Odometer Reading

Disp Of Old Tires

Driver must take removed tire. Do not charge for scrap.

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1272 BULK TRANSPORTATION ~ 415 Lemon Ave., PO Box 390, Walnut, California 91789

Purchase Order Number

To Obtain call Jeff @ 951-538-5714

Vehicle Number

Odometer Reading

1263 BULK TRANSPORTATION CORPORATION ~ 7177 Industrial Parkway, Plain City, Ohio 43064

Check Id Card

Purchase Order Number Or Name Of Person Authorizing Purchase

A Purchase Order Number or Name of Person Authorizing MUST be obtained by calling Corporate Headquarters COLLECT

614/873-4632.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer/Hubdometer Reading

Wheel Position

1275 BULKMATIC TRANSPORT COMPANY ~ 2001 N Cline Ave, Griffith, Indiana 46319

Purchase Order Number

To obtain PO #, call location vehicle is assigned to. After hours, weekends and holidays please call the next business day for a PO

#.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Reason for Replacement

Wheel Location

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Tread Depth

Driver's Name

Must have driver's signature and printed first and last name on D/R.

1274 BULLS-EYE EXPRESS INC ~ 5 Willow Springs Circle, York, Pennsylvania 17406

Driver cannot purchase without prior phone authorization from Rick, Ron or Larry Keller.

Purchase Order Number

Mr Keller will phone supply point to authorize service and issue a purchase order number at that time.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

New tire

1288 BURLINGTON NORTHERN & SANTA FE RAILWAY CO ~ 3001 Lou Menk Dr, Fort Worth, Texas 76131-2816

NOTE: THIS APPLIES TO OFF HIGHWAY EQUIPMENT PROGRAM ONLY!!!!

IF PURCHASE ORDER IS MADE OUT TO YOUR LOCATION HANDLE ON YOUR LOCAL BOOKS AND DO NOT ENTER AS A NATIONAL ACCOUNT

TRANSACTION.

IF YOU DO NOT SEE THE ACTUAL P O, VERIFY WITH THE PERSON PROVIDING HOW THE P O IS MADE OUT.

ONLY PURCHASE ORDERS MADE OUT TO THE GOODYEAR TIRE AND RUBBER COMPANY SHOULD GO THRU THE NATIONAL ACCOUNT PROGRAM.

NOTE: Tires, Batteries and Shock Absorbers are limited to original equipment or equal quality and type ONLY.

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---Highway Equipment Purchases---

A. Deliveries To Burlington Northern And Santa Fe Railway For Highway Equipment:

Effective immediately, ARI will no longer issue purchase orders for repairs or maintenance to be estimated more than $100 on

BNSF vehicles without prior communication from the BNSF vehicle operator providing reason for shopping and specific vehicle

information. This is consistent with the BNSF vehicle policy. Our dedicated BNSF phone line at the ARI call center is 1-800-328-

5523 and this number is in operation 365 days per year, 24 hours per day.

To clarify: ARI must be contacted by the driver or other responsible party prior to any repair work over $100 being performed in

order to describe the repairs required. ARI will not authorize repairs until the BNSF driver has contacted ARI. Minor repairs under

$100 will continue to be pre-authorized and not require a prior purchase order from ARI.

Purchase Order Number

Purchases under $100 do NOT require a P O Number. In this instance enter "UNDER100" in the P O requirement field.

No carry out purchases can be made. Materials purchased MUST be installed on vehicle at time of purchase.

A P O Number for Burlington Northern and Santa Fe Railway ONLY for purchases exceeding $100 MUST be obtained PRIOR to any

work being done by calling TOLL FREE 800-328-5523.

Complete Ship-To Name And Address Of Division Or Station

Vehicle Number

Lessee/Client Number

Required for ARI only.

Odometer Reading

Year, Make and Model of Vehicle

VIN Number

---Off-Highway Equipment Purchases---

B. Deliveries To Burlington Northern Inc For Off-Highway Equipment:

Purchase Order Number

Purchases for Off-Highway equipment to be billed thru this program require a nine digit P O Number.

Complete Ship-To Name And Address Of Division Or Station

Odometer Reading (If Available)

1316 BURNS & MCDONNELL ENGINEERING CO INC ~ 9400 Ward Parkway, Kansas City, Missouri 64141

Approval Number

An Approval Number MUST be obtained by calling COLLECT 816-822-4280.

Vehicle Number

Odometer Reading

1327 BUSH TRUCK LEASING INC ~ 6961 Cintas Blvd, Mason, Ohio 45040

****** NOTE ****** PRIOR TO SERVICE BEING PERFORMED *****MUST* CALL 800-766-2874 FOR A PO# - EVERY DELIVERY RECEIPT

*MUST* HAVE A SEPARATE PO# - NEVER USE THE SAME PO# TWICE!

ACCOUNT ISSUES DOLLAR AMOUNTS WITH EVERY PO#. IF RETAIL COST OF SERVICE/TIRES BEING PERFORMED IS MORE THAN DOLLAR

AMOUNT THAT PO# IS ISSUED FOR, YOU *MUST* BILL THE ENTIRE BILL ON LOCAL BOOKS, NO PORTION CAN BE PROCESSED THROUGH THE

NATIONAL ACCOUNT PROGRAM.

Purchase Order Number

*PRIOR TO SERVICE BEING PERFORMED - CALL TOLL-FREE 800/766-2874 FOR PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Last six digits of the vin number

Odometer Reading

MUST BE ON EVERY DELIVERY

0920 BWI COMPANIES INC ~ 415 South Kings Highway, Nash, Texas 75569

Purchase Order Number

Will be provided at time of request for service

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1338 BYNUM TRANPORT INC ~ 70 Thornhill Rd, Auburndale, Florida 33823

DO NOT BILL THIS ACCOUNT FOR VALVE STEMS

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Purchase Order Number

Phone TOLL FREE 800-741-7950

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Serial Number of New Tire

Serial Number of Old Tire

Disp Of Old Tires

Return old tire to driver

1339 BYRNE DAIRY INC ~ 606 Oneida St, Syracuse, New York 13202

Purchase Order Number

Vehicle Number

Odometer Reading

Driver's Name

1364 C-MAC TRANSPORTATION LLC ~ SUPERIOR GLOBAL 19661 Brownstown Center Dr. 600, Brownstown, Michigan 48183

PLEASE NOTE:

**FOR ALL ROAD CALLS USE NEW TIRES ONLY. RETREADS ARE NOT ALLOWED AND WILL BE CHARGED BACK.**

Purchase Order Number

Vehicle Number

Trailer Number

If applicable

License Number and State Issuing

Disp Of Old Tires

Return tire(s) to driver

Odometer Reading

2790 C R ENGLAND INC ~ 4701 W 2100 S, Salt Lake City, Utah 84120

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 1-800-503-7005

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disposition Of Old Tires

1378 C R S T INTERNATIONAL, INC ~ P O Box 68, Cedar Rapids, Iowa 52406

Purchase Order Number

The Purchase Order Number must be obtained by calling the Maintenance Dept TOLL FREE 800/366-4028.

Complete Ship-To Name And Address Of Location Making The Purchase

Tractor Or Trailer Unit Number

Serial Number Of Old Tire

Serial Number Of New Tire

Position Of Tire Replaced

Reason For Replacement

Odometer Reading

Driver's License Number And State Issuing

Disposition Of Old Tires

C R S T Inc requires that all casings be returned IMMEDIATELY to: Bauer Built Tire 628 58th Ave St SW Cedar Rapids IA 52406 by

common carrier freight COLLECT.

The old tires must be tagged with the unit number and Purchase Order Number so it can be matched to the P O at the time of

purchase.

Malone Freight Lines and Three I Truck Line Inc casings are to be returned to the driver.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

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1399 C T RENT-A-CAR INC ~ 12225 Stephens Road, Warren, Michigan 48089

Purchase Order Number

To Obtain call 586-939-7000 ext 2478

Vehicle Number

Odometer Reading

1340 C & A TRANSPORTATION SVCS LLC ~ 9765 Marconi Drive Ste 104, San Diego, California 92154

Purchase Order Number

To obtain PO# contact Christian or Pedro @ 619-661-0424

Vehicle Number

Trailer Number

Odometer Reading

Serial Number of New Tire

Serial Number of Old Tire

1386 C & W TRUCK REPAIR ~ 703 Hennis Rd, Winter Garden, Flordia 34787

NOTE: FIRST TREE TRANSPORT IS NOT AUTHORIZED TO PURCHASE ON THIS ACCOUNT.

NOTE: All purchases of more than 6 new tires must have an authorization # approval before supply point can deliver tires and request a PO #.

Authorization # can be obtained by calling 1-800-800-4078 ext 238 or 220.

Purchase Order Number

To obtain call: 800-800-4078

Authorization #

Required for purchases of MORE than 6 tires

Vehicle Number

Location Code

Odometer Reading

1395 CACTUS TRANSPORT INC ~ 8211 W Sherman St, Tolleson, Arizona 85353

Purchase Order Number

To obtain call Mike @ 602-448-9486

Vehicle Number

Reason for Replacement

Odometer Reading

1414 CALIFORNIA OVERLAND LTD ~ 213 Industrial Ct., Wabasha, Minnesota 55981

Purchase Order Number

Vehicle Number

Wheel Location

Odometer Reading

1415 CALIFORNIA TOW TRUCK ASSOCIATION ~ 3050 Beacon Blvd - Ste 100, West Sacramento , California 95691

Purchase Order Number

Contractor will provide

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

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1433 CANADIAN NATIONAL RAILWAY CO ~ dba CN FLEET MANAGEMENT 17641 S Ashland Ave, Homewood, Illinois 60430

Can ONLY be one of the Subsidiaries listed below. DO NOT bill any subsidiaries not listed.

Grand Trunk Western Railroad Inc

Illinois Central Railroad Co

Cedar River Railroad Co

Chicago Central and Pacific Railroad Co

Wisconsin Central Limited

Duluth, Winnipeg & Pacific Railway Co

Sault Ste Marie Bridge Co

Purchase Order Number

A Purchase Order Number MUST be obtained from the driver.

Complete SHIP-TO Name and Address of Location Making the Purchase

Can ONLY be one of the Subsidiaries listed. DO NOT bill any subsidiaries not listed above.

Vehicle Number

Odometer Reading

Reason for Replacement

1465 CAPITAL READY MIX CONCRETE ~ 512 Three Sisters Road, Knightdale, North Carolina 27545

Vehicle Number

Odometer Reading

1468 CAPPS RENT A CAR INC ~ 8555 John Carpenter Freeway, Dallas, Texas 75247

Vehicle Number

License Number and State Issuing

VIN Number

Last 8-digits

Odometer Reading

1504 CARGO SOLUTION EXPRESS INC ~ 14587 Valley Blvd, Fontana, California 92335

Vehicle Number

Trailer Number

Odometer Reading

1505 CARLISLE CARRIER CORP ~ P O Box 1549, Mechanicsburg, Pennsylvania 17050

Purchase Order Number

Phone TOLL FREE 800/628-7807 or COLLECT 717/691-8600

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application, so you must

ask customer for correct information.

1507 CARLYLE VAN LINES, INC ~ 801 W Young, P O Box 47, Warrensburg, Missouri 64093

The following is for tire sizes 295/75R22.5, 11R22.5, 285/75R22.5 and 11R24.5:

Steer tire choices in order of preference:

1. G399 Fuel Max

2. SP384FM

3. KLS

Drive tire choices in order of preference:

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1. G372A

2. SP453

3. SP456

Trailer tire choices in order of preference:

1. G316 Fuel Max

2. SP193

3. KTSA

The following is for tire size 255/70R22.5

Steer tire choices in order of preference:

1. G169

2. SP160

Drive tire choices in order of preference:

1. G622

2. G169

Trailer tire choices in order of preference:

1. G104

2. G169

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/367-6640.

Unit Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Position Of Tire Replaced

Odometer Reading

Driver's License Number And State Issuing

Serial Number Of Old Tires

Serial Number Of New Tires

Disposition Of Old Tires

Return old tires to driver

1533 CARRIER PURCHASING PROGRAM ~ Div of Schneider Logistics Inc 3101 S Packerland, Green Bay, Wisconsin 54313

Tire purchases made in the Carrier Purchasing Program must be new Goodyear, Dunlop and Kelly Tires

FIRST: Driver identifies themselves as part of the Carrier Purchasing Program. Only new Goodyear, Dunlop and Kelly Tires are included in the

program.

SECOND: Provide driver with an estimate for the job, this should include the following:

Goodyear Supply Points use 20 Off most current B300A price book.

Travel Centers of America Locations use the 4 plus tire price.

The estimate is not the actual price in the program but will help in developing an estimate for the carrier.

All state, local, and federal taxes and any additional shop related charges to include road calls, mounting, valve stems, etc.

THIRD: Contact 1-800-226-3802 for pre-approval to begin the shop work. The phone will be answered by a Comdata representative who is

acting as the approval agent for the company. Identify the transaction as a Carrier Purchasing tire purchase and provide the following

information:

Membership # from the card provided by the driver at the time of purchase. The driver’s Comcheck card number also serves as the membership

number.

Give the estimated amount for the purchase.

You will receive pre-approval to begin the work.

FOURTH: After work is completed call 1-800-226-3802 for Purchase Order #. The phone will be answered by a Comdata representative who is

acting as the approval agent for the company.

You will need to provide the following information:

Unit Number

Odometer Reading

Product codes and quantity of tires replaced

Communicate any casing credits (If Applicable)

Detail of all shop charges

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You will then be supplied with a PO#/Final approval. Put this Purchase Order Number in the PO# field on the work order and include it on the

delivery receipt.

You will also be supplied with a credit approval, which is a 2-digit alpha and 3-digit numeric code that you will receive as part of the

authorization process. Put this credit approval in the 'Authorized By' field on the work order and include it on the delivery receipt.

ONLY TIRES AND TIRE RELATED SERVICES AUTHORIZED. ANY OTHER SERVICE IS TO BE BILLED LOCALLY. QUESTIONS REGARDING THE

PROGRAM SHOULD BE DIRECTED TO 800-558-1179.

Purchase Order Number

Purchase Order Number MUST be obtained by calling TOLL FREE 800-226-3802.

Complete Name and Address of Approved Carrier making the purchase.

Unit Number

Credit Approval Number

Comcheck Card Number or Membership Card Number

Odometer Reading

1515 CARTEL TRANSPORT LLC ~ 1487 13th St. PO Box 96, Firebaugh, California 93622

Purchase Order Number

To obtain call 559-659-3913 and speak to Jesse

Odometer Reading

1534 CARTER EXPRESS ~ 4020 W 73RD St, Anderson, Indiana 46011

NOTE: RETURN OLD TIRES TO DRIVER IF POSSIBLE

Approval Number

PRIOR to beginning work, an approval number MUST be obtained by calling TOLL FREE 800.738.7705 Ext 429

Purchase Order Number

Once work is completed a Purchase Order number MUST be obtained by calling TOLL FREE #800.738.7705 Ext 429 (same #as

above) and a PO # will be provided.

Tractor & Trailer Number

Wheel Location

Reason for Replacement

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New York ONLY. Your Y/N answer will facilitate correct sales tax application, so you MUST ask the

customer for the correct information.

Odometer Reading

Time Of Service

TIME WORK STARTED AND TIME COMPLETED

1536 CARVER SAND & GRAVEL, LLC ~ 494 Western Turnpike, Altamont, New York 12009

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

If applicable

Odometer Reading

1544 CASELLA WASTE SYSTEMS INC ~ PO Box 866, Rutland , Vermont 05702

Purchase Order Number

Complete Ship-To Name And Address Of Location Making The Purchase.

Location Code

Vehicle Number

License Number And State Issuing

Odometer Reading

Driver's Phone Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.Your Y/N answer will facilitate correct sales tax application so you MUST

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ask the customer for correct information.

1555 CASON INC ~ 3659 Western TPK, P.O. Box 428, Duanesburg, New York 12056

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

1548 CASSENS TRANSPORT COMPANY ~ P O Box 468, Edwardsville, Illinois 62025-0468

Purchase Order Number

A Purchase Order Number MUST be obtained by calling drivers home terminal TOLL FREE. The driver will have the TOLL FREE

telephone number.

Complete Ship-To Name And Address Of Location Making The Purchase

Unit Number

Required for emergency replacement deliveries ONLY

Odometer Reading

1559 CATERPILLAR INC ~ 100 N.E. Adams St, Peoria, Illinois 61629

ONLY AUTHORIZED CATERPILLAR DEALERS LISTED BELOW ARE AUTHORIZED TO PURCHASE THROUGH THIS PROGRAM:

Alban Tractor Co Inc

Altorfer Inc

Blanchard Machinery Co

Carolina Tractor Equip Co Inc

Cashman Equipment Co

Cecil Walker

Empire Machinery

Holt of California

Holt Co of Ohio a Div of Ohio Machinery Co

Johnson Machinery Co

Machinery Power & Equipment Co

Martin Tractor Co Inc

N C Machinery Co

Ohio Machinery Co

Patten Industries Inc

Peterson Holding Co

Gregory Poole Equipment Co

Quinn Group Inc

J A Riggs Tractor Co

Stowers Machinery Corp

Tractor & Equipment Co

Western States Equipment Company

Whayne Supply Co

Yancey Brothers D500

Ziegler Inc

Purchase Order Number

Caterpillar dealer will provide purchase order number

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Vehicle Number

Required for Altorfer Inc ONLY

License Number and State Issuing

Required for Altorfer Inc ONLY

Odometer Reading

1570 CELADON TRUCKING SERVICES INC ~ 9503 E 33rd Street, Indianapolis, Indiana 46236

Celadon Trucking Services has determined that they will use the following tread designs:

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STEERS - 1ST GOODYEAR G399LHS, 2ND DUNLOP SP384.

DRIVE - SHOULD BE MATCHED ACCORDING TO REMAINING TIRES. IF A NEW TRUCK WITH G572'S ON IT, IT SHOULD BE MATCHED WITH

G572LHD. SAME APPLIES TO G305LHD. OTHERWISE IT SHOULD BE A STEER OR TRAILER TIRE TO MATCH HEIGHT.

TRAILERS - 1ST G314 UNICIRCLE, 2ND DUNLOP SP193, 3RD G316 UNICIRCLE.

Purchase Order Number

FOR EMERGENCY ROAD SERVICE: verbal Authorization MUST be obtained PRIOR to work being done by calling TOLL FREE

800/347-2398. Name of person authorizing work must be obtained prior to work being performed and must be on the invoice.

After work is completed call back for actual Purchase Order Number.

TERMINAL WILL PROVIDE P O NUMBER FOR REGULAR IN SHOP SERVICE

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

License Number And State Issuing

Odometer Reading

Terminal #

Wheel Location

7157 CEMEX INC ~ 920 Memorial City Way, Houston , Texas 77024

SUBJECT ACCOUNT HAS HAD A NAME CHANGE FROM RINKER MATERIALS CORP

DELIVERY RECEIPT OR FIELD WORK ORDER MUST BE SIGNED TO OBTAIN PURCHASE ORDER

.

The plant code number to bill is shown on the left hand side of the purchase order under the SHIP TO address. You are required to provide a

plant code when entering your document. Referencing this number will insure the billing goes to the correct location.

AUTHORIZED CASING CODES .

256086391 11R225 TRUCK CASING

256139210 L/P-R24.5 RADIAL TRUCK CASING

256138225 11r245 truck radial casing

CEMEX LOCATION WILL CALL SUPPLY POINT REQUESTING SERVICE AND GIVE A VERBAL AUTHORIZATION. SUPPLY POINT WILL PERFORM

SERVICES AND ONLY PRICE OUT SERVICES AND CASINGS ON FINALIZED DELIVERY RECEIPT WORK ORDER COPY. COPY MUST SHOW ALL

MERCHANDISE TO BE BILLED. DELIVERY RECEIPT WORK ORDER COPY MUST BE SIGNED.

SUPPLY POINT MUST FAX A COPY OF THEIR DELIVERY RECEIPT WORK ORDER TO THE CEMEX LOCATION. CEMEX WILL THEN FAX A COPY OF

FINAL PURCHASE ORDER TO THE SUPPLY POINT. SUPPLY POINT MUST CONFIRM THAT THE PURCHASE ORDER AND FINALIZED DELIVERY

RECEIPT MATCH ON AN ITEM LEVEL. SUPPLY POINT MUST RETAIN WORK ORDER COPY WITH PURCHASE ORDER FOR ONE YEAR FOR AUDIT

PURPOSES. IF SUPPLY POINT HAS NOT RECEIVED A PURCHASE ORDER WITHIN THREE WORKING DAYS FROM DATE OF SERVICE, PLEASE

CONTACT CARMEN SANCHEZ @305-229-8892 OR EMAIL [email protected] FOR NEW LINE TRANSPORT, TRISTATE CARRIERS AND

CEMEX TRANSPORT. FOR ALL OTHER DELIVERIES CONTACT CEMEX LOCATION MAKING THE PURCHASE.ANY ADDITIONS OR REVISIONS TO THE

ORIGINAL PURCHASE ORDER WILL HAVE TO BE HANDLED BY CONTACTING THE ACCOUNT FOR A NEW PURCHASE ORDER. THIS WILL REQUIRE

A NEW DELIVERY RECEIPT FOR ONLY THE ADDITIONAL OR REVISED ITEM/ITEMS

Purchase Order Number

Complete Ship-To Name And Address Of Location Making The Purchase

Plant #

Obtain from Physical PO

Year, Make And Model

Vehicle Number

License Number And State Issuing

Odometer Reading

Vin Number

Auth Svc $

Wheel Location

1577 CEMSTONE PRODUCTS COMPANY ~ 2025 Centre Pointe Blvd., Mendota Heights, Minnesota 55120

Purchase Order Number

Location Code

Vehicle Number

Odometer Reading

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1581 CENTRAL FREIGHT LINES INC ~ 5601 W Waco Dr, Waco, Texas 76701

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/299-1099 Ext 109.

Vehicle Number

Odometer Reading

1400 CENTRAL MAINTENANCE CORP ~ P O Box 990, Mabelvale, Arkansas 72103

REPAIR OR SPARE

GOLD MEDALLION RETREAD GOODYEAR-KELLY-DUNLOP PREFERRED

DRIVER KEEPS OLD TIRE WHENEVER POSSIBLE

NOTE: PICTURES AUTHORIZED FOR WIDEBASE TIRE FAILURES ONLY. USE CODE 040-584

After hours service calls are limited to 100 miles round trip.

Contact phone CMC ROAD ASST ph#800-283-2770

Repair tire FIRST

If tire can not be repaired, look for spare

No spare? Use the following:

TRL TIRES

1ST CHOICE G316 GOLD MEDALLION RETREAD2ND CHOICE G399 LHS FUEL MAX3RD CHOICE G316 FUEL MAX, DUNLOP SP193 FUEL MAX OR

KELLY KTSA

STEER TIRES

1ST CHOICE G399 LHS FUEL MAX2ND CHOICE DUNLOP SP384 FUEL MAX OR KELLY KLHA

DRIVE TIRES

1ST CHOICE G305 GOLD MEDALLION RETREAD2ND CHOICE G305 FUEL MAX3RD CHOICE DUNLOP SP456 FUEL MAX OR KELLY KDA

DRIVER TAKES OLD TIRE

Purchase Order Number

License Number And State Issuing

Tractor Number

Trailer Number

Odometer Reading

1592 CENTRAL REFRIGERATED SERVICES ~ 5175 West 2100 South, West Valley City, Utah 84120-1252

NOTE: CALL TOLL FREE 800/688-1180 FOR AUTHORIZATION BEFORE STARTING WORK. CALL WHEN COMPLETE FOR PURCHASE ORDER.

Purchase Order Number

Phone TOLL FREE 800/688-1180

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1596 CENTRAL TRANSPORT INC ~ 12225 Stephens Rd, Warren, Michigan 48089

NOTE: For Emergency Road Service contact Breakdown Dept. at 800-345-4357 ext. 2.

NOTE: All work MUST be pre-approved.

NOTE: Purchase order required on all purchases.

Goodyear Dealers: Install SP384 Fuel Max (2nd choice G399) in any other wheel position.

TA / Petro ONLY: Dunlop SP384 in any wheel position. If none of the above choices are available, contact 800-345-4357ext2 for further

instruction. Only new tires are permitted. DO NOT install a retread or used tire. Driver must keep any removed tires. Contact breakdown

department if driver refuses to keep the removed tire.

Purchase Order Number

Contact Breakdown Dept at 800-345-4357 ext 2.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your answer will facilitate correct sales tax application so you MUST ask

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the customer for correct information

Disp Of Old Tires

Return old tires to driver

1606 CERTIFIED FREIGHT LOGISTICS INC ~ 1344 White Court, PO Box 5819, Santa Maria, California 93458

Vehicle Number

Tractor # if applicable

Wheel Location

Reason for Replacement

Disp Of Old Tires

Odometer Reading

License Number and State Issuing

Tractor and Trailer license plate #'s needed.

Trailer Number

If applicable

1617 CEVA GROUND US, LP ~ 15390 Vickery Drive Phase III, Houston, Texas 77032

CEVA Ground and CEVA Freight Management can be billed on NA# 1617.

CEVA Logistics DOES NOT have a National Account.

No auto or light truck purchases authorized.

On trailers, 1st choice G314 or G316 retreads only.

No MRT new tires are authorized except in the case of emergency after hour service, a KTAS, SP193 or G316 may be used (in that order).

Stock tire orders are at the discretion of Gary Grisham, Fleet Manager .

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Authorized By

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Disp Of Old Tires

Linehaul casings not capped for CEVA Ground pool trailers MUST be purchased and casing credit on original invoice, If NOT

purchased explain WHY.

1621 CHAMPION INC ~ 180 Traders Mine Rd, Iron Mountain, Michigan 49801

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

1623 CHANEY ENTERPRISES LP ~ DBA CHANEY ENTERPRISES PO Box 548, Waldorf, Marland 20604

Purchase Order Number

Purchase Order number will be given at time of purchase. If no PO # is given, contact Delphina Trevizo at 301.932.5552 or

Carline Cusic at 301.932.5055 to obtain

1628 CHEESEMAN LLC ~ 2200 State Route 119, Fort Recovery, Ohio 45846

Purchase Order Number

Phone TOLL FREE 800-543-4079 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Tractor/Trailer

Odometer Reading

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1653 CHEROKEE FREIGHT LINES ~ 5463 Cherokee Rd, Stockton, California 95215

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/662-3430.

Vehicle Number

Odometer Reading

1673 CHIEF EXPRESS, LLC ~ PO Box 10, Seagrove, North Carolina 27341

Purchase Order Number

A Purchase Order MUST be obtained by calling Leo at 336-465-6343

Vehicle Number

3-Digit Number

Wheel Location

Disp Of Old Tires

Return old tires to Driver

Odometer Reading

1685 CHIQUITA BRANDS INTERNATIONAL, INC ~ One East Fourth Street, P O Box 5705, Cincinnati, Ohio 45202

NOTE: All Parts and Service - Do not replace shocks on cars with less than 35,000 miles.

TIRES BILLED THROUGH THIS AND ALL U.S.A. NATIONAL ACCOUNTS ARE FOR SALE AND USE ON END USER VEHICLES REGISTERED AND

LICENSED IN THE UNITED STATES. TIRES ARE NOT FOR RESALE OR EXPORT.

Physical Purchase Order Or Purchase Order Number

Purchase Order Number MUST be obtained by calling COLLECT to Driver's local Purchasing Department.

CHIQUITA BRANDS INC requires only a Purchase Order Number. G114 Tires ONLY are to be used for trailers. Substitutions MUST

be approved by the dispatcher issuing the P O Number.

John Morrell & Co and Golden Sun Feeds require a Physical Purchase Order.

Complete Ship-To Name And Address Of Division Making The Purchase

Container Number

Chassis Number (When Available)

License Number And State Issuing

Odometer/Hubdometer Reading (If Available)

Show none if not available.

Disposition Of Old Tire (Required For Chiquita Brands Inc Only)

Return old tire to the driver

1686 CHIZEK TRANSPORT INC ~ P O Box 147, Cleveland, Wisconsin 53015

Purchase Order Number

Phone TOLL FREE 800-477-7565 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

1687 CHOICE ENVIRONMENTAL SERVICES INC ~ DBA CHOICE WASTE SERVICE 2860 SR84 Ste 103, Ft Lauderdale, Florida 33312

Purchase Order Number

Location making the purchase will provide

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Truck # or Stock

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Odometer Reading

License Number and State Issuing

Location Code

1688 CHRISTENSON TRANSPORTATION INC ~ 2001 West Old Route Hwy 66, Strafford, Missouri 65757

Always return old tires to driver

Purchase Order Number

Required for ALL purchases, call 800-318-8200 24 hours a day

Complete SHIP - TO Name and Address of Location Making the Purchase

Disp Of Old Tires

Phone Chris at 417-874-2048 if driver unable to take tire. He will arrange for pick up.

Vehicle Type

1699 CHRYSLER GROUP LLC ~ 800 Chrysler Dr, Auburn Hills, Michigan 48326

NOTE: DO NOT CONFUSE WITH:

CHRYSLER PARTS DIV, the Purchase and Resale program, GBMS transaction option 72.

The P & R program is for dealers buying stock for cars they will resell.

The Car Lease Program (Item A below) is for purchases for the employees' own leased cars.

There is usually vehicle related information available for National Account purchases and none available for P & R purchases.

NOTE: Wheels are not authorized to be billed through this program. If a wheel is needed, it must be billed on local books.

All Deliveries To Chrysler Personnel On The Car Lease Program For Chrysler-Owned, Employee Leased Vehicles:

NOTE: This program can be used for Chrysler-owned employee-leased vehicles. ONLY TIRES AND TIRE RELATED SERVICES

(INCLUDING WHEEL BALANCES VALVE STEMS AND ALIGNMENTS) ARE ELIGIBLE. NO BATTERIES OR OTHER MAINTENANCE

SERVICES ARE AUTHORIZED UNDER THIS PROGRAM.

NOTE that tires MUST be of the SAME SIZE AND TYPE as the ORIGINAL EQUIPMENT on the vehicle. Systems restrictions will be

placed on other non-OE tires.

NOTE: The Chrysler employee MUST present Goodyear with:

The lease car registration

NOTE: Goodyear supply point personnel MUST:

Check the registration against the VIN Number

Attach a copy of the vehicle registration to the store copy of delivery ticket

Make sure that the vehicle is registered to either Chrysler or Daimler Chrysler

Blanket Purchase Order Number N946905806-S

Vin Number

Odometer Reading

1756 CHURCHILL TRANSPORTATION INC ~ 2455 24th St, Detroit, Michigan 48216

Purchase Order Number

To obtain phone TOLL FREE 24 hrs 800-333-5555 ext 800.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Reason for Replacement

Wheel Location

Tire position

1717 CINTAS CORPORATION ~ P.O. Box 625737, Cincinnati, Ohio 45262

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Purchase Order Number

PO# will be given by person placing the order.

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Location code is 5 positions long, either all numeric or alpha/numeric. If driver supplies a location code that is less than 5

positions, put zeros in front of that number to equal 5 positons.

Odometer Reading

1788 CIRCLE S RANCH INC ~ 1604 Circle S Ranch Rd, Monroe, North Carolina 28112

Purchase Order Number

To Obtain call Butch @ 704-292-0523*NOTE* If an emergency do not hold up truck waiting for PO #. Call next morning.

Vehicle Number

Wheel Location

Odometer Reading

1812 CKJ TRUCKING, LP ~ 15724 US Highway 69 North, PO Box 841, Whitewright, Texas 75491

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Location Code

1820 CLASS 8 TRUCK REPAIR LLC ~ 12531 Violet Rd, Adelanto, California 92301

Formerly: Apex Bulk Commodities

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.767.3401

Vehicle Number

Odometer Reading

1822 CLASSIC CARRIERS INC ~ 151 Industrial Parkway, Versailles, Ohio 45380

Verbal authorization phone Toll Free 800-348-6244 or COLLECT 937-526-5100

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

YourY/N answer will facilitate correctsales tax application so you MUST ask the customer for correct information.

1829 CLEAN HARBORS ENVIRONMENTAL SVC INC ~ 42 Longwater Dr, Norwell, Massachusetts 02061

E-MAIL IS THE PREFERRED METHOD OF COMMUNICATION. ALTERNATE CONTACT INFORMATION TO BE USED ONLY IF E-MAIL IS UNAVAILABLE:

FAX 781-792-1025 (RETURN FAX NUMBER MUST BE NOTED)

PHONE: 781-792-5773 MATT MCCLELLAN.

OBTAIN PRIOR APPROVAL WHEN THREE OR MORE NEW TIRES OR RETREADS ARE NEEDED. E-MAIL VEHICLE MAINTENANCE AT

[email protected] OR PHONE 781-792-5773 8-5 EST, AFTER HOURS TOLL FREE 800-343-4244.

EMERGENCY ROAD SERVICE TO BE DISPATCHED FOR 2 OR FEWER TIRES WHEN VEHICLE IS NOT DRIVEABLE. PRIOR APPROVAL NOT NEEDED

FOR CALLS OVER 50 MILES IF VEHICLE IS NOT DRIVEABLE.

NO MISC SERVICE CODES CAN BE BILLED WITHOUT E-MAILING [email protected] OR PHONE 781-792-5773 FOR PRIOR

APPROVAL FROM VEHICLE MAINTENANCE.

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Preferred new tires: Steer - G399 LHS, Drive - G372A LHD or G572 LHD FM Trailer - G316 LHT FM, G661 HAS or G662 RSA FM.

Preferred Retreads: Drive - G372 UC or PC, Trailer: G314, G316 LHT FM, G119SA UC, G319SA or G159 16.

E-MAIL ADJUSTMENT CLAIM FORMS TO VEHICLE MAINTENANCE AT [email protected] OR FAX TO 781-792-1025.

Be advised that it is against company policy for a Clean Harbors vehicle to be left unattended by the operator at any time. Emergency road

service providers should be aware of this policy, and never instruct an operator to leave any vehicle that is broken down or awaiting service.

Purchase Order Number

E-MAIL DELIVERY RECEIPT TO VEHICLE MAINTENANCE AT [email protected] OR FAX TO 781-792-1025 TO

OBTAIN PURCHASE ORDER NUMBER. NOTE YOUR RETURN FAX NUMBER TO INSURE RECEIPT OF PURCHASE ORDER NUMBER.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

License Number and State Issuing

1830 CLEAN HARBORS OWNER OPERATOR ~ 42 Longwater Dr, Norwell, Massachusetts 02061

Purchase Order Number

Obtain purchase order number from Owner Operator

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Tractor number

Odometer Reading

Driver's Id Code

CC Exp Date (MM/YYYY)

CC Type

Mastercard, Visa or American Express

CC Holders Name

Name as printed on the credit card

Credit Card Token Number

Department #

1880 COLAS INC ~ 10 Madison Ave, Morristown, New Jersey 07960

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the division making the purchase.

Complete Ship-To Name And Address Of Location Making The Purchase.

Vehicle Number

Odometer Reading

1879 COLLINS INDUSTRIAL INC ~ P O Box 617, Jackson, Georgia 30233

Purchase Order Number

Phone 770-775-3333 ext 106 to obtain. After hours phone next morning.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1886 COLONIAL FREIGHT SYSTEMS INC ~ P O Box 22168, Knoxville, Tennessee 37933

NOTE: Colonial Fast Freight is NOT part of this program.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/251-9734. Be sure you deliver only to Colonial Freight

Systems.

Colonial Fast Freight is not part of this program.

Tractor/Trailer Number - Indicate "Tractor" With Number.

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Odometer Reading

1920 COLUMBUS EQUIPMENT CO ~ 65 E Kingston Ave, Columbus, Ohio 43207

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 614.437.0380

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1935 COMCAR INDUSTRIES, INC ~ 502 E Bridgers Ave, P O Drawer 67, Auburndale, Florida 33823

DO NOT BILL EMERGENCY ROAD CALLS TO AMERIQUEST 0518. USE THIS ACCOUNT.

EMERGENCY ROAD SERVICE REQUIREMENTS:

Do not use product code 047526000 to charge mileage for the first 20 miles. there is no charge for the first 20 miles.

Only code 046-904-000 is authorized for fuel surcharges.

Only these codes are authorized for use when replacing valves:

041-272-000 - Metal Valve Caps $00.35

046-273-000 - Aluminum Valve Stem $6.00

041-271-000 - Tubeless Steel Valve Stems $4.50

041-213-000 - Double Seal Metal Valve Caps $1.00

Ask driver if wheels are damaged before you leave on the call

Verify with driver the correct tire size

Approved tire replacement:

Tractor:

Goodyear G395 LHS TL G

Goodyear G395 LHS FuelMax TL G

Dunlop SP384 LHS TL G

Goodyear G169 TL G

Goodyear G662 RSA TL G

Trailer:

Goodyear G316 LHT Fuel Max TL G

Goodyear G314 LHT TL G

Dunlop SP193 LHT TL G

Dunlop SP181A TL G

Kelly KTSA TL G

Goodyear G316 LHT Duraseal G

Goodyear retread with max 13/32nds

If on drive or trailer position take 2 tires if needed: replace only if needed.

32nds of tires being replaced.

If casing credit will not be issued, reason for failure.

In order to obtain the purchase order number you must fax the delivery receipt to the operating company making the purchase.

Commercial Carrier FAX 863-965-8795

Coastal Transport FAX 912-966-5087

CTL Distribution FAX 963-428-3168

Commercial Truck & Trailer Sales FAX 863-967-5768

Fleet Maintenance Service FAX 863-967-5768

MCT Transportation FAX 605-339-8454

Willis Shaw Express FAX 479-248-2387 OR 479-248-4435

Purchase Order Number

See notes above. MUST Fax a copy of the delivery receipt to one of the above numbers to obtain a p o.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer/Hubdometer Reading

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Tread Depth

Needed on emergency road service calls

Reason for Replacement

YOU MUST PROVIDE THE SPECIFIC CONDITION OF THE TIRE. DO NOT PUT NA!!

Wheel Location

Location Code

3 or 4 alpha characters

1940 COMCAST CABLE COMMUNICATIONS ~ FLEET OPERATIONS 92 Glenn St, Lawrence, Massachusetts 01843

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the division making the purchase. ALL REPAIR WORK IN EXCESS OF

$100.00 MUST BE PRE-APPROVED BY FLEET OPERATIONS. The driver will have a RED maintenance card with all pertinent

information needed to obtain a purchase order and to receive payment. If the driver does not have the RED card, please call

978/685-0258 or 888/301-5400.

Complete Ship-To Name And Address Of Location Making The Purchase.

The address entered in this field is where the bill will be sent. Ask driver for the invoice address. Do NOT use driver's home

address.

Vehicle Number

Odometer Reading

Additional Approval

Location Code

VIN Number

Terminal Name

1991 COMMODITY EXPRESS TRANSPORTATION, INC ~ 210 Bray Park Rd, West Columbia, South Carolina 29172

(MILEAGE ACCOUNT)

ELIGIBLE MERCHANDISE

NOTE: Tire deliveries restricted to Medium Commerical Over-the-Highway ONLY.

NOTE: Emergency Service ONLY. No Mechanical Service.

Retreads and repairs.

Vehicle Number

Wheel Position Of Tire Removed

Brand Number Of Old Tire

Purchase Order Number

MUST CALL FOR A PO NUMBER AFTER THE WORK IS PERFORMED. Phone TOLL FREE 800/763-0166 option 3 ext 109 or 111 or

803/622-4198 after hours. If no answer phone Dave on 803/924-5902.

1997 COMPLETE ENERGY SERVICES LLC ~ 3770 Puritan Way Ste #J, Frederick, Colorado 80516

Purchase Order Number

A Purchase Order number MUST be obtained by calling 303.535.5992.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

1999 COMTRAK LOGISTICS INC ~ 5660 Universal Drive, Memphis, Tennessee 38118

Purchase Order Number

Phone TOLL FREE 800/846-0103

Vehicle Number

1366 CON-WAY INC ~ (Various Locations)

**** PLEASE NOTE ****

CON-WAY TRUCKLOAD NO LONGER PURCHASES THROUGH THIS NATIONAL ACCOUNT.

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PURCHASES ARE NOW MADE THROUGH NA 2175. *****

MUST SHOW DRIVER'S COMPLETE NAME ON THE DELIVERY RECEIPT. MUST HAVE RATCHET AND 1 1/8" AND 1 1/4" SOCKETS TO REMOVE

DOLLY SPARE.

DRIVER MUST DROP THE TRAILER TO GET TO THE DOLLY SPARE.

A new Steer G395 or G399 is the tire of preference. Driver must take old tire.

IF PURCHASING A STOCK CAP AND CASING, STATE BRAND OF CASING AND CASING DOT DATE.

***NOTE***

For Con-way tire work, the following socket sizes may be needed to remove spares:

33mm socket for hub pilot wheel

1-1/4" socket for Dayton wheel

1-1/2" socket for Budd wheel outer nut and nut to remove dolly spare.

3/4" Square drive for Budd inner nut. This is sometimes incorporated within the Budd 1-1/2" outer socket.

Purchase Order Number (Including Prefix)

Deliveries by Dealers and Stores (Emergency Local Pickup and Delivery) may be made upon receipt of a purchase order issued by

a local terminal. CHECK DRIVER'S ID.

Complete Ship-To Name And Address Of Location Making The Purchase

Tractor Or Truck Number

Dealer and store purchases only

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Disp Of Old Tires

Return old tires to driver

Location Code (3 Digit Alpha)

Odometer Reading

2175 CON-WAY TRUCKLOAD SERVICES ~ 4701 East 32nd St., Joplin, Missouri 64803

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

2002 CONAGRA FOODS,INC ~ One ConAgra Dr, Omaha, Nebraska 68102

NOTE: DO NOT BILL TO THE PARENT ADDRESS. MUST SHOW THE PURCHASING DIVISION'S NAME AND ADDRESS.

Purchase Order Number

A Purchase Order Number will be used by J M Swank Co Inc ONLY

Complete Ship-To Name And Address Of Location Making The Purchase

License Number And State Issuing

Odometer Reading

2011 CONCRETE COMPANY OF SPRINGFIELD ~ 510 N. Sherman Pkwy, PO Box 50685, Springfield, Missouri 65805

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Odometer Reading

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2019 CONOCO/PHILLIPS ~

NOTE: TIRES FOR FEDERAL OR STATE/LOCAL GOVERNMENT AGENCIES CAN NOT BE BILLED OR PROCESSED THROUGH THE VOYAGER CARD.

ALL TIRE PURCHASES MUST BE PROCESSED THROUGH REGULAR GOVERNMENT BILLING PROCEDURES. REFER TO YOUR GOVERNMENT SALES

MANUAL OR CALL INFOLINK AT 800/755-2772 FOR MORE INFORMATION.

NOTE: WHEN PROVIDING ESTIMATE FOR AUTHORIZATION PURPOSES USE GOODYEAR B300 PRICING.

Service Card Number(15 digit card number)

Copy the embossed 15 digit card number exactly as it appears on the service card

Complete SHIP - TO Name and Address of Client's Firm Making the Purchase

Authorization Number

You MUST obtain an Authorization Number by calling the Voyager authorization line TOLL FREE 800/987-6589

Year Make and Model of Vehicle

Driver's ID (Pin#)

Driver MUST provide

Authorized Service $ Dollars

VIN Number

Vehicle Number (optional)

Odometer Reading

2024 CONQUEST SEISMIC SERVICES INC ~ 6430 S Fiddlersgreen Circle Suite 100, Greenwood Village, Colorado 80111

Purchase Order Number

Driver will have physical purchase order

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Crew number

2092 CONS TRUCKS INC ~ 4517 Nicolet Ave, Stevens Point , Wisconsin 54481

MUST PROVIDE WHEEL AND AXLE POSITION

Purchase Order Number

A Purchase Order # MUST be obtained by calling Collect 715-344-0920.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Truck or Trailer

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for the correct information.

Wheel Location

Must provide wheel and axle position

2035 CONSOLIDATED CONCRETE CO ~ 2000 N Baltimore, Hastings, Nebraska 68901

Purchase Order Number

Phone 402-463-1393 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

2014 CONSOLIDATED EDISON CO OF N Y INC ~ 4 Irving Place, New York, New York 10003

Purchase Order Number

Blanket PO# 525596-001

Complete Ship - To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading

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Location Code

License Number And State Issuing

Fleet #

CC Exp Date (MM/YYYY)

CC Holders Name

Name as shown on the credit card

CC Token

You must obtain credit card number for each transaction and tokenize. Refer to Tire-HQ for tokenization instructions.

CC Type

American Express (AX), MasterCard (MC), Visa (VS)

2098 CONSTRUCTION RESOURCES MANAGEMENT INC ~ PO Box 1632, Waukesha, Wisconsin 53187

Purchase Order Number

Vehicle Number

Odometer Reading

Location Code

Wheel Location

2100 CONSTRUCTURAL DYNAMICS, INC ~ DBA SILVI CONCRETE PRODUCTS 355 New Bold Rd, Fairless Hills, Pennsylvania 19030

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Disp Of Old Tires

2097 CONSUMER'S CONCRETE CORP ~ P O Box 2229, Kalamazoo, Michigan 49003

Region Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

2099 CONSUMERS ENERGY ~ One Energy Plaza, Jackson, Michigan 49201

Blanket Purchase Order Number 4400010660

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading and engine hours read

Area Number

Authorized By

2138 CONTINENTAL EXPRESS INC - OHIO ~ 10450 State Route 47, Sidney, Ohio 45365

DO NOT CONFUSE WITH NA2140 CONTINENTAL EXPRESS INC - ARKANSAS

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2160 CONTINENTAL FLORIDA MATERIALS, INC. ~ 13450 W Sunrise Blvd, Suite 430, Sunrise, Florida 33323

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Purchase Order Number

Emergency road service call Chris at 954-321-8479 or 954-931-4241

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2173 CONTRACT LUMBER INC ~ 3245 Hazelton - Etna Rd SW, Pataskala, Ohio 43062

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

2170 CONTRACT TRANSPORTATION SYSTEM CO, INC ~ 101 Prospect Ave NW Midland Building, Cleveland, Ohio 44115-1075

NOTE: Tires, Tubes and Batteries.

NOTE: Purchases thru this program are restricted to Medium Commercial Tires and Tubes and Tire related services.

NOTE: Refer to NA-3278 GE Capital Fleet Svcs for Auto and Light Tire purchases.

Purchase Order Number

A Purchase Order Number is required for ALL purchases over $50. A P O Number MUST be obtained by calling the drivers

operating location at one of the following numbers:

In an emergency a P O Number can also be obtained by calling TOLL FREE 800/446-3832.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

Reason For Replacement

Odometer Reading

Driver's License Number And State Issuing

2184 COOKE TRUCKING COMPANY, INC ~ 1759 S Andy Griffith Parkway, Mount Airy, North Carolina 27030

Name Of Person Authorizing Purchase

Verbal authorization MUST be obtained by calling TOLL FREE 800/888-9502. Ask for Rusty York or Donna Kiger.

Vehicle Number

Odometer Reading

2186 COOMES INC ~ 1697 East 250 Lane, Phillipsburg, Kansas 67661

Purchase Order Number

Purchases OVER $500 must be approved PRIOR to delivery and/or service by calling 785.543.2759 for authorization

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2190 COORDINATORS INC ~ DBA Coordinators Trucking P.O. Box 20, Saltsburg, Pennsylvania 15681

800/654-5571 Region 10 Buford GA 404/932-1631

800/843-9701 Region 41 Effingham IL

800/526-8332 Region 52 Hunt Valley MD 301/785-7707

800/433-7417 Region 21 Waco TX

702/887-8710 Region 22 Sparks, NV 701/887-8207

800/634-6427 Region 23 CT SB 702/887-8207

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Purchase Order Number

Phone TOLL FREE 800-245-6820 ext 2186. After hours the driver will provide the phone number.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disposition Of Old Tires

Return old tires to driver

2195 CORD MOVING & STORAGE CO INC ~ 4101 Rider Trail North, Earth City, Missouri 63045

NOTE: NO RETREADS ON TRAILERS WITH 255/70R22.5 SIZE TIRES

IF NO G3 PRODUCTS AVAILABLE WITHIN 50 MILES THEN PURCHASE COMPETITIVE

Purchase Order Number

Phone 314-595-0559 or 314-540-2305 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Reason for Replacement

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

2197 CORDELL TRANSPORTATION CO LLC ~ 2942 Boulder Ave, Dayton, Ohio 45414

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/264-0344.

Vehicle Number

Odometer Reading

2199 CORNEJO & SONS INC ~ 2060 E Tulsa St, Wichita, Kansas 67216

Purchase Order Number

Purchase Order number will be provided when tires are ordered.

Vehicle Number

When available

2202 CORPORATE CLAIMS MANAGEMENT ~ 1 Ivybrook Blvd, Ivyland, Pennsylvania 18974

Purchase Order Number

If over maintenance service card limit call TOLL FREE 800.226.7766. If driver provides a SERVICE AUTHORIZATION

CERTIFICATE, THE CARD IS NOT NECESSARY.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Add Svc Approval

Driver may provide a Service Authorization Certificate INSTEAD of a maintenance service card. The certificate includes all

driver/vehicle info and an Authorization Number. Perform ONLY the services indicated on this certificate. VIN of the vehicle must

match the VIN on the Service Authorization Certificate

VIN Number

Vehicle Type

2206 CORRIHER SAND & STONE INC ~ CORRIHER TRUCKING 225 Corriher Gravel Rd, China Grove , North Carolina 28023-9495

***** PLEASE NOTE ***** Account WILL NOT accept Chinese casings for retreads purchased over the road.

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Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/230-1864 Ext 108.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

2208 COTTRELL TRUCK LINES, INC. ~ 6 Horton Place, West Haven, Connecticut 06516

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2216 COX ENTERPRISES INC ~ 6205 Peachtree Dunwoody Rd, Atlanta, Georgia 30328

VIN Number

Last eight digits

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Authorized By

Name of person authorizing work

Location Code

Account may refer to this as their accounting code

Repair order number

2217 COX LUMBER CO ~ 3300 Fairfield Ave S, St Petersburg, Florida 33712

Purchase Order Number

Phone TOLL FREE 800/234-4503 ext 350 or COLLECT 727/327-6201

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2218 COX TRANSPORTATION SERVICES INC ~ 10448 Dow-Gil Rd, Ashland, Virginia 23005-7639

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/288-8118.

Vehicle Number

Odometer Reading

2231 CRANESVILLE BLOCK CO INC ~ 1250 Riverfront Center, Amsterdam, New York 12010

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2242 CRESCO LINES, INC ~ 15220 South Halsted St, Harvey, Illinois 60426-9903

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/323-4476.

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Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

Driver's License Number And State Issuing

2246 CRETE CARRIER CORP/AMS ~ 5500 West "O" Street P O Box 81228, Lincoln, Nebraska 68501

NOTE: Tires, Tubes and Batteries. Tires are to be installed on trailers ONLY unless otherwise authorized.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/745-9569.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Gross Vehicle Weight Over 26 000 Lbs?

Pertains to deliveries in New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading (If Available)

Driver's License Number And State Issuing

Disposition Of Old Tire (Htl Truck Line Inc Only)

Return old tire to the driver if removed from the trailer

Location Code

2254 CROELL REDI MIX INC ~ 2010 Kenwood Ave, New Hampton, Iowa 50659

Purchase Order Number

Must be obtained by driver from his local plant office.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Authorized By

Name of person calling in order

Plant #

2257 CROP PRODUCTION SERVICES ~ 3005 Rocky Mountain Ave, Loveland, Colorado 80538

NOTE: COMPLETE 3-LINE SHIP TO ADDRESS REQUIRED FOR EVERY PURCHASE.

Branch Number

Vehicle Number

Complete SHIP-TO Name and Address of the Location making the Purchase

MUST show complete 3-line ship to address on every delivery. Address must include name of company making the purchase,

street address and city, state and zip.

CC Token

CC Type

American Express (AX), Mastercard (MC), Visa (VS)

CC Holders Name

Name as shown on the credit card

CC Exp Date (MM/YYYY)

MM/DD/YY OR MM/DD/YYYY

Odometer Reading

2260 CROSSCOUNTRY COURIER INC ~ 1841 Hancock Dr, PO Box 4030, Bismarck, North Dakota 58502

Purchase Order Number

To obtain call 701-222-8498 ext 7130 during business hours, after hours call ext 7137.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

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2268 CROSSETT, INC ~ P O Box 946, Warren, Pennsylvania 16365

Purchase Order Number Or Credit Card Number

A Purchase Order Number MUST be obtained by calling Doug Smith or Dispatcher on duty COLLECT 814-723-2200.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

License Number And State Issuing

Odometer Reading

2262 CROSSLAND CONSTRUCTION CO INC ~ 833 S East Avenue, Columbus, Kansas 66725

Purchase Order Number

PO NEEDS TO BE OBTAINED FROM DRIVER AT POINT OF SALE.

Vehicle Number

Odometer Reading

2285 CRUISE AMERICA INC ~ 11 West Hampton Ave, Mesa, Arizona 85210-5258

NOTE: ONLY G949, G947, G149, G159 OR G647 APPROVED. NO WRANGLERS WITHOUT PRIOR APPROVAL.

NOTE: MOUNT AND DISMOUNT OF 16" TIRES MUST BE CHARGED AS LIGHT TRUCK SERVICE CODES - EVEN IF UE RLT (NOT 17"). 245/75R17

WRANGLER HT LR E IS APPROVED

WHEN MOUNTING LIGHT TRUCK TIRES, USE CODE 040107

Purchase Order Number

Verbal Authorization MUST be obtained PRIOR to work being done by calling TOLL FREE 800/957-7776. Have estimate ready.

After work is completed call back TOLL FREE 800/957-7776 for actual Purchase Order Number.

Vehicle Number

Always required. Obtain from person issuing P O Number.

License Number And State Issuing

Odometer Reading

2282 CRYOGENIC TRANSPORTATION, INC ~ 1900 AM Drive - Suite 103, Quakertown, Pennsylvania 18951

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the driver's terminal number. The driver will provide the number.

Vehicle Number

Odometer Reading

1379 CSX CORPORATION - CSX TRANSPORTATION INC ~ P O Box 45054, Jacksonville, Florida 32232-5054

NOTE: PURCHASES FOR OFF-THE-HIGHWAY EQUIPMENT may NOT be billed thru this program.

See NA-1380 CSX Corp-Off Hwy Work Equip

NOTE: ONLY purchases for OVER-THE-HIGHWAY VEHICLES may be billed thru this program.

(All classes of HIGHWAY trucks and automobiles.)

Replacement tires must be of same type as tires removed.

NOTE: RETREADS ARE NOT PERMITTED UNDER ANY CIRCUMSTANCES.

VEHICLE NUMBER MUST BE CORRECT OR ACCOUNT WILL WITHHOLD PAYMENT RESULTING IN CHARGEBACK

Service Card Number or Coupon Number or Purchase Order Number

If Service Card Number or Coupon Number not available, phone TOLL FREE 1-800-CAR-CARE (1-800-227-2273) for Purchase

Order Number.

Lessee / Client Number

5AK0

Odometer Reading

Vin Number (Last 8 digits only)

License Number and State Issuing

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Complete Ship-To Name And Address Of The Location Making The Purchase

Vehicle Number

1380 CSX CORPORATION - CSX TRANSPORTATION INC ~ Off Hwy Work Equipment 1 CSX Rd, Richmond, Virginia 23230

Off Hwy Work Equipment

NOTE: Only NEW tires and related services for off-highway(roadway)work equipment such as backhoes, excavators, air compressors, front end

loaders and any construction equipment(including equipment trailers) may be billed thru this account. ALL MERCHANDISE MUST BE INSTALLED

ON THE EQUIPMENT.

NOTE: RENTAL UNITS MUST BE PAID LOCALLY - DO NOT BILL THRU THIS ACCOUNT. BILL DIRECTLY TO HERTZ OR DANELLA.

NOTE: ONLY road service and associated hardware are eligible; NOT mechanical service. For any questions regarding requirements for this

account, call the drivers supervisor. Driver will have the phone number.

NOTE: Retreads are not authorized.

UNIT NUMBER MUST BE CORRECT OR ACCOUNT WILL WITHHOLD PAYMENT - RESULTING IN CHARGEBACK

Purchase Order Number

REQUIRED FOR NEW TIRES ONLY Call TOLL FREE 800/441-6503, Ext# 5.

Equipment Identification Unit Number

IMPERATIVE THIS NUMBER IS SHOWN CORRECTLY

Employee Identification Number (6 Digits)

1383 CTG LEASING COMPANY ~ PO Box 22997, Chattanooga, Tennessee 37419

NOTE: All work including tire replacement MUST be authorized by CTG Leasing before any work is performed.

NOTE: No wheel balances or valve stems authorized.

NOTE: Fax delivery receipts to 800-518-8872.

First Preference: Steer G399 Fuel Max, Drive G305AT Fuel Max, Trailer G316 Fuel Max

Second Preference: Steer G399 LR G, Drive G572 Fuel Max, Steer Dunlop SP384 FM, Trailer Dunlop SP193 FM.

CTG Leasing prefers Smartway Approved Products.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disp Of Old Tires

Return old tires to driver

1840 CUSA LLC ~ dba Coach America 8150 North Central Expressway, Suite M1000 , Dallas, Texas 75206

Purchase Order Number

A Purchase Order Number will be obtained from driver's home office

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Branch Number

VIN Number

Last 6 positions

License Number and State Issuing

2310 CUSTOM TRANSFER, INC. ~ 23512 230th Street, Long Prairie, Minnesota 56347

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

1345 C. BLACKBURN, INC. ~ 1347 County Route 19, Elizaville, New York 12523

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Wheel Location

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

1354 C.D. LYON CONSTRUCTION INC ~ 380 W. Stanley Ave. PO Box 1456, Ventura, California 93002-1456

Driver's full name and phone # MUST be on every delivery.

Purchase Order Number

Driver will have PO

Vehicle Number

License Number and State Issuing

Odometer Reading

2317 D & D SEXTON, INC. ~ 1154 North Garrison PO Box 156, Carthage, Missouri 64836

Signed By

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2320 D & M CARRIERS INC ~ 8125 SW 15th , Oklahoma City, Oklahoma 73128

Please adhere to the following preferences:

TRAILER TIRES

1st Choice - G316 Gold Medallion Retread

2nd Choice -Goodyear G316FM

3rd Choice - Dunlop SP193FM

TRACTOR TIRES

1st Choice - G305 Gold Medallion Retread

2nd Choice - Goodyear G572 LHD

3rd Choice - Goodyear G399 LHS

NOTE: D&M Carriers wants a Tire Pic on all tires that are being replaced because of a Tire or Wheel Injury

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/567-1823

Odometer Reading

Vehicle Number

Wheel Location

Reason for Replacement

2325 D & M EXPRESS INC ~ 20886 Route 19, Cranberry Township, Pennsylvania 16066

NOTE: YOU MUST OBTAIN AUTHORIZATION PRIOR TO PERFORMING SERVICE

Purchase Order Number

You MUST obtain PO# by calling 724-452-8631

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2340 DAILY EXPRESS, INC ~ 1076 Harrisburg Pike, Carlisle, Pennsylvania 17013

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Delivery receipts must be faxed to 717.960.5241 within 7 days. Invoice may be charged back if delivery receipt is not faxed.

Purchase Order Number

Trailer Number

Gross Vehicle Weight Over 26,000 Lbs

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Disposition Of Old Tire

Return old tire to driver.

2350 DAKOTA MILL & GRAIN ~ Box 2340, Rapid City, South Dakota 57709

Vehicle Number

Driver's License Number And State Issuing

Odometer Reading

2342 DAKOTALAND TRANSPORTATION ~ 25809 Trade Avenue PO Box 84424, Sioux Falls, South Dakota 57118

Purchase Order Number

This is known as the TRIP# and will be provided by driver.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Signed By

3950 DANNY HERMAN TRUCKING, INC ~ P O Box 55, Mountain City, Tennessee 37683

Purchase Order Number

A Purchase Order Number must be obtained by calling TOLL FREE 800/445-2076.

Vehicle Number

Odometer Reading

2379 DART TRANSIT COMPANY ~ 800 Lone Oak Rd, Eagan, Minnesota 55121

NOTE: Tire preferences are as follows:

NO load range H tires.

First choice is G314, G316 retread and casing.

Second choice is Goodyear G316 LHT, Dunlop SP193, Kelly KTSA.

Third choice is G-399LHS or Dunlop SP 384.

NOTE: All UNSCHEDULED service should be billed using Location Code EM20.

NO BILLING OF TIRES FOR TRACTORS/POWER UNITS ARE AUTHORIZED FOR THIS ACCOUNT. TIRES PURCHASED FOR TRACTORS/POWER

UNITS SHOULD BE BILLED ON PROSTOP NA 6825. CALL DART WITH ANY QUESTIONS.

NOTE: Sales of Tires and Service are limited to Trailers only.

NOTE: All tires replaced should have valve stem replaced.

NOTE: Flow-thru valve caps ONLY

Purchase Order Number

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Wheel Position Of New Tire

Reason For Replacement

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Location Code

Driver's Id Code

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License Number and State Issuing

2388 DAVEY TREE EXPERT COMPANY ~ 1500 N Mantua St, Kent, Ohio 44240-2399

Territory Number (6 Digits)

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading (Except For Chippers, Tractors)

VIN Number

ENTER 'TRAILER' FOR DELIVERIES ON TRAILERS AND 'CHIPPER' FOR DELIVERIES ON CHIPPERS

2397 DAVISON TRANSPORTATION SERVICES INC ~ P O Drawer 846, Ruston, Louisiana 71273

NOTE: Tire preferences are as follows:

Steer: 1st - G395, 2nd - SP384, 3rd - G169 RSA, 4th - SP343

Drive: 1st - G362, 2nd - SP453, 3rd - KDA

Trailer: 1st - G316 LHT, 2nd - SP181, 3rd - KTSA

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Don Plyton COLLECT at 318/255-3850 ext 289. A Purchase Order Number

for Owner/Operators MUST be obtained by calling Clenard Dumas at ext 239.

Brand Number Of Old Tire

Vehicle Number

Signed By

You must get printed signature of Owner/Operator

2399 DAYTON FREIGHT LINES, INC ~ 6450 Poe Ave - Suite 311, Dayton, Ohio 45414

This account is exempt from mileage and fuel surcharges.

Vehicle Number

Odometer Reading

Disposition of Old Tires

Wheel Location

2411 DEAN FOODS COMPANY ~ 2711 North Haskell Avenue, Suite 3400, Dallas, Texas 75204

NOTE: ONLY VALID SUBSIDIARIES ARE AUTHORIZED TO PURCHASE UNDER THIS PROGRAM.

Purchase Order Number

Vehicle Number

Not required when purchased for stock - show "STOCK" on Delivery Receipt.

Odometer Reading

Complete Ship-To Name And Address Of Location Making The Purchase

This is where the invoice will be sent. You MUST enter the correct ship-to name as provided by the requestor of service.

Location Code

2404 DEANGELO BROTHERS, INC. ~ 100 North Conahan Drive, Hazelton, Pennsylvania 18201

Purchase Order Number

If transaction is estimated to be over $500, you MUST obtain prior authorization by calling 800-360-9333 during regular hours.

Ask for Chuck or Bob. If after hours, call Chuck Kovaleksi (570)582-5965.

Complete SHIP - TO Name and Address of Location Making the Purchase

License Number and State Issuing

VIN Number

Last 8 digits

Odometer Reading

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2405 DEBOER TRANSPORTATION INC ~ P O Box 145, Blenker, Wisconsin 54415

NOTE: No emergency road service calls are to be billed without prior approval from the dispatcher at the phone number listed below.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/478-3359.

Employee Number

Trailer Number

Tractor Number

Brand Number Of Old Tires

Wheel Position Of Tire Removed

Year Make And Model

Gross Vehicle Weight Over 26, 000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

Disposition Of Old Tires

Return old tires to driver

2415 DEDICATED FLEET SYSTEMS, INC. ~ 1350 East Philadelphia Street, Pomona, California 91766

Purchase Order Number

You MUST obtain PO# from requestor of service.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2424 DEDICATED LOGISTICS LLC ~ 3011 Highway 82 West, Crossett, Arkansas 71635

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

2420 DEDICATED TRANSPORT LLC ~ 6551 Grant Avenue, Cleveland, Ohio 44105

NOTE: DO NOT CONFUSE WITH DEDICATED TRANSPORT, LLC IN GREENSBORO, SC, WHICH IS AN UNRELATED COMPANY THAT SHOULD NOT

BE BILLED ON THIS ACCOUNT.

Purchase Order Number

You must obtain PO# by calling 216-641-2500 x1116

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2457 DELAWARE and HUDSON RAILWAY ~ PO Box 5039, Mt Laurel , New Jersey 08054-0789

Service Card Number or Purchase Order Number

UNDER $100 you MUST obtain the driver's SERVICE CARD NUMBER.

OVER $100 YOU MUST obtain a VERBAL PURCHASE ORDER NUMBER PRIOR to any work being done by calling TOLL FREE

866/353-3830.

Complete Name and Address of Lessee Company making the Purchase

Lessee /Client Number

Vehicle Number

Year Make and Model of Vehicle

VIN Number

Odometer Reading

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2480 DELUXE AUTO CARRIERS, INC. ~ dba Excel Transporting & Towing 15810 East Gale Avenue Suite 120, La Puente, California 91745

Purchase Order Number

Driver will provide PO# or call 909-823-1617

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

VIN Number

Driver's Name

Gross Vehicle Weight Over 26,000 Lbs?

2464 DEPENDABLE HAWAIIAN EXPRESS INC ~ 703 North Nimitz Highway, Honolulu, Hawaii 96817

NOTE: Do not confuse with Dependable Highway Express, Inc. NA-2465

Location Code

This is the zip code of the location making the purchase.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

2465 DEPENDABLE HIGHWAY EXPRESS INC ~ 2555 East Olympic Blvd, Los Angeles, California 90023

Please fax Delivery Receipt to 916-381-3863

NOTE: All non-repairable tires MUST be sent back with driver

NOTE: Only new tires are authorized for purchase on service breakdowns

Purchase Order Number

Dispatcher will provide at time of service request.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Odometer Reading

2485 DHINDSA GROUP OF COMPANIES, INC. ~ 11123 Banana Avenue, Fontana, California 92337

Authorized By

Full name of person making or authorizing the purchase.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2322 DHL EXPRESS USA, INC. ~ 1210 South Pine Island Road 3rd Floor, Plantation, Florida 33324

Purchase Order Number

An Order Sheet will be faxed with the PO# on it. Keep Order Sheet with DR.

Vehicle Number

You must specify ALL Unit#'s for each transaction

Odometer Reading

Location Code

Complete SHIP-TO Name and Address of Location Making the Purchase

This will NEVER be Airborne Express, they no longer exist.

VIN Number

Last 6 digits

2324 DHL INDEPENDENT CONTRACTOR PROGRAM ~ 1200 South Pine Island Road, Plantation, Florida 33324

INDEPENDENT CONTRACTORS MUST BE APPROVED BY AKRON'S CREDIT DEPARTMENT BEFORE ADDED TO THIS PROGRAM. ONLY THE

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FOLLOWING INDEPENDENT CONTRACTORS ARE AUTHORIZED:

Purchase Order Number

Not required for all contractors. Please include if supplied.

Location Code

This 8-digit location code is comprised of a 3-alpha character IATA# followed by a 5-digit TRUCKER#.

Vehicle Number

License Number and State Issuing

Odometer Reading

CC Token

CC Type

CC Exp Date (MM/YYYY)

CC Holders Name

2531 DI PIETRO TRUCKING CO ~ 8612 South 218th Street PO Box 5849, Kent, Washington 98064-5849

Credit Approval Number

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/426-4628.

Vehicle Number

Odometer Reading

2496 DIAMOND SURFACE, INC. ~ 13792 Reimer Drive, Maple Grove, Minnesota 55311

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Job Number

Signed By

3816 DICK HARRIS & SON TRUCKING CO, INC ~ 178 Elon Rd, Madison Heights, Virginia 24572

Only Goodyear retreads are authorized, and customer prefers the use of Gold Medallion Retreads when possible.

All billing for emergency service must be through Harris Trucking Goodyear national account.

Purchase Order Number

A Purchase order number for Dick Harris & Son Trucking MUST be obtained by calling Bill Douglass, Tanya Dalton or Sue Head

TOLL FREE 800/365-4834 or 434/528-6756. A Purchase order number for Titan Transport, LLC MUST be obtained by calling Steve

Brown or Roddy Baker TOLL FREE 800/444-4168

Vehicle Number

License Number And State Issuing

Serial Number Of Old Tire

Serial Number Of New Tire

Brand Number Of Old Tire

Odometer Reading

Disposition Of Old Tires

Return old tires to driver

Wheel Location

4580 DICK IRVIN INC ~ P O Box 950, Shelby, Montana 59474

Purchase Order Number

A Purchase Order Number MUST be obtained by calling within Montana TOLL FREE 800/332-5131. All other states call TOLL FREE

800/321-0098. In Canada call 800/421-5435.

Vehicle Number

Odometer Reading

2525 DINO'S TRUCKING INC ~ 9615 Continental Industrial Drive, Saint Louis, Missouri 63123

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NOTE: Tires MUST be returned to driver. Tire disposal is not authorized.

NOTE: CUSTOMER PREFERENCES ARE AS FOLLOWS:

Steer tire choices in order of preference:

Option #1: G399 Fuel Max

Option #2: SP384FM

Option #3: KLS

Drive tire choices in order of preference:

Option #1: Goodyear G372

Option #2: Goodyear G572 Fuel Max

Option #3: Dunlop SP193FM

Trailer tire choices in order of preference:

Option #1: Dunlop SP193FM

Option #2: Kelly KTSA

Option #3: G316 Fuel Max

PURCHASES CAN ONLY BE AUTHORIZED BY ONE OF THE FOLLOWING:

ADMIR SEPIC, ADAM TROMBLY, JASON (JD) CHASTAIN, CHRIS NUNLEY, GREG MONROIG, SAM VAINALIS, OR MARIA VAINALIS.

Purchase Order Number

Call 800-771-7805 to obtain PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Trailer Number

Wheel Location

Disp Of Old Tires

Tire MUST be returned to driver

Odometer Reading

2326 DMT SERVICES INC ~ 995 S Lincoln Street PO Box 488, Siloam Springs, Arkansas 72761

Purchase Order Number

Purchase order number MUST be obtained by calling 479-524-2106 Monday-Friday 8am-5pm Central. After hours call 800-237-

1769

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

2567 DODGE CONCRETE, INC. ~ W6911 Silver Creek Road, Watertown, Wisconsin 53098

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Signed By

Odometer Reading

2585 DOHRN TRANSFER COMPANY ~ 625 Third Avenue, Rock Island, Illinois 61201

Purchase Order Number

You MUST obtain PO# by calling 309-794-0763 or 800-311-2830

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

License Number and State Issuing

Wheel Location

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Tire Disposition

Signed By

2570 DOLESE BROTHERS COMPANY ~ 20 NW 13th Street PO Box 677, Oklahoma City, Oklahoma 73101-0677

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

If available

Odometer Reading

2573 DOLLAR RENT A CAR SYSTEMS, INC ~ LICENSEE LOCATIONS 5330 E 31st St, P O Box 33167, Tulsa, Oklahoma 74153-1167

NOTE: THIS PROGRAM MAY BE USED ONLY FOR THE APPROVED LICENSEES LISTED BELOW:

American Loan Masters, Inc

Auto Rental Services LLC

Cassan Enterprises, Inc

Citiwide Auto Leasing, Inc

Cougar Investments, Inc

Country Club Motors dba Dollar Rent-A-Car Yuma

Devos Motor Co Inc

Groove Affiliates, Inc

Jenhanco, Inc

Missouri Rental and Leasing

RGV Rentals Inc

Santa Fe Fleet Services Inc

Travelers Rental Co, Inc

NOTE: Tire repairs are limited to tread area only - No sidewall repairs authorized. Most punctures, nailholes or cuts up to 1/4" can be repaired.

Puncture and nailhole repairs must always be made from the inside of the tire to fill the injury and seal the inner liner.

Purchase Order Number (Will Be 4, 5 Or 6 Digits)

A Purchase Order Number MUST be obtained by calling the location making the purchase. The driver will have the number. Also

obtain the Location Code when call is made.

Complete Ship-To Name And Address Of Licensee Making The Purchase

License Number And State Issuing

Vin Number (Complete Number)

Name Of Person Authorizing The Purchase

Location Code

Odometer Reading

2574 DOLPHIN LINE, INC. ~ 4521 Higgins Road, Mobile, Alabama 36619

ALL TIRES ARE 295/75R22.5 AND SHOULD BE NEW TIRES ONLY

PREFERENCES ARE AS FOLLOWS:

TRAILER - 1ST - G316, 2ND - SP193, 3RD - KTSA

STEER - 1ST - G399, 2ND - SP384FM, 3RD - KLS

DRIVE - 1ST - G572, 2ND - SP464, 3RD - KTSA

YOU MUST CALL GARY AT 251-331-9816 FOR APPROVAL ONLY IF ABOVE TIRES ARE NOT AVAILABLE OR IF MORE THAN 2 TIRES ARE NEEDED

Valve Stems are NOT authorized and will not be paid. Prefer to drive into dealer vs. road service

Driver must take tires, scrap tire fees are NOT authorized and will be rejected

Purchase Order Number

Purchase Order # to be given by caller. If after hours Purchase Order # to be given NEXT BUSINESS DAY by Gary at

251.331.9816.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

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Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Driver's Name

Driver's Telephone #

2576 DON HUMMER TRUCKING CORP ~ 1486 Highway 6 NW, Oxford, Iowa 52322

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/247-4214

Vehicle Number

Odometer Reading

8865 DONALD B WHITEBREAD & SONS ~ 355 West County Rd, Sugarloaf, Pennsylvania 18249

Purchase Order Number

Phone COLLECT 570-788-4183 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Tractor/trailer

Odometer Reading

5691 DONALD MOSS CORP ~ DBA Moss Transportation 655 US 27 North, South Bay , Florida 33493

DO NOT CONFUSE WITH MOSS TRUCKING, WHICH DOES NOT HAVE A NATIONAL ACCOUNT.

Purchase Order Number

PO# MUST be obtained by calling 800-343-4203 or 561-996-4203

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

2577 DONLEN CORPORATION ~ 2315 Sanders Road, Northbrook, Illinois 60062

NOTE: CSX and Amerigas are NOT to be billed to this account. Each has their own account to be billed.

Donlen requirements for Retreads:

Drive position;

Maximum one (1) retread per casing.

Maximum casing age of 60 months (5 years) for retread.

Trailer position;

Maximum two (2) retreads per casing.

Maximum casing age of 84 months (7 years) for 2nd retread.

All casings must be examined and meet acceptable level.

Repairs;

Drive Tires;

Maximum one (1) major repair.

Nail hole limit one (1) per tire quarter ( 4 Maximum).

Trailer Tires;

Maximum two (2) major repairs.

Nail hole limit one (1) per tire quarter ( 4 Maximum).

Casing Specs:

Casing requirements must be followed.

Special Requirements.

Replacement Cap and Casing must be a major Brand Casing ( Goodyear, Michelin, Bridgestone) maximum age 60 months.

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Servicing Dealer must issue casing credit for reusable casing turned in at the time of purchase, or a NRT ( non-retreadable tire) report for the

out of service tire. DR's without a NRT will not be processed.

Service Requirements:

NRT's

The servicing dealer will complete an NRT ( non-retreadable tire) Analysis Form for all NRT tires and must be submitted every 30 days.

Purchase Order Number Or Preventive Maintenance Coupon

A Purchase Order Number can be obtained by calling TOLL FREE 800/323-1483. Calls MUST PRECEDE REPAIRS. When a Purchase

Order Number is used driver CANNOT authorize any repairs. After hours do only what is necessary to return the driver to the road

and call Donlen the following day for approval. Some clients issue Donlen Purchase Orders direct. In this case drivers should

contact their Fleet Manager for authorization.

Preventative Maintenance Plan

Approved for clients having special SafeCare Preventive Maintenance Coupon Book. Each Coupon Book will contain pre-numbered

coupons denoting the service period and specific services to be performed for that period. The coupon number (7 positions) will

be used in lieu of a Purchase Order Number or Credit Card and becomes the sole authority for ONLY those services listed on the

Coupon. Additional purchases will require normal authority as specified on the coupon under “For Additional Repairs”. Each

coupon will reflect the complete description of the vehicle. No Coupon is to be accepted for a vehicle other than the one listed on

the coupon. Dealers and stores must adhere to the following:

VIN on coupon must match VIN on vehicle.

Operator of vehicle must sign and date Coupon.

Complete Ship To Name And Address Of The Client Company Making The Purchase

Vehicle Number

Consists of 5 digits or 6 digits if an alpha prefix is included

VIN Number (Last 8 Digits Only)

License Number And State Issuing

Year Make And Model

Odometer Reading

Number of Casings for possible credit

Qty Casing Retained (Quantity of casings that are returned by customer and being considered for retreading)

G82 Retread Work Order #

The work order number assigned to the casings being submitted for possible retreading

2615 DOWDLE GAS, INC. ~ 2413 Highway 45 North PO Box 9129, Columbus, Mississippi 39705

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Odometer Reading

2617 DOWELL SCHLUMBERGER INC ~ (Various Locations)

Purchase Order Number

Complete Ship-To Name And Address Of Location Making The Purchase

The address entered in this field is where the bill will be sent. Ask driver for the invoice address. Do NOT use driver's home

address.

Vehicle Number (Not Required For Stock)

Location Code (4 Digits)

Odometer Reading

Six-Digit Employee Number

2636 DRISCO, LLC ~ 7001 River Ridge Drive, Ponca City, Oklahoma 74604

NOTE: PO# MUST BE WRITTEN ON DELIVERY RECEIPT

Purchase Order Number

PO# must be written on delivery receipt

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

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2323 DS WATERS OF AMERICA INC ~ (Various locations)

NOTE: This program may be used for the following Subsidiaries:

Belmont Springs

Crystal/Perfection Water Co

Crystal Water

Hinkley & Schmidt

Kentwood Spring Water

Polar Water Co

Sierra

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the location making the purchase. The driver will have the phone number.

In an emergency or for verification call COLLECT 504-821-4505.

Complete SHIP - TO Name and Address of Location Making the Purchase

Do not show the parent address as the ship-to. Ask driver for invoice address. Do not use driver's home address.

Vehicle Number

Odometer Reading

Location Code

2327 DSI TRUCK REPAIR, LLC ~ dba Distribution Solutions, Inc 303 Highway 62/65 Bypass S PO Box 2185, Harrison, Arkansas 72601

NOTE: DO NOT CONFUSE WITH DSI TRANSPORTS, INC NA 2321

Purchase Order Number

Provided at time of service

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2472 DTE ENERGY COMPANY ~ DBA DTE ENERGY 2000 2nd Avenue, Detroit, Michigan 48226

You must use one of the following plant codes as appropriate for the location being serviced:

(FAILURE TO USE THE CORRECT PLANT CODE WILL RESULT IN A CHARGE BACK)

2239-PETOSKEY

2240-ALPENA

2243-TAWAS

2247-SAULT STE. MARIE

2256-MILFORD COMPRESSOR STATION

2261-TAGGERT-SIX LAKES COMPRESSOR

2885-BEECH STREET GARAGE

2886-WARREN SERVICE CENTER GARAGE

2887-TROMBLY GARAGE

2888-CANIFF GARAGE

2889-RIVER ROUGE POWER PLANT GARAGE

2890-MONROE POWER PLANT GARAGE

2891-NEWPORT SERVICE CENTER GARAGE

2892-TRENTON CHANNEL POWER PLANT GARAGE

2893-WESTERN WAYNE GARAGE

2894-ANN ARBOR GARAGE

2895-REDFORD GARAGE

2896-ROYAL OAK GARAGE

2897-MT. CLEMENS GARAGE

2898-ST. CLAIR POWER PLANT GARAGE

2899-BELLE RIVER POWER PLANT GARAGE

2900-MARYSVILLE POWER PLANT GARAGE

2901-MARYSVILLE SERVICE CENTER GARAGE

2902-GREENWOOD EC GARAGE

2903-NORTH AREA E. C. GARAGE

2904-HARBOR BEACH POWER PLANT GARAGE

2905-PONTIAC GARAGE

2906-WIXOM GARAGE

2907-HOWELL GARAGE

2908-LAPEER GARAGE

2909-FERMI II POWER PLANT GARAGE

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2910-SHELBY GARAGE

2911-NOBLE GARAGE

2912-LYNCH ROAD GARAGE

2913-BROADWAY GARAGE

2914-MICHIGAN AVENUE GARAGE

2915-COOLIDGE GARAGE

2916-MUSKEGON GARAGE

2917-ALLEN ROAD GARAGE

2918-WEALTHY GARAGE

2919-KALKASKA

9007-BIG RAPIDS & BIG RAPIDS 2

9028-BELLE RIVER MILLS

9029-CADILLAC

9031-CONNERS CREEK POWER PLANT GARAGE

9046-GRAYLING

9049-IRON MOUNTAIN

9055-MT. PLEASANT

9072-SIBLEY QUARRY

9088-ESCANABA

9143-CHEBOYGAN

9145-GAYLORD

9147-TRAVERSE CITY

9155-LUDINGTON

9162-WASHINGTON 10 COMPRESSOR

Purchase Order Number

Blanket PO# 4700176252

Plant #

From the list above

Vehicle Number

Odometer Reading

Employee Number

2572 DTG OPERATIONS, INC ~ DBA DOLLAR RENT-A-CAR & THRIFTY CAR RENTAL 5300 E 31st St, P O Box 33167, Tulsa, Oklahoma 74153-

1167

NOTE: DTG Operations would prefer that no invoice be greater than $10,000. If, in your estimation, the invoice will exceed this amount please

work with the ordering party to split the transactions so that each will not exceed this limit.

NOTE: Tire repairs are limited to tread area ONLY - No sidewall repairs authorized. Most punctures nailholes or cuts up to 1/4" can be repaired.

Puncture and nailhole repairs must always be made from the inside of the tire to fill the injury and seal the inner liner.

Purchase Order Number

License Number And State Issuing

Odometer Reading

Vin Number (Last 8 digits)

Name Of City Manager Authorizing Purchase

Location Code

Airport code of location making purchase.

Account Number

G/L Account Number

2640 DUANE KOTTKE TRUCKING CORP ~ 211 Highway 212 East PO Box 206, Buffalo Lake, Minnesota 55314

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

2645 DUBROOK, INC. ~ 602 West DuBois Avenue Suite 1 PO Box 388, DuBois, Pennsylvania 15801-0388

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Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

You MUST obtain correct Unit# as some are exempt from taxes in certain states

Odometer Reading

2648 DUGAN TRUCK LINE, INC. ~ PO Box 138, Andale, Kansas 67001

Purchase Order Number

Up to 2 tires on a night call is OK without prior authorization, call next business day for purchase order. Anything over 2 tires

must be authorized prior to work being done. You must obtain PO# by calling at 316-946-5985

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

2649 DUININCK, INC. ~ 408 6th Street PO Box 208, Prinsburg, Minnesota 56281

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Name of person requesting service

2651 DUNBAR ARMORED SERVICE ~ 8993 E & F Yellow Brick Rd, Baltimore, Maryland 21237

All work done at Branch locations should be billed as 'Pre-scheduled yard service'

(**Mounts/Dismounts cannot be charged on service calls)

Purchase Order Number

Purchase order must be given to Goodyear Dealer at time work is scheduled. Emergency Service PO call 410-241-0472

Complete SHIP-TO Name and Address of Location Making the Purchase

Branch locations address. Head office has no trucks.

Vehicle Number

License Number and State Issuing

Vehicle Type

Odometer Reading

Location Code

2646 DUPRE LOGISTICS, LLC ~ 201 Energy Parkway, Lafayette, Louisiana 70508

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Reason for Replacement

2656 DURHAM SCHOOL SERVICES, LP ~ 4300 Weaver Parkway, Warrenville, Illinois 60555

NOTE: DO NOT DELIVER TO THIS CUSTOMER WITHOUT FIRST OBTAINING A PO# AND READING THE DURHAM PURCHASING POLICY POSTED

ON TIRE-HQ.

THIS ACCOUNT IS EXEMPT FROM FUEL SURCHARGE CODE 047-526-000

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

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Location Code

2655 DUTCH VALLEY FOOD DISTRIBUTORS, INC ~ 7615 Lancaster Avenue PO Box 465, Myerstown, Pennsylvania 17067

Purchase Order Number

You must obtain PO# by calling 717-933-4191 during regular hours (7am-5pm Eastern) or by calling 717-821-8852 after hours.

You must also obtain the name of the person authorizing.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Authorized By

Name of person authorizing

2661 DYNAMIC TRANSIT COMPANY INC ~ 2530 Rock Road, Granite City, Illinois 63040

Purchase Order Number

You must obtain PO# by calling 618-876-3000 ext. 247 or after hours 314-265-4767.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2663 DYNO NOBEL INC ~ 2650 Decker Lake Boulevard Suite 300, Salt Lake City, Utah 84119

Purchase Order Number

You MUST obtain regional blanket PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Vehicle Number

Odometer Reading

Disp Of Old Tires

9015 E W WYLIE ~ P O Box 798, West Fargo, North Dakota 58078

FOR PURCHASES ON WEEKENDS AND AFTER NORMAL BUSINESS HOURS, RETREADS ONLY ON DRIVE AND TRAILER POSITIONS. ALL OTHER

TIMES NEW TIRES IN ALL POSITIONS WILL BE APPROVED AS NEEDED.

ALWAYS PROVIDE TRUCK NUMBER AND TRAILER NUMBER WHEN TRAILER TIRE IS NEEDED.

Purchase Order Number

Must be obtained by calling 701-277-7574 during regular business hours

Vehicle Number

When trailer position tires are replaced, both the trailer number and truck number are needed.

Odometer Reading

Wheel Location

Driver's full name

Complete SHIP-TO Name and Address of Location Making the Purchase

2680 EAGLE LEASING CO ~ 258 Turnpike Rd, Southboro, Massachusetts 01772

Complete Ship-To Name and Address of Location making the purchase

Vehicle Number

Location Code

Odometer Reading

2682 EAGLE SUPPLY COMPANY LLC ~ dba Eagle Fleet Direct 5001 Brittonfield Parkway, East Syracuse, New York 13057

NOTE: YOU MUST CALL 866-591-2925 EXT 5602 FOR A QUOTE PRIOR TO SERVICING. ALSO ASK FOR HAULER#.

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No prior approval required on Emergency Road Service for the Following Haulers:

00186 Andrews Trucking

08405 J&K Milk Transport

00271 Landview Farms

00253 Beaver Trucking

00272 Walton Milk Hauling

73721 Dan's Dairy

00239 JJ Trucking

43581 William Hanehan

00037 Charles Husted

Location Code

Hauler # MUST be obtained.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2683 EAGLE TRANSPORT GROUP, LLC ~ 22153 County Road 142, Goshen, Indiana 46526

NOTE: DO NOT CONFUSE WITH EAGLE SUPPLY (NA 2682) OR EAGLE LEASING (NA 2680).

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

2678 EAGLEBROOK, INC ~ 4801 Southwick Dr, Ste 200, Matteson, Illinois 60443

NOTE: Medium Commercial Truck Tires ONLY are eligible for delivery.

NOTE: Truck Tire related service ONLY.This includes road service.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/654-8373.

Gross Vehicle Weight Over 26,000 Lbs

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application, so you MUST ask the customer for correct information.

Vehicle Number

Odometer Reading

2687 EARL L BONSACK, INC. ~ 940 Plainview Road, LaCrosse, Wisconsin 54603

NOTE: NO VALVE STEMS ARE AUTHORIZED, USE EXISTING ONE.NOTE: TIRE DISPOSAL IS NOT AUTHORIZED. DRIVER MUST TAKE TIRE.

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

2691 EAST PENN MANUFACTURING CO, INC ~ Deka Rd, Lyon Station, Pennsylvania 19536-9990

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 610/682-6361.

Time of Day Person Authorizing PO Extension

7:00 AM - 5:00 PM Gary Hess Ext 2216 or 2403 OR

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Unit Number

Odometer Reading

2748 ECOLOGY CONTROL INDUSTRIES, INC. ~ 20846 Normandie Avenue, Torrance, California 90502-1601

ONLY MEDIUM TIRES, NO AUTO OR LIGHT TRUCK

Purchase Order Number

Verbal-Driver will provide PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Brand Number

Odometer Reading

2751 EFFICIENCY ENTERPRISES INC ~ 1843 43rd Street, Astoria, New York 11105

Purchase Order Number

PO# to be obtained by calling 800-875-3715 or collect 718-278-3715

Complete SHIP - TO Name and Address of Location Making the Purchase

This must be the address of the branch whose vehicle is being serviced.

Vehicle Number

Odometer Reading

License Number and State Issuing

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

2808 EFG COMPANIES ~ 122 West Carpenter Freeway, Irving, Texas 75039

**NOTE: ALL CUSTOMERS HAVE A DEDUCTIBLE WHICH IS TO BE PAID BY THE CUSTOMER DIRECTLY TO YOU, THE SUPPLY POINT. YOU MUST

COLLECT THE DEDUCTIBLE FROM THE CUSTOMER AT THE TIME OF DELIVERY. IT WILL BE $0, $50, $100 or $200. PLEASE CONFIRM

DEDUCTIBLE AMOUNT WHEN SERVICE IS AUTHORIZED.

The deductible amount must be entered on the National Account Delivery Receipt using product code 046-218 with a quantity of negative (-) 1

and the dollar value. The supply point Credit Memo will be reduced by this amount. If you have any questions please contact the National

Account rep (Jason Mitchell 817-992-8079).

NOTE: DO NOT CONFUSE WITH ENTERPRISE RENT-A-CAR NA 2807 OR ENTERPRISE PRODUCTS NA 2809, WHICH ARE ENTIRELY UNRELATED

COMPANIES.

NOTE: PLEASE FAX DR TO 972-445-8381 ATTN: CLAIMS

NOTE: YOU MUST OBTAIN NEW PO# IF SERVICE IN ADDITION TO THAT ORIGINALLY AUTHORIZED IS REQUIRED. UNAUTHORIZED SERVICE

WILL BE REJECTED.

Purchase Order Number

PO# will be provided at time service is requested. If addtional service is required you MUST obtain a NEW PO#.

Complete SHIP - TO Name and Address of Location Making the Purchase

VIN Number

Odometer Reading

2753 EL MONTE RENTS INC ~ DBA EL MONTE RV 12818 Firestone Blvd, Santa Fe Springs, California 90670

7:00 AM - 5:00 PM Keith Rabert Ext 2216 or 2403 OR

7:00 AM - 5:00 PM Don Henninger Ext 2216 or 2403

5:00 PM -12:00 AM Kyle Pennsinger Ext 2403

12:00AM - 7:00 AM Gary Berk Ext 2403

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Purchase Order Number

PO# must be obtained by calling TOLL FREE 1-800-367-4707

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Odometer Reading

2759 ELLINGTON FARMS INC ~ 870 Chester Wilkes Lane, East Dublin, Georgia 31027

Purchase Order Number

Driver will provide

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

2761 ELMER'S CRANE AND DOZER, INC. ~ 3600 Rennie School Road, Traverse City, Michigan 49684

Purchase Order Number

You MUST obtain PO# by calling 231-943-5615

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2762 EMERSON ELECTRIC COMPANY ~ 4628 Crossroads Industrial Drive, Bridgeton, Missouri 63044

Purchase Order Number (Transportation Div Only)

A Purchase Order Number MUST be obtained by calling from within Missouri TOLL FREE 800/433-1401. From all other states call

800/237-6825.

Name Of Person Giving Verbal Authorization (All Other Divisions)

Authorization MUST be obtained by calling the Division making the purchase. The driver will have the phone number.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

License Number And State Issuing

Odometer Reading

Reason for Replacement

2763 EMKAY, INC ~ 805 W Thorndale Ave, Itasca, Illinois 60143

NOTE: Speed rated tires are not authorized unless prior approval is obtained from Emkay.

NOTE: Call TOLL FREE 800/621-2001 Monday through Friday 5 AM to 10 PM Central Standard time and Saturday 7:30 AM to 3:45 PM for

Purchase Order and verbal approval of ALL Parts and Service Work BEFORE it is performed. Under no condition does a driver have the authority

to add to a Purchase Order.

NOTE: Emkay will NOT authorize Disc Brake Overhauls using the brake service individual pricing list. Brake Overhauls MUST be billed using the

appropriate Brake Overhaul combination service Product Code. DO NOT substitute new or rebuilt calipers without calling for additional

authorization.

Purchase Order Number

For all services, including LOF, either obtain PO# by calling TOLL FREE 800/621-2001 or process the transaction within the limit

of the driver's procurement card.

Additional Authorization

You must call Emkay for an additional Purchase Order Number when the service work exceeds the limit of the driver's

procurement card.

Name Of Person Authorizing

Vehicle Number

License Number And State Issuing

Odometer Reading

Vin Number

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Last 8 digits

2767 EMPIRE EXPRESS, INC. ~ 999 Channel Avenue PO Box 13468, Memphis, Tennessee 38106

Purchase Order Number

When service is requested you will be instructed to call back after work is complete for a PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2780 EMS REDLINE ASSOCIATION, INC. ~ 828 Portage Street, Kalamazoo, Michigan 49001

Only approved members may purchase on this account. If member number is not in system then member has not yet been approved.

Membership Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

CC Exp Date (MM/YYYY)

CC Holders Name

CC Token

Credit card must be tokenized. See Tire-HQ for instructions on tokenization.

CC Type

AX, MC, VS

2783 ENBRIDGE ENERGY PARTNERS, LP ~ 1100 Louisiana Street, Suite 3300, Houston, Texas 77002

NOTE: VEHICLE MUST BE CLEARLY IDENTIFIED AS ENBRIDGE BRAND BEFORE SERVICING.

Line of Business #

Complete SHIP - TO Name and Address of Location Making the Purchase

Cost Center Number

Employee Number

VIN Number

Last 8 digits

License Number and State Issuing

Odometer Reading

Authorized By

Supervisor's Name

2787 ENDEAVOR ENERGY RESOURCES LP ~ 110 N Marienfield Ste 200, Midland, Texas 79701

Purchase Order Number

To be provided by driver

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Driver's Name

2800 ENSIGN U.S. DRILLING, INC. ~ PO Box 17805, Denver, Colorado 80217

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

VIN Number

Entire VIN#

Odometer Reading

Requested/Authorized by

Phone Number of Person Authorizing

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2803 ENTERGY CORPORATION ~ P O Box 61005, New Orleans, Louisiana 70161

Entergy Services, Inc in New Orleans ONLY has been cancelled.

Complete Ship-To Name And Address Of The Subsidiary Making The Purchase

NEVER show the Parent Name and Address as the SHIP-TO. The SUBSIDIARY Name and Address MUST be used.

Vehicle Number

License Number And State Issuing

Odometer Reading

2806 ENTERPRISE FLEET MANAGEMENT, INC. ~ dba ENTERPRISE LEASING PO Box 16540, Saint Louis, Missouri 63105

NOTE: DO NOT CONFUSE WITH ENTERPRISE RENT-A-CAR (NA 2807) OR ENTERPRISE PRODUCTS (NA 2809).

Enterprise 12 Digit Card Number (White & Green Card)

The 1st two digits Of The Enterprise Card Must Be Numeric. The 3rd can be alpha or numeric. The 4th position must be "T" Or

"N". The 5th and 6th positions must be "10" or "MD", and the 7th Thru 12th positions will match the vehicle number.

If the driver cannot provide a card call Enterprise Fleet Services With The Below Information (800-325-8838) to obtain the card

number.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

License Number and State Issuing

Year, Make, and Model of Vehicle

VIN Number

Last 8 digits only

Odometer Reading

Service ID Card Limit (When Available)

Dollar limit shown on the Enterprise Card must be noted on the Delivery Ticket.

Purchase Order Number

Enter 'NA' if under limit

2809 ENTERPRISE PRODUCTS COMPANY ~ P O Box 4324, Houston, Texas 77210

NOTE: DO NOT CONFUSE WITH:

ENTERPRISE RENT-A-CAR CO - NA-2807, WHICH IS AN ENTIRELY UNRELATED COMPANY.

NOTE: PREFERRED TIRES:

STEER-G395 LHS

DRIVE-G362

TRAILER-G316 LHT (NEW ON TRLRS, NO RETREADS)

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the driver's terminal. Driver will have the phone number.

Vehicle Number

Complete unit#, all alpha and numeric characters should be used

Location Code

Odometer Reading

2807 ENTERPRISE RENT-A-CAR COMPANY ~ 600 Corporate Park Dr, St Louis, Missouri 63105

NOTE: DO NOT CONFUSE WITH ENTERPRISE FLEET MANAGEMENT, WHICH NOW BILLS UNDER NA 2806.

NOTE: DO NOT CONFUSE WITH:

ENTERPRISE PRODUCTS CO - NA-2809, WHICH IS AN ENTIRELY UNRELATED COMPANY.

NOTE: This account is for US plated vehicles only, all Canadian plated vehicles must be billed on local books

Questions regarding Canadian plated vehicles may be directed to 800-325-8838.

NOTE: MAINTENANCE SPECIAL FOR RENT-A-CAR ONLY:

LUBE-OIL-FILTER/4-WHEEL ROTATION. USE PRODUCT CODE 077-604-000.

$1.50 OIL FILTER DISPOSAL IS ALLOWED.

USE PRODUCT CODE 046-269-000 FOR OIL FILTER DISPOSAL.

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In addition, the following service codes are to be used for RENT-A-CAR LOCATIONS ONLY:

***THE ABOVE LOF CODES SHOULD BE USED REGARDLESS OF WHETHER OR NOT TIRE ROTATION IS PERFORMED A MESSAGE LINE MAY BE

ADDED TO THE DOCUMENT ADVISING ROTATION WAS NOT PERFORMED, IF APPLICABLE.

NOTE: Checking and topping off of fluids is INCLUDED in oil change.

NOTE: Only product code 059-202-000 should be used for wiper blade replacement.

DELIVERIES FOR RENT-A-CAR:

Verbal 12 Digit Billing Number (enter in service card# requirement)

The 1st two digits of the billing number MUST be numeric; the 3rd digit can be any alphanumeric; the 4th digit must be an "N" or

a "T"; the fifth and sixth digits must be "DR", "UC", "MD" or "VP" and the 7th through 12th positions will match the vehicle

number.

License Number And State Issuing

Year Make And Model Of Vehicle

Vin Number (Last 8 Digits Only)

Unit Number

Driver must provide his unit number. It will always be the last 6 digits of the 12 digit billing number.

Odometer Reading

DELIVERIES FOR LEASING (FLEET SERVICES):

THIS NOW BILLS ON NA 2806 - ENTERPRISE FLEET MANAGEMENT, INC.

2817 EPES CARRIERS, INC ~ 3400 Edgefield Court, Greensboro, North Carolina 27409

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE

Epes Transport Systems.......800/849-0867

Texas Star Express..............800/444-3695

Vehicle Number

Odometer Reading

Disposition of Old Tire

Return to Driver

Location Code

Location Code is a 3 alpha structure. Use the correct code based on company purchasing.

ETS - Epes Transport Systems

TSE - Texas Star Express

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

2820 EQUIPMENT TECHNOLOGY, LLC ~ DBA HORIZON FLEET SERVICES 341 N W 122nd Street, Oklahoma City, Oklahoma 73114

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

VIN Number

Odometer Reading

2836 ERICKSON TRANSPORT ~ 2255 N Packer Rd P O Box 10068, Springfield, Missouri 65804

ALL work must be PRE-APPROVED by calling 800.641.4595 or night time phone Gary Rainwater 417.818.1613 or 417.345.2514.

All tires are to be returned with the Driver unless a casing credit is agreed upon.

044-215-000 WHEEL BALANCE/VALVE STEM

052-305-000 BRAKE SERVICE-PADS AND LABOR

052-293-000 ROTOR SERVICE

040-510-000 FLAT REPAIR (PASSENGER & LT TRUCK) PER TIRE

077-604-000 ERAC STANDARD OIL CHANGE LOFR (UP TO 5 QTS)

077-309-000 ADDITIONAL QT OF OIL (FOR USE WITH 077-604)

077-308-000 ERAC FULL SYNTHETIC OIL CHANGE LOFR (UP TO 5 QTS)

077-310-000 ADDITIONAL QT OF FULL SYNTHETIC OIL (FOR USE WITH 077-308)

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Purchase Order Number

A Purchase Order Number MUST be obtained after work is completed by calling TOLL FREE at 800.641.4595.

Vehicle Number Of Tractor Or Trailer

Odometer Reading

Driver's License Number And State Issuing

Reason for Replacement

Wheel Location

2845 ERNST ENTERPRISES, INC ~ 3361 Successful Way, Dayton, Ohio 45414

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the location making the purchase. The driver will have the phone number.

Complete Ship-To Name And Address Of Location Making The Purchase

Odometer Reading

Location Code

This will be the PLANT CODE provided to you for all Ernst Enterprise locations ONLY. ALL OTHER subsidiaries, use NA.

2848 ESTEP EXPRESS, INC. ~ 1291 Bowman Street, Mansfield, Ohio 44903

Purchase Order Number

You MUST obtain PO# by calling 419-747-6888 between 7am and 7pm or 419-884-3395 after hours.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2846 ESTES EXPRESS LINES, INC ~ 1100 Commerce Rd, Richmond, Virginia 23224

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 1-800-395-9143 option #3

Vehicle Number

Odometer Reading

2851 EVANS EQUIPMENT COMPANY, INC. ~ 685 East Main Street, Butler, Indiana 46721

Purchase Order Number

You MUST obtain prior approval and a PO# by calling 800-852-8772 during regular hours or 800-852-8770 after hours.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

2860 EVERGREEN INDUSTRIES, INC. ~ 202 Freedom Drive PO Box 526, Liberty, Mississippi 39645

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Disp Of Old Tires

Valid values for this field are restricted to "DRIVER", "CREDIT", "SCRAP" or "NA"

2880 EXCELERATOR SERVICES ~ DIV OF DAIMLER TRUCK NORTH AMERICA, LLC 2477 Deerfield Drive, Mail Code FTM-2, Fort Mill, South

Carolina 29715

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Purchase Order Number

Must obtain when service is requested

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Reference #/Release#

Obtain when service is requested.

2885 EXEL LOGISTICS ~ 570 Polaris Parkway, Westerville, Ohio 43082

Purchase Order Number

Driver will provide number to call. You MUST talk to the General Manager or Operations Manager to obtain PO#.

Vehicle Number

Odometer Reading

Signed By

You must obtain driver's complete name and phone number

2891 EXXACT TRANSPORT, INC. ~ 621 North Lake Parker Avenue, Lakeland, Florida 33801

Purchase Order Number

You MUST obtain PO# by calling 800-443-3798 x1201

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Signed By

2894 EXXON PIPELINE COMPANY ~ P O Box 2220, Houston, Texas 77252-2220

Blanket Purchase Order Number Hqa-49-011 Or Purchase Order Number Or Field Equipment Number

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading

2892 EZE TRUCKING, LLC ~ 2584 N Locust Avenue, Rialto, California 92377

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

0999 F A BARTLETT TREE EXPERT COMPANY ~ 1290 East Main St, P O Box 3067, Stamford, Connecticut 06905-0067

Vehicle Number

Odometer Reading

Organization Code Number

2903 FACTORY & STEEL TRANSPORTATION, INC ~ Rt 1 - Box 74A P O Box 499, Waverly, Tennessee 37185

NOTE: This customer uses both company drivers and owner/operators. Owner/operators MAY NOT purchase thru this program.

Purchase Order Number

A Purchase Order Number MUST be obtained PRIOR TO ANY WORK BEING DONE by calling TOLL FREE 800-444-4120 or COLLECT

615-296-4275.

NOTE the TOLL FREE number is available 24 hrs a day, 7 days a week. A message after normal hours will tell you where to call

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for a P O Number.

NOTE that even on after hours deliveries or Tire Net referred road calls, a P O NUMBER MUST BE OBTAINED PRIOR TO SERVICE

BEING PERFORMED.

Vehicle Number

Odometer Reading

2930 FALCON TRANSPORT COMPANY ~ 4944 Belmont Avenue PO Box 6023, Youngstown, Ohio 44501-6023

NOTE: You MUST fax delivery receipt for STOCK purchases to 724-342-7495

NOTE: Tires must be returned to drivers.

Purchase Order Number

You MUST obtain PO# by calling 800-533-5505 Ext 3

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Reason for Replacement

2945 FAMILY DOLLAR STORE, INC. ~ dba Family Dollar Trucking, Inc. 10301 Monroe Road, Matthews, North Carolina 28105

NOTE: Family Dollar will only accept retreaded casings 48 months or newer and virgin Chinese casings 48 months or newer upon DC Manager

approval.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Disp Of Old Tires

Return to driver

Location Code

Driver's Name

2950 FARMERS OIL COMPANY, INC. ~ 826 West Main Box 311, Anthony, Kansas 67003

NOTE: YOU MUST GET DRIVERS SIGNATURE

Purchase Order Number

Purchase order# must be obtained by calling TOLL FREE 800-369-3835

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2960 FASTENAL COMPANY ~ 1275 Riverview Drive, Winona, Minnesota 55987

For Auto and Light truck tires, customer requests ONLY P-Metric and KELLY brand. IF no Kelly are available, an approval MUST be obtained prior

to any substitution and reflected on the Purchase Order.

Purchase Order Number

FOR HEAVY TRUCK TIRE PURCHASES: A Purchase Order Number MUST be obtained by calling the branch making the purchase

FOR AUTO AND LIGHT TRUCK TIRES AND SERVICES: A Purchase Order Number - MUST BE OBTAINED PRIOR TO WORK BEING

DONE BY CALLING EITHER: Kevin Fratzke at 507-453-8063 OR Chris Wundrow at 507-453-8151 and providing VIN# and

mileage.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

2970 FAYBLOCK MATERIALS, INC. ~ 130 Builders Avenue PO Drawer 1867, Fayetteville, North Carolina 28302

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Purchase Order Number

You MUST obtain from requestor of service or by calling 800-542-1252

Complete SHIP - TO Name and Address of Location Making the Purchase

Signed By

Vehicle Number

4316 FCC ENVIRONMENTAL, LLC ~ FKA Hydrocarbon Recovery Services, Inc. 523 N Sam Houston Pkwy East, Houston, Texas 77060

Driver or manager must initiate service through FleetHQ before performing service for unit authorization.

Please bill tractors and trailers on separate delivery receipts

Only one unit should be billed per delivery receipt

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Cost Center Number

Odometer Reading

2982 FEDERAL EXPRESS CORPORATION ~ DBA FEDEX EXPRESS (Various Locations)

NOTE: Emergency Road Service: Replace with new tire only if flat cannot be fixed or no spare is available. Return old tire to driver. Any Dept

139 G159 tires delivered are to be 10 ply ONLY. DO NOT deliver any 8 ply without prior approval. Batteries MUST be billed locally to the Fed Ex

location making the purchase.

NOTE: ONLY tire related services may be billed thru this program. Maintenance service MUST be billed locally to the Fed Ex location making the

purchase.

NOTE: Nail hole repairs are to be performed at NO CHARGE when done in conjunction with the sale of a retread

.NOTE: WHERE MULTIPLE CODES EXIST, ONLY THE AUTHORIZED CODES LISTED ARE TO BE USED.

ALL OTHER SERVICES ARE TO BE BILLED AT CURRENT GOODYEAR M2111 NATIONAL ACCOUNT

LABOR PRICE BOOK RATES:

EMERGENCY ROAD SERVICE* (portal to portal):

*ALL LABOR CHARGES ARE INCLUDED WITH EMERGENCY ROAD SERVICE.

DO NOT BILL PIECEWORK LABOR CODES IN ADDITION.

ON-SITE SERVICES (PRICE INCLUDES ALL SERVICES PROVIDED ON-SITE):

IN-HOUSE SERVICE PRICING:

RETREAD DEPARTMENT - REPAIR CODES AND REVISIONS IN CONJUNCTION WITH RETREAD:

Product Code Description

046-240-000 Road Service Mon.-Fri. 7:00am - 5:00 pm

046-241-000 Road Service Mon.-Fri. 7:00am - 5:00pm /Half Hour

046-242-000 Road Service After Hours Sat/Sun/Holiday

046-243-000 Road Service After Hours Sat/Sun/Holiday /Half Hour

046-910-000 Mileage - per call over 20 miles

046-244-000 Scheduled Yard Service Mon.-Fri 7:00am - 5:00pm

046-245-000 Scheduled Yard Service Mon.-Fri 7:00am - 5:00pm /Half Hour

046-246-000 Scheduled Yard Service After Hours Sat/Sun/Holiday

046-247-000 Scheduled Yard Service After Hours Sat/Sun/Holiday /Half Hour

046-172-000 Mount/Dismount Loose Wheel

046-170-000 Mount Only

046-170-000 Dismount Only

046-174-000 Mount/Dismount on Vehicle under 19.5

041-271-000 New Valve Stem installed with V2B Cap (Includes Cap Charge)

041-213-000 Alligator V2B Flow-Through Cap ONLY

044-173-000 Wheel Balancing with Weights

040-206-000 NYS Disposal Fee W/Out New Tire Purchase

046-356-000 Tire Disposal Fee MT(Non-New York State)

046-314-000 Tire Disposal Fee Under 19.5 (Non-New York State)

088-112-000 Wheel Refinishing - Powder Coating, If Delivered by Producing Outlet

040-174-000 9/16" and Smaller Nail Hole Repair

040-372-000 #20 Perm Nail Hole Repair W/Retread

040-372-100 #24 Mini Section

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RETREAD DEPARTMENT - REPAIR CODES AND REVISIONS WITHOUT RETREAD

(REPAIR ONLY - BILL MT/DSMT SEPARATE):

Order Number (Include Preceeding Zeros)

Not required for service work.

Complete Ship-To Name And Address Of Location Making The Purchase

Cost Center Number (6 Digits)

MUST be obtained from the person placing the order.

Project Number (7 Or 8 Digits)

MUST be obtained from the person placing the order.

Fedex Account Number (7 Digits)

MUST be obtained from the person placing the order.

Name Of Employee Making The Purchase

Employee Number

It is important to use the Employee# as it is provided on the faxed order

Vehicle Number

Odometer Reading

Additional PO/SC/ID Number

Only required when Employee# provided on faxed order begins with 'ARI'

2985 FEDEX FREIGHT, INC. ~ 2200 Forward Dr, Harrison, Arkansas 72601

NOTE: FedEx Freight Company Cars and Company Pickups getting service or replacement tires are to be billed through ARI National Account #

0800.

NOTE: SERVICE PRICING PROGRAM:

The Above Codes include:

All Mounts, dismounts, all flat repairs plus flat repair materials.

Bill Non-Specified items at Standard National Account Rates

Purchase Order Number

040-372-150 #40 Section

040-400-101 Section Repair MT

040-400-115 Casing Bead Repair

040-400-300 Casing Spot Repair

040-173-000 9/16" and Smaller Nail Hole Repair

040-372-000 #20 Perm Nail Hole Repair W/O Retread

040-372-100 #24 Mini Section

040-372-150 #40 Section

040-400-101 Section Repair MT

040-400-115 Casing Bead Repair

040-400-300 Casing Spot Repair

Product Code Description

046-240-000 Road Service Mon.-Fri. 7:00am - 5:00 pm

046-241-000 Road Service Reg Hours/1/2Hour

046-244-000 Scheduled Yard Service Mon.-Fri 7:00am - 5:00pm

046-242-000 Road Service After Hours Sat/Sun/Holiday

046-243-000 Road Service After Hours/Per 1/2 Hour

046-246-000 Scheduled Yard Service After Hours Sat/Sun/Holiday

Product Code Description

040-400-101 Section Repair

040-173-000 Nail Hole Repair

040-400-250 Mini Section Repair

040-400-300 Spot Repair

046-172-000 Mount and dismount (not on vehicle)

046-170-000 Mount only/Dismount only

046-162-000 Non-retreadable casing RAR (must enter RAR in description GBMS)

088-112-000 Wheel and rim refinish (powder coat) (Must enter price in GBMS)

041-271-000 Valve(Steel) installed w/ V2B FT Cap

041-271-000 Alligator V2B Cap ONLY

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Vehicle Number

In an emergency or for any questions call COLLECT 870/741-9000

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Location Code

The following location codes are valid:

Dayton - DAY985

Pocono Summit - POS871

Kansas City - KCY550

Dallas - DAL300

Des Plaines - HRO120

POS871

Over the Road - OTR

501

540

0503

3918

4721

2990 FEDEX GROUND PACKAGE SYSTEM, INC. ~ DBA FEDEX GROUND 1000 FedEx Drive, Moon Township, Pennsylvania 15108

NOTE: COMPANY OWNED VEHICLES ONLY - Medium Commercial new and retreaded tires are restricted to the following sizes: 9R22.5, 11R22.5,

11R24.5, 285/75R24.5, 295/75R22.5 approved in all Goodyear medium radial tread designs. Additionally, size 255/70R22.5 is approved but

limited to the G104, G114, G149, and G169 tread designs. No other new or retreaded tires are eligible for delivery.

NOTE: Maintenance Service is not eligible for delivery, ONLY tire related services.

FEDEX GROUND TIRE/WHEEL REPLACEMENT REQUIREMENTS

Fedex Ground Package Systems Inc requires the use of a calibrated torque wrench for all tire/wheel replacements.

FXG will require verification in writing that torque wrenches have been checked for calibration every six months.

All tire/wheel assembly replacements should performed as outlined in TMC RP222C-17, 18 & 19 with the exception to the FXG wheel torque

specifications below.

Current FXG Wheel Torque Specifications:

Hub Piloted Wheels: 600-ft lbs

Stud Piloted Wheels: 450-550 ft lbs

NOTE: WHERE MULTIPLE CODES EXIST, ONLY THE AUTHORIZED CODES LISTED ARE TO BE USED.

ALL OTHER SERVICES ARE TO BE BILLED AT CURRENT GOODYEAR M2111 NATIONAL ACCOUNT

LABOR PRICE BOOK RATES:

EMERGENCY ROAD SERVICE* (portal to portal):

ALL LABOR CHARGES ARE INCLUDED WITH EMERGENCY ROAD SERVICE.

DO NOT BILL PIECEWORK LABOR CODES IN ADDITION.

ON-SITE SERVICES (PRICE INCLUDES ALL SERVICES PROVIDED ON-SITE):

IN-HOUSE SERVICE PRICING:

Product Code Description

046-240-000 Road Service Mon.-Fri. 7:00am - 5:00 pm

046-241-000 Road Service Mon.-Fri. 7:00am - 5:00pm /Half Hour

046-242-000 Road Service After Hours Sat/Sun/Holiday

046-243-000 Road Service After Hours Sat/Sun/Holiday /Half Hour

046-910-000 Mileage - per call over 20 miles

046-244-000 Scheduled Yard Service Mon.-Fri 7:00am - 5:00pm

046-245-000 Scheduled Yard Service Mon.-Fri 7:00am - 5:00pm /Half Hour

046-246-000 Scheduled Yard Service After Hours Sat/Sun/Holiday

046-247-000 Scheduled Yard Service After Hours Sat/Sun/Holiday /Half Hour

046-172-000 Mount/Dismount Loose Wheel

046-170-000 Mount Only

046-170-000 Dismount Only

046-174-000 Mount/Dismount on Vehicle under 19.5

041-271-000 New Valve Stem installed with V2B Cap (Includes Cap Charge)

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RETREAD DEPARTMENT - REPAIR CODES AND REVISIONS IN CONJUNCTION WITH RETREAD:

RETREAD DEPARTMENT - REPAIR CODES AND REVISIONS WITHOUT RETREAD

(REPAIR ONLY - BILL MT/DSMT SEPARATE):

Authorization Number

Complete Ship - To Name And Address Of Location Making The Purchase

Vehicle Number

Terminal # (4 Characters)

Tire Net Call? (Answer Yes Or No)

Odometer Reading

Wheel Location

Use one of the following codes as appropriate (separate multiple codes with a space or comma):

RF (Right Front Steer)

LF (Left Front Steer)

RFO (Right Front Outside) This would describe the First set of tires behind the steer and wide base single tires

RFI (Right Front inside) This would describe the First set of tires behind the steer

LFO (Left Front Outside) This would describe the First set of tires behind the steer and wide base single tires

LFI (Left Front inside) This would describe the First set of tires behind the steer

RRO (Right Rear Outside) This would describe the Second set of tires behind the steer

RRI (Right Rear inside) This would describe the Second set of tires behind the steer

LRO (Left Rear Outside) This would describe the Second set of tires behind the steer

LRI (Left Rear inside) This would describe the Second set of tires behind the steer

2991 FEDEX SUPPLY CHAIN SERVICES INC ~ 5455 Darrow Rd, Hudson, Ohio 44236

NOTE: WHERE MULTIPLE CODES EXIST, ONLY THE AUTHORIZED CODES LISTED ARE TO BE USED.

ALL OTHER SERVICES ARE TO BE BILLED AT CURRENT GOODYEAR M2111 NATIONAL ACCOUNT

LABOR PRICE BOOK RATES:

EMERGENCY ROAD SERVICE* (portal to portal):

ALL LABOR CHARGES ARE INCLUDED WITH EMERGENCY ROAD SERVICE.

DO NOT BILL PIECEWORK LABOR CODES IN ADDITION.

ON-SITE SERVICES (PRICE INCLUDES ALL SERVICES PROVIDED ON-SITE):

041-213-000 Alligator V2B Flow-Through Cap ONLY

040-221-000 Truck Rim / Wheel Accuride

044-173-000 Wheel Balancing with Weights

040-206-000 NYS Disposal Fee W/Out New Tire Purchase

046-356-000 Tire Disposal Fee MT(Non-New York State)

088-112-000 Wheel Refinishing - Powder Coating, If Delivered by Producing Outlet

040-174-000 9/16" and Smaller Nail Hole Repair

040-372-100 #24 Mini Section

040-372-150 #40 Section

040-400-101 Section Repair MT

040-400-115 Casing Bead Repair

040-400-300 Casing Spot Repair

040-173-000 9/16" and Smaller Nail Hole Repair (One Charge per Tire for Flat Repairs)

040-372-100 #24 Mini Section

040-372-150 #40 Section

040-400-101 Section Repair MT

040-400-115 Casing Bead Repair

040-400-300 Casing Spot Repair

Product Code Description

046-240-000 Road Service Mon.-Fri. 7:00am - 5:00 pm

046-241-000 Road Service Mon.-Fri. 7:00am - 5:00pm /Half Hour

046-242-000 Road Service After Hours Sat/Sun/Holiday

046-243-000 Road Service After Hours Sat/Sun/Holiday /Half Hour

046-910-000 Mileage - per call over 20 miles

046-244-000 Scheduled Yard Service Mon.-Fri 7:00am - 5:00pm

046-245-000 Scheduled Yard Service Mon.-Fri 7:00am - 5:00pm /Half Hour

046-246-000 Scheduled Yard Service After Hours Sat/Sun/Holiday

046-247-000 Scheduled Yard Service After Hours Sat/Sun/Holiday /Half Hour

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IN-HOUSE SERVICE PRICING:

RETREAD DEPARTMENT - REPAIR CODES AND REVISIONS IN CONJUNCTION WITH RETREAD:

RETREAD DEPARTMENT - REPAIR CODES AND REVISIONS WITHOUT RETREAD

(REPAIR ONLY - BILL MT/DSMT SEPARATE):

Purchase Order Number

Complete Ship - To Name And Address Of Location Making The Purchase

Vehicle Number

Veh 26,000 Lbs & Over ?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application, so you MUST ask the customer for correct information.

Wheel Position Of New Tire

Odometer Reading

3000 FELDERHOFF BROTHERS DRILLING ~ DIV OF TEXAS CES INC P O Box 1299, Gainesville, Texas 76420

Purchase Order Number

Driver will have the number to phone to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

3003 FERGUSON ENTERPRISES ~ Wolseley Investments Inc 12500 Jefferson Ave, Newport News, Virginia 23602-4314

NOTE: Please write the Ferguson location code on delivery receipt.

The following tires should be used on Ferguson vehicles when possible:

046-172-000 Mount/Dismount Loose Wheel

046-170-000 Mount Only

046-170-000 Dismount Only

046-174-000 Mount/Dismount on Vehicle under 19.5

041-271-000 New Valve Stem installed with V2B Cap (Includes Cap Charge)

041-213-000 Alligator V2B Flow-Through Cap ONLY

044-173-000 Wheel Balancing with Weights

040-206-000 NYS Disposal Fee W/Out New Tire Purchase

046-356-000 Tire Disposal Fee MT(Non-New York State)

046-314-000 Tire Disposal Fee Under 19.5 (Non-New York State)

088-112-000 Wheel Refinishing - Powder Coating, If Delivered by Producing Outlet

040-174-000 9/16" and Smaller Nail Hole Repair

040-372-100 #24 Mini Section

040-372-150 #40 Section

040-400-101 Section Repair MT

040-400-115 Casing Bead Repair

040-400-300 Casing Spot Repair

040-173-000 9/16" and Smaller Nail Hole Repair

040-372-100 #24 Mini Section

040-372-150 #40 Section

040-400-101 Section Repair MT

040-400-115 Casing Bead Repair

040-400-300 Casing Spot Repair

P/C .............................. DESCRIPTION

137840039 ................. WRANGLER RT/S P255/70R16

137212568 ................. WRANGLER RT/S P265/70R16

187009016 ................. REGATTA 2 P215/60R16

758595189 ................. WRANGLER SILENT ARMOR P235/70R17

138799245 ................. G 287 DURASEAL 11R22.5

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Location Code

8 digit location code consists of 4 digit Main branch code and 4 digit location code (please note some codes may have preceding

zeros)

Complete SHIP - TO Name and Address of Location Making the Purchase

ASSOCIATES NAME AND ADDRESS OF LOCATION MAKING THE PURCHASE

Vehicle Number

Odometer Reading

Vehicle Type

Auto, Truck OR Trailer?

VIN Number

Authorized By

Will be the FULL NAME of the Ferguson Operating Manager authorizing work

Disp Of Old Tires

3030 FIRST CLASS SERVICES, INC. ~ 9355 US 60 West PO Box 478, Lewisport, Kentucky 42351

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

3040 FIRST EXPRESS, INC ~ 1135 Freightliner Drive, Nashville, Tennessee 37210-2213

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800-848-9203.

Vehicle Number

Odometer Reading

3048 FIRST FLEET INC ~ 202 Heritage Park Dr, Murfreesboro, Tennessee 37129

Purchase Order Number

The driver will have the Purchase Order Number.

Vehicle Number

Odometer Reading

3051 FIRST TRANSIT, INC ~ Division of FIRSTGROUP AMERICA 600 Vine Street, Suite 1400, Cincinnati, Ohio 45202

138799258 ................. G 288 DURASEAL 11R22.5

138802501 ................. G362 11R22.5

138802503 ................. G314 11R22.5

138803230 ................. G177 11R22.5

138810125 ................. G149 11R24.5

138810453 ................. G164 11R24.5

138953155 ................. G395 11R22.5

756817453 ................. G164 295/75R22.5

756817501 ................. G362 295/75R22.5

756816453 ................. G164 285/75R24.5

756816519 ................. G169 285/75R24.5

756817155 ................. G395 295/75R22.5

139418053 ................. G 647 RSS 225/70R19.5

139178080 ................. G 647 RSS 245/70R19.5

138802125 ................. G149 RSA 11R22.5

138802453 ................. G164 RTD 11R22.5

139172053 ................. G647 RSS 225/70R19.5

139177080 ................. G647 RSS 245/70R19.5

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DO NOT CONFUSE WITH FIRST STUDENT AND FIRST VEHICLE SERVICES, WHICH ARE ALSO DIVISIONS OF FIRSTGROUP AMERICA BUT WITH

DIFFERENT NATIONAL ACCOUNTS.

Purchase Order Number

A Purchase Order MUST be obtained by calling the location making the purchase.

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

First Transit will recognize as FGA#

Vehicle Number

Odometer Reading

3053 FIRST VEHICLE SERVICES, INC. ~ Division of FIRSTGROUP AMERICA 600 Vine Street, Suite 1400, Cincinnati, Ohio 45202

DO NOT CONFUSE WITH FIRST STUDENT AND FIRST TRANSIT, WHICH ARE ALSO DIVISIONS OF FIRSTGROUP AMERICA BUT WITH DIFFERENT

NATIONAL ACCOUNTS.

Purchase Order Number

A Purchase Order MUST be obtained by calling the location making the purchase.

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Vehicle Number

Odometer Reading

3036 FIRSTENERGY CORPORATION ~ 76 South Main Street, Akron, Ohio 44308

NOTE: DO NOT CONFUSE WITH FIRST ENERGY SERVICE COMPANY NA 3038

Purchase Order Number or Blanket Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Area Number

Work Order Number

If available

3060 FISCHER TRUCKING, INC. ~ 4808 Kroemer Road, Suite 101 PO Box 8367, Fort Wayne, Indiana 46898-8367

1st choice will be Dunlop tires for steer,drive and trailer

2nd choice will be Goodyear tires for steer, drive and trailer

No recaps unless authorized by home office

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Tread Depth

Wheel Location

Disp Of Old Tires

Reason for Replacement

Signed By

First and Last Name

3076 FLEET NET AMERICA ~ P O Box 970, Cherryville, North Carolina 28021

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800-438-8961.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading

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3086 FLEET NET AMERICA - FXG EMERGENCY ROAD SVC PRGM ~ PO Box 970, Cherryville, North Carolina 28021

DO NOT CONFUSE WITH FLEET NET AMERICA NA 3076 OR FLEET NET AMERICA NA 3096.

THIS ACCOUNT IS ONLY TO BE USED FOR EMERGENCY ROAD SERVICES TO FEDEX GROUND COMPANY-OWNED VEHICLES.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

MUST be FedEx Ground Company-Owned vehicle

Odometer Reading

3096 FLEET NET AMERICA - FXG IND CONTRACTOR PROGRAM ~ PO Box 970, Cherryville, North Carolina 28021

DO NOT CONFUSE WITH FLEET NET AMERICA'S OTHER ACCOUNTS (NA 3076 AND NA 3086). FLEET NET AMERICA WILL ADVISE THE PROPER

ACCOUNT TO USE.

THIS ACCOUNT IS ONLY TO BE USED FOR FEDEX GROUND CONTRACTOR-OWNED VEHICLES

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

3072 FLEET RESPONSE ~ 6450 Rockside Woods Blvd Suite 250, Cleveland, Ohio 44131-2237

NOTE: Effective 6-29-06 Kanderstag, Inc. is no longer a Fleet Response client and is not eligible for purchases on the Fleet Response National

account.

Formerly Rental Concepts NA-4434

Purchase Order Number Or Credit Card Number

A PO# is NOT required for maintenance listed in the Driver's packet or if under the Driver's credit limit. Otherwise, a Purchase

Order Number may be obtained by calling TOLL FREE 800/338-0619 ext 2.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Year Make And Model

Vin Number (Last Six Digits Only)

Odometer Reading

3073 FLEET SERVICES, INC ~ 7400 W National Ave, P O Box 14789, Milwaukee, Wisconsin 53214

NOTE: DO NOT CONFUSE WITH:

NORTH AMERICAN VAN LINES INC - NA-6144

This account has a "Fleet Maintenance Dept" which answers the phone as "Fleet Service".

Physical Purchase Order

You MUST call 414/771-7030 for confirming authorization for every delivery.

Complete Ship-To Name And Address Of Location Making The Purchase

Unit Number

Will always be the same as the P O Number

Odometer Reading

3068 FLEET TRAILER LEASING LLC ~ 207 West Main Street, Suite 5, Lewistown, Montana 59457

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

Purchase Order Number

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Obtain PO# by calling Mary at 406-535-5931

3069 FLEETWOOD TRANSPORTATION SERVICES INC ~ 7632 South Highway 59 PO Box 430, Diboll, Texas 75941

Tire Preferences - Sleepers:

Steer - 1st - G399 Fuel Max, 2nd - Dunlop SP384FM

Drive - 1st - G372/G572, 2nd - SP456, 3rd - Kelly KDA

Trailer - 1st - Gold Medallion G316, 2nd - G316 new, 3rd - Dunlop SP193FM

Tire Preferences - Day Cabs:

Steer - 1st - G399 Fuel Max, 2nd - Dunlop SP384FM

Drive - 1st - G167 retread, 2nd - G372/G572 new, 3rd - Dunlop SP456

Trailer - 1st - Gold Medalliong G316, 2nd - G316 new, 3rd - Dunlop SP193FM

Purchase Order Number

You MUST obtain PO# by calling 800-458-4279 during business hours (7am-5pm Central)

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Reason for Replacement

Driver Name

3083 FLEMING LEASING LLC ~ dba Fleming Nationalease PO Box 2831 7397 West Park Lane, Alexandria, Virginia 22301

Purchase Order Number

PO# will be provided or can be obtained by calling 703-842-1358 x204

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

3090 FLEX CAPITAL TRANSPORT LLC ~ dba Flex Frac Oilfield 558 South Central Expressway, Richardson, Texas 75080

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

3080 FLEXIBLE FOAM PRODUCTS, INC. ~ PO Box 126, Spencerville, Ohio 45887

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Number Issuing PO

Odometer Reading

Wheel Location

Drivers License Number

Signed By

You must include the name of person dropping off or picking up the vehicle

3098 FLORIDA POWER & LIGHT CO ~ 9250 West Flagler Street, Miami, Florida 33174

NOTE: All supply points are required to follow the below listed policies when this account is serviced:

Signed delivery receipts and Service workorders must be mailed, faxed, or emailed to the following address within 7 workdays after work is

completed.

Florida Power & Light Company

Payment Support Services

2455 Port West Blvd. Bldg B2

West Palm Beach, FL 33407

Attn: Linda Evans DET/PDC

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[email protected]: 561-845-3320

Phone: 561-845-3347

NOTE: This account will be automatically billed based on the Service Center Number (Req # 34) used.

USE BELOW LISTED SERVICE CODES WHEN APPROPRIATE:

SPECIAL AGREED UPON CONTRACT SERVICE PRICING FOR FP&L ONLY:

041-110~ LIGHT TRUCK METAL VALVE

041-110~ MED. COMM L METAL VALVE

046-305~ STORM DISASTER SERVICE

046-306~ MED. COMM L MOUNT *OR* DISMOUNT

PRICING/CODES EXCLUSIVE TO FP&L CONTRACT

Blanket Purchase Order Number

If Unit is a forklift or a four (4) digit vehicle number use PO # A03060932. If Vehicle Number anything else, use PO #

4600001879.

Authorization Number (6 Digits)

Forklift and 4 digit unit number will be done under a Work Order Number. You MUST call the Division Garage to obtain the

Authorization/Work Order Number. Driver will have the phone number.

Complete Ship-To Name And Address Of Location Making The Purchase

Service Center Number (4 Digits)

Vehicle Number

License Number And State Issuing

Odometer Reading

3101 FLORIDA ROCK INDUSTRIES INC ~ (Various Locations)

Purchase Order Number

Driver or location to which vehicle is assigned must provide Purchase Order Number.

Complete Ship-To Name And Address Of Location Making The Purchase.

Vehicle Number

Location Code

Odometer Reading

License Number and State Issuing

Driver must PRINT and sign delivery ticket.

3110 FLOYD & BEASLEY TRANSFER CO. INC. ~ 18060 Highway 21, Sycamore, Alabama 35149

A CREDIT APPROVAL# IS REQUIRED FOR ALL PURCHASES AND MUST BE OBTAINED BY CALLING 330-796-0965.

EMERGENCY ROAD SERVICE CALLS ARE PRE-AUTHORIZED AND THE CREDIT APPROVAL NUMBER MAY BE OBTAINED THE NEXT DAY FOR AFTER

HOURS CALLS.

YOU MUST OBTAIN A CREDIT APPROVAL NUMBER PRIOR TO ALL STOCK AND NON-EMERGENCY DELIVERIES.

Purchase Order Number

A Purchase Order MUST be obtained by calling 800-952-7601.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

Credit Approval Number

MUST be obtained by calling 330-796-0965

3130 FOOD EXPRESS, INC. ~ 521 North First Avenue, Arcadia, California 91006

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

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3133 FOOD LION LLC ~ P O Box 1330, Salisbury, North Carolina 28145

NOTE: Sweet Bay Supermarket will only accept the following tires:

G 149 RSA LR G 138-802-125

G 149 RSA RH LR G 138-802-919

G 150 RSA LR G 138-008-275

G 314 LHT LR G 138-802-503

G 316 LHT LR G 138-953-262

Any other tire must be approved by Sweet Bay Management prior to delivery

Purchase Order Number

A Purchase Order Number MUST be obtained by driver calling their truck shop. Driver will have the telephone number.

Vehicle Number

Disposition Of Old Tires

Return Old Tires to Driver

Odometer Reading

3131 FOOD SERVICES OF AMERICA, INC. ~ 4025 Delridge Way SW Ste 400 PO Box 3457, Seattle, Washington 98124

Purchase Order Number

Local shop to provide PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

3180 FORWARD AIR INC ~ 6750 Port Road, Groveport, Ohio 43125

NOTE: You MUST call 614-497-4650 prior to service for authorization. You will be given a reference#.

Once service is complete you must call back for a PO#

NOTE: Only tires are authorized. Driver must pay for service with Comcheck or T-Check

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

License Number and State Issuing

Wheel Location

Odometer Reading

3194 FOXWORTH GALBRAITH LUMBER CO ~ 17111 Waterview Parkway, Dallas, Texas 75252

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the Yard making the purchase. Driver will have the phone number.

Complete Ship-To Name And Address Of Yard Making The Purchase

Vehicle Number

Odometer Reading

Yard #

3195 FRALEY AND SCHILLING, INC. ~ 1920 South Street Road 3, Rushville, Indiana 46173

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

3196 FRANCIS DRILLING FLUIDS, LTD. ~ 240 Jasmine Road PO Box 1694, Crowley, Louisiana 70527

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Purchase Order Number

Provide by requestor of service

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct informat

3191 FRANCIS O DAY CO., INC. ~ 850 East Gude Drive, Suite A, Rockville, Maryland 20850

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8079 FRANK THOMPSON TRANSPORT INC ~ 1010 Paxton Rd, El Dorado, Arkansas 71730

Vehicle Number

Odometer Reading

3202 FREEHOLD CARTAGE, INC. ~ 825 Highway 33 PO Box 5010, Freehold, New Jersey 07728-5010

Purchase Order Number

PO# will be provided at time service is requested.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

3204 FREMONT CONTRACT CARRIERS, INC ~ 865 South Bud Blvd P O Box 489, Fremont, Nebraska 68026-0489

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 402-721-3020.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

Wheel Location

Trailer Number

3222 FRITO-LAY INC ~ (Various Locations)

Authorization Number

An Authorization Number MUST be obtained prior to any work being completed by calling the TOLL FREE number supplied by the

driver.

The Route Sales Representative CANNOT authorize any repairs on the vehicle.

Purchase Order Number

A Purchase Order Number MUST be obtained AFTER the completion of the job by calling back for the number.

Complete Business Ship-To Name And Address Of The Division The Driver Works For

Ask the Frito-Lay representative authorizing the purchase for the billing address.

Division Location (Divloc) Number (5 Digits)

Vehicle Number

Odometer Reading

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3213 FRONTIER 13 ~ FRONTIER COMMUNICATIONS, INC. 805 Central Expressway South, Suite 250, Allen, Texas 75013

DO NOT CONFUSE WITH FRONTIER COMMUNICATIONS, INC. NA 3230. ALTHOUGH THEY ARE THE SAME COMPANY, THIS GROUP BILLS

SEPARATELY AND THIS ACCOUNT DOES NOT USE CREDIT CARDS.

YOU MUST OBTAIN WORK/REPAIR ORDER# FOR AUTHORIZATION TO PROCEED. ONCE COMPLETE, CALL BACK FOR PO#.

Purchase Order Number

YOU MUST OBTAIN PO# AFTER COMPLETING SERVICE. PO# is 10-digits and begins with 945.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

License Number and State Issuing

Vehicle Type

Work/Repair Order Number

3230 FRONTIER COMMUNICATIONS CORP ~ 3 High Ridge Park, Stamford, Connecticut 06905

NOTE: Frontier's region supervisor must approve all service and will provide region code and credit card information

CC Token

Credit card number provided by region office. CC must be tokenized.

CC Exp Date (MM/YYYY)

CC Type

CC Holders Name

License Number and State Issuing

Vehicle Number

VIN Number(Last 8 digits)

Authorized By

Odometer Reading

Region Number

3237 FROZEN FOOD EXPRESS INDUSTRIES, INC ~ 3400 Stonewall Dr, Lancaster, Texas 75134

NOTE - Tire Preference for Trailer Position is G314 Retread - Precure 2015T

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE

(ask for shop):

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number (Tractor)

Trailer Number

Name Of Person Authorizing

Toll Free Telephone Number Called For A P O Number

Odometer Reading

3265 FWCC, INC. ~ 1022 East Shawntel Smith Boulevard PO Box 863, Muldrow, Oklahoma 74948

REGION NAME TELEPHONE #

East or Southeast Clara Akers 888-258-9959

West Robert Burns 916-686-3325

Central Thomas Reese 570-631-5547

Rochester Scott Wooton 585-777-2814

800/569-9200 Conwell Corporation

800/569-9248 L & H Logistics

800/677-4420 Great Western

800/569-9234 Middleton Transportation Co

800/569-9234 Lisa Transportation Inc

800/569-9200 American Eagle

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Purchase Order Number

Obtain PO# by calling 800-343-0441 during regular hours. Fax signed copy of DR to 918-427-7725

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disp Of Old Tires

Return to driver. Disposal fees not authorized.

3280 G & K SERVICES, INC ~ (Various Locations)

Purchase Order Number

Vehicle Number

License Number And State Issuing

Odometer Reading

Complete Ship-To Name And Address Of Location Making The Purchase

The address entered in this field is where the bill will be sent. Ask driver for the invoice address. Do NOT use driver's home

address.

3285 G & M TOWING & RECOVERY LLC ~ 3030 E 55TH St , Cleveland, Ohio 44127-1209

Wingfoot is the preferred servicer/supplier for road service when within a 20 mile radius of downed vehicle. Over 20 miles please find the closest

supplier, whether Wingfoot or not.

Purchase Order Number

A Purchase Order # will be provided by driver. After hours, obtain a Purchase Order # the following day by calling Anthony

Pellegrino at 610.659.4716.

Reason for Replacement

Disposition of Old Tire

Return tire to driver

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application, so you MUST

ask the customer for correct information.

3292 GALASSO TRUCKING INC ~ 2 Galasso Place, Maspeth, New York 11378

Vehicle Number

Wheel Location

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

Odometer Reading

3294 GARCO CONSTRUCTION INC ~ E 4114 Broadway, Spokane, Washington 99202

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Kevin, Shop Mgr, at 509.526.1649 or email Kevin at [email protected].

Vehicle Number

Equipment #

License Number and State Issuing

3296 GARDNER TRUCKING INC ~ 9032 Merrill Ave, Chino, California 91710

Purchase Order Number

Obtain a Purchase Order Number by calling 909.563.5800

Vehicle Number

Odometer Reading

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3298 GARY AMOTH TRUCKING INC ~ 1874 Highland Ave East, Twin Falls, Idaho 83301

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 888.417.1545 or direct 208.733.1545.

Vehicle Number

Odometer Reading

3302 GAZELLE TRANSPORTATION INC ~ 4939 Gilmore Ave, Bakersfield, California 93308

Purchase Order Number

A Purchase Order number MUST be obtained by calling Toll-Free 800.350.8868

Wheel Location

Vehicle Number

Odometer Reading

3303 GBTI INC ~ 3619 S Fowler Ave, Fresno, California 93725

Purchase Order Number

Vehicle Number

3289 GDS EXPRESS INC ~ 1270 Hilbish Ave, Akron, Ohio 44312

Purchase Order Number

Authorization MUST be obtained before ANY work is performed by call TOLL FREE 800.782.6038 or 330.794.8868 and ask for

George Hopkins.

Wheel Position

Vehicle Number

Trailer #

Tractor #

DOT # for ON tire

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application, so you MUST

ask the customer for correct information.

Odometer Reading

3278 GE FLEET SERVICES ~ Three Capital Drive, Eden Prairie, Minnesota 55344

NOTE: DO NOT use miscellaneous service product codes unless absolutely necessary to cover locally purchased parts or items not covered by

the M-2111 price list.

NOTE: If authorized work cannot be completed within three working days due to unavailability of parts, notify the Maintenance Control Center

for Maintenance Management customers and the driver if a National Account customer.

The following information must be on every Delivery Receipt:

Authorization Number

SEE AUTHORIZATION TYPES LISTED BELOW AND INCLUDE THE APPROPRIATE AUTHORIZATION NUMBER.

Vehicle Fleet And Unit Number

Customer company ID number (Fleet) and vehicle number (Unit). Include all zeros. Fleet Number can be 1 to 6 digits and Unit

Numbers can be 1 to 8 digits. Units may be alpha and numeric.

Additional Authorization (Addl PO/CC/ID #)

Use for second authorization (otherwise NA)

Additional Authorization (Req/Auth/Rel #)

Use for third authorization (otherwise NA)

Vin Number (Last 8 Digits Only)

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Complete Ship-To Name And Address Of Client Company Making The Purchase.

Year Make And Model Of Vehicle

License Number And State Issuing

Odometer/Hubdometer Reading

And One Of The Following:

Maintenance Management Driver's Guide (Red Cover Maintenance Management Program)

Authorization Number.

a. Repairs less than the drivers guide limit or routine maintenance on the scheduled maintenance grid, use the scheduled

maintenance authorization number shown on the drivers guide. Authorization number will be an M followed by 9 numbers

(M123456789), DO NOT CALL GE FLEET FOR SCHEDULE MAINTENANCE APPROVALS.

b. Repairs over the drivers guide limit or not covered on the scheduled maintenance grid, call GE Fleet for authorization. Call

800/328-6363 (24 hours / 7 days) prior to performing repairs. Authorization Number will be ABC12345 (always 3 alpha 5

numeric).

Maintenance Management Id Card (Green Plastic Card)

Authorization number:

a. Fleet and Unit number of vehicle (or)

b. M123456789 (must include M) (or)

c. If repairs exceed dollar limit on card call GE Fleet 800/328-6363 for authorization prior to completing work. Authorization

Number will be ABC12345 (always 3 alpha 5 numeric)

National Account Driver's Guide (Blue Cover National Account Program)

Authorization Number.

a. Scheduled Maintenance ONLY:

Perform only the services by the scheduled maintenance grid and the vehicle's actual mileage. Use the "Scheduled Maintenance

Authorization Number" (under the section "AUTHORIZATION NUMBERS") for maintenance specified on the grid.

Authorization Number will be C123456789. DO NOT CALL GE FLEET FOR SCHEDULED MAINTENANCE APPROVALS.

b. Unscheduled Maintenance:

If additional repairs (above and beyond maintenance listed on the grid) are necessary and fall below the dollar limits listed in the

"AUTHORIZATION NUMBERS" section, use the "Unscheduled Maintenance Authorization Number" for these repairs. If the

unscheduled repairs exceed the dollar limit, refer to the "FLEET OPERATING INSTRUCTIONS" section of the Guide for

authorization procedures and who to call. Once approved use the 10-digit "Unscheduled Maintenance Authorization Number". DO

NOT CALL GE FLEET SERVICES FOR AUTHORIZATION.

National Account Card (Gray Plastic Card)Good For Repairs Under Dollar Limit On Card. Do Not Call GE Fleet.

Authorization number:

a. ABC0123456789 (3 alpha and a zero followed by the Fleet Unit) (or)

b. C123456789 (must include C) (or)

c. If repairs exceed National Account Card dollar limit ask driver who should be called to authorize additional repairs.

Fleet Cost Control (Turquoise Plastic Card)

Authorization number:

a. Fleet and Unit number of vehicle(or)

b. If repairs exceed dollar limit on Card call GE Fleet for Authorization prior to completing work. Authorization number will be

ABC12345 (always 3 alpha 5 numeric)

3344 GENERAL DYNAMICS CORPORATION ~ Material Service Division 222 North LaSalle St, Chicago, Illinois 60601

Purchase Order Number Or Blanket Purchase Order Number

Complete Ship-To Name And Address Of Location Making The Purchase

VTMR Number (Vendor Time & Material Record - Electric Boat Div Only)

Release Number (When Used)

Those locations using a Release Number must also use a BPO Number and vice versa.

Odometer Reading

3429 GENESIS CRUDE OIL LP ~ 919 Milam, Suite 2100, Houston, Texas 77002

Purchase Order Number

A Purchase Order number MUST be obtained by calling the Division where the vehicle resides.

District 08~.....~800.600.6545

District 09~.....~601.729.4049

District 18~.....~318.949.3284

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District 31~.....~432.561.8223

District 45~.....~361.242.8888

Division Number

08 - Brewton, AL

09 - So So, MS

18 - Fillmore, LA

31 - Midland, TX

45 - Corpus Christi

Vehicle Number

Tractor Number

Trailer Number

Wheel Location

Odometer Reading

3455 GEORGIA PACIFIC CORPORATION ~ (Various Locations)

Physical Purchase Order Or Blanket Purchase Order

In an emergency a P O Number can be obtained by calling the driver's home base. The P O Number will be confirmed with a

Physical Purchase Order which MUST be retained in supply point files for possible future review.

Complete Ship-To Name And Address Of Location Making The Purchase

Facility Code

Vehicle Number

Odometer Reading

3464 GET INC ~ dba GET LEASING 2080 Newville Rd, Plainfield, Pennsylvania 17081

Name of Driver

Telephone Number

3277 GI TRUCKING COMPANY ~ 14727 Alondra Blvd, La Mirada, California 90638

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/541-1670 Ext 240

Vehicle Number

Serial Number Of Old Tire

Serial Number Of New Tire

Brand Of Tire Removed (Gy, Fstne, Etc)

Odometer Reading

3505 GILSTER MARY-LEE CORP ~ 1205 Toohey Drive, Perryville, Missouri 63775

Purchase Order Number

A Purchase Order number MUST be obtained before service is performed. Driver will call to receive authorization and PO number.

After hours a purchase order number MUST be obtained BEFORE service is performed by calling the garage 24/7 at

573.547.1085.

Vehicle Number

Odometer Reading

3508 GILTNER INC (dba) ~ Progressive Logistics Inc 980 B West Main, Jerome, Idaho 83338

NOTE: TIRE PREFERENCES:

1st CHOICE: Drive & Trailer Position - Kelly KTSA

2nd CHOICE: Drive & Trailer Position - Dunlop SP193

Steer Position - Goodyear G395 Fuel Max

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DO NOT REPLACE VALVE STEMS ONLY O RINGS

Purchase Order Number

A Purchase Order Number MUST be obtained by calling between 8AM and 5PM (MT) TOLL FREE 800.743.9526 Ext 116. After

hours call 208.324.4355 Ext 0.

The Delivery Receipt must be FAXED to 208.644.9099. ONLY tires and/or service authorized by PO will be honored. Unauthorized

transactions may NOT be added to a PO. Call for additional authorization and/or PO.

Vehicle Number

Odometer Reading

3511 GLASGOW TRUCKING INC ~ 8680 Hwy 18 West, Vernon, Alabama 35592

Vehicle Number

Authorized By

Authorization MUST be obtained for all purchases. For emergency road service call 205.695.9120 Ext 21, 22 or 23

3522 GLEN RAVEN TRANSPORTATION ~ 3726 Altamahaw Union Ridge Rd, Altamahaw, North Carolina 27202

Purchase Order Number

A Purchase Order number MUST be obtained by calling 336.584.1996. After hours a Purchase Order can be obtained by

calling336.675.0896

Vehicle Number

Wheel Location

Odometer Reading

3524 GLENS DIESEL INC ~ 5910 Gateway Dr, Joplin, Missouri 64804

Purchase Order Number

A Purchase Order Number must be obtained by calling 417.781.5870.

Vehicle Number

Odometer Reading

3516 GLESBY MARKS LTD ~ 10200 Richmond Ave, Houston, Texas 77042-4118

Check Id Card

Physical Purchase Order, Purchase Order Number Or Coupon Number

A P O Number MUST be obtained by calling the nearest Glesby/Marks Office:

License Number And State Issuing

Odometer Reading

Year, Make And Model

Vin Number

3527 GLOBAL RENTAL CO INC ~ 31 Inverness Center Pkwy, Ste 250, Birmingham, Alabama 35242

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.445.6295.

Complete SHIP - TO Name and Address of Location Making the Purchase

License Number and State Issuing

VIN Number (last 8 digits)

Odometer Reading

Houston 800/846-4067 or 713/627-1700

Denver 800/489-7530 or 303/750-9080

Seattle 800/640-1144 or 206/455-2151

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3520 GMAC SERVICE AGREEMENT CORP ~ PO Box 5074, Southfield, Michigan 48086-5074

Purchase Order Number Or Physical Copy Of Form 717 (When Used)

All deliveries MUST be approved PRIOR to delivery. Also get mailing NAME and ADDRESS for SHIP-TO when calling.

Some clients are in a WARRANTY PROTECTION PROGRAM which requires that a DEDUCTIBLE AMOUNT be paid by the client to

you; the supply point. To obtain a P O Number for SERVICE REPAIRS ONLY (not tires) under this program call TOLL FREE

800/642-7000. Besides the authorization (P O) number; ask the Claims Representative for the DEDUCTIBLE AMOUNT for the

customer in question. It will be either $.00; $25; $50 or $100. The DEDUCTIBLE AMOUNT must be entered on the National

Account Delivery Receipt using product code 046-218 and one(1) negative unit. You MUST COLLECT THE DEDUCTIBLE AMOUNT

IN CASH FROM THE CUSTOMER. The supply point Credit Memo will be reduced by this amount.

To obtain a P O Number for tires resulting from stolen or damaged tire claims call 800/225-5642 (may result in Form 717 being

brought to store by claims adjuster).

Insured's Policy Number

Claim #

Complete Name And Address To Which Billing Should Be Mailed - Enter In Ship-To Field.

Obtain from Claims Representative when calling for approval. This is the NAME and ADDRESS of the warranty company, not the

insured.

Insured's Name (Please print)

Odometer Reading

VIN Number

Last 6 digits ONLY

3535 GODWIN PUMPS OF AMERICA INC ~ 1 Floodgate Rd, Bridgeport, New Jersey 8014

Purchase Order Number

Vehicle Number

License Number And State Issuing

Repair Order Number

Odometer Reading

3545 GOLDING TRANSPORT INC ~ 602 N Main St , Dobson, North Carolina 27017

Purchase Order Number

A purchase order number will be provided by shop when order is placed.

For road service calls the driver will call his shop to obtain approval.

Vehicle Number

Not required for road service calls

VIN Number

Not required for road service calls

Driver's Name

3553 GORDON TRUCKING INC ~ 151 Stewart Rd SW, Pacific, Washington 98047

Purchase Order Number

A Purchase Order Number MUST be obtained, prior to starting any repairs or services, by calling TOLL FREE 800-736-1180.

Call if at any time the status of the repair changes.

Delivery Ticket MUST be FAXed to 253.891.4369 within 72 hours of completing repairs.

Vehicle Number

Reason for Replacement

Disposition of Old Tires

Odometer Reading

8525 GPM PUMP & TRUCK PARTS INC ~ 1404 W Fullerton Ave - Ste A, Addison, Illinois 60156

Purchase Order Number

PO# will be provided by requestor of service.

Complete SHIP - TO Name and Address of Location Making the Purchase

Wheel Location

Odometer Reading

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3557 GRAEBEL VAN LINES, INC ~ 720 Third St P O Box 8002, Wausau, Wisconsin 54402-8002

NOTE: YOU MUST OBTAIN A PO# (FROM THE DRIVER), BEFORE SERVICING

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/568-0031 Ext 633 or Ext 753.

Vehicle Number

Asset tag number

Odometer Reading

First and Last Name of Person Requesting Service

3578 GRAND RAPIDS GRAVEL COMPANY ~ 2700 28th St SW, Grand Rapids, Michigan 49509

Purchase Order Number

A Purchase Order number MUST be obtained by calling 616.293.4853.

Vehicle Number

MFG Equipment Y/N

Your (Y)es or (N)o answer is required in order to generate the correct sales tax. If servicing Production Equipment used in gravel

pit answer Yes. If highway vehicles answer No.

Odometer Reading

3590 GRANDVIEW ENTERPRISES INC ~ 7708 NE 99th Street, Vancouver, Washington 98662

Purchase Order Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so your MUST ask the customer for correct information.

3586 GRANGER TRUCKING INC ~ 8001 Old Granger Rd, Garfield Heights, Ohio 44125

Purchase Order Number

Authorized By

Truck #

3 digit number - use preceding zeros when applicable

3587 GRANITE CONSTRUCTION CO ~ P O Box EQ, Watsonville, California 95077

(OFF-THE-ROAD TIRE DEPT ACCOUNT)

Purchase Order Number

To obtain a Purchase Order Number call the location making the purchase. The driver will have the telephone number.

Cost Center Number (4 Digits)

Complete Ship-To Name And Address Of Project Or Branch Office Making The Purchase

Vehicle Number

Odometer Reading

3588 GRAYSON MITCHELL, INC ~ 2462 Sussex Dr, Emporia, Virginia 23847-5312

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 800/247-6321.

Vehicle Number

Odometer Reading

3665 GREAT LAKES PETROLEUM COMPANY ~ 4478 Johnston Parkway, Cleveland, Ohio 44128

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Purchase Order Number

You MUST obtain PO# by calling 704-913-9400 during regular hours (7-5 eastern) or 704-776-6794 after hours

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

3591 GREAT PLAINS TRUCKING INC ~ 1621 Dewey St, Salina, Kansas 67402-0166

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application, so you MUST ask the customer for correct information.

3593 GREAT SOUTHERN WOOD PRESERVING INC ~ dba GSWP Inc Hwy 431 North, Abbeville, Alabama 36310

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/730-4767

Complete SHIP - TO Name and Address of Location Making the Purchase

3595 GREAT WHITE PRESSURE PUMPING LLC ~ 14201 Caliber Drive, Oklahoma City, Oklahoma 73134

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 405.285.5812 Ext 6622.

Vehicle Number

3603 GREATWIDE ~ 12404 Park Central, Ste 300 South, Dallas, Texas 75251

NOTE: EFFECTIVE IMMEDIATELY GREATWIDE WILL BE UTILIZING THE ET11 (254-817-143) FOR ALL TRADE TRAILER RETREADS.

NOTE: OVER THE ROAD TRAILER BREAK-DOWN:

FIRST CHOICE: GOLD MEDALLION PC G316 (254-817-172)

Purchase Order Number

A Purchase Order Number MUST be obtained.

Road Service Calls- FleetNet will provide the telephone number for the domicile location. If after hours, call for a PO the following

business day.

STOCK purchases - A purchase order number will be provided by the equipment manager placing the order.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Provide TRACTOR NUMBER

Trailer Number

Wheel Location

Serial Number of New Tire

Serial Number of Old Tire

Disposition Of Old Tires

Return tire with driver whenever possible

Location Code

3623 GREIF INC ~ dba Greif Packaging LLC 366 Greif Parkway, Delaware, Ohio 43015

NOTE: REPAIRS TO TRAILERS ONLY. NO PURCHASES AUTHORIZED FOR TRACTORS

CUSTOMER TIRE CHOICES IN ORDER OF PREFERENCES:

Goodyear Retread - 1. G159 HS, 2.G314, 3.LCT 11, 4.G316, or G316 Gold Medallion.

For emergency road service only if no Goodyear retreads are available, use:

Dunlop SP193 FM, Goodyear G316 FuelMax, or Kelly KTSA (Truckstops only)

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Purchase Order Number

Trailer Number

Vehicle Number

Carrier Name (DRIVER'S COMPANY NAME)

DRIVER'S ARE CONTRACTED - MUST HAVE DRIVER'S COMPANY NAME AND ADDRESS

Reason for Replacement

One of the following Codes must be entered on every transaction.

CODE~ ~REASON

FC1~ ~Sidewall injury

FC2~ ~Impact break

FC3~ ~Ran over foreign object

FC4~ ~Nail hole in tread

FC5~ ~Brake skid

FC6~ ~Run flat to destruction

FC7~ ~Wheel bent or damaged

FC8~ ~Misalignment

FC9~ ~Theft

FC10~ ~Other(Explain)

Driver's Name

Driver's Telephone #

3640 GRIFFIN TRANSPORTATION INC ~ 505 56th St SW, Grand Rapids, Michigan 49548

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application, so you MUST

ask the customer for correct information.

3679 GULF COAST TRANSPORT INC (DIP) ~ 450 Aston Dr, Sunnyvale, Texas 75182

Purchase Order Number

A Purchase Order Number MJST be obtained by calling 866.215.5721

Vehicle Number

Odometer Reading

3682 GULICK TRUCKING INC ~ 3000 SE Hidden Way, STE 40E, Portland, Oregon 98661-8049

NOTE: ON TRACTOR TIRES WHEN DUAL WHEEL POSITION; BOTH TIRES MUST BE REPLACED.

NOTE: THIS DOES N O T APPLY TO OWNER-OPERATOR TRACTORS.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 360.699.0999 Ext 219 for Glen or Ext 266 for Brian.AFTER HOUR CALLS

will be handled by Fleet Net but MUST be processed through this program.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Tractor or Trailer #

Reason for Replacement

Disposition of Old Tire

Return tire(s) with driver

3683 GULLY TRANSPORTATION, INC ~ 3820 Wisman Lane, Quincy, Illinois 62305

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/998-5001.

Vehicle Number

Odometer Reading

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3698 GYPSUM EXPRESS LTD ~ 2914 Belgium Rd, Baldwinsville, New York 13027

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/621-7901.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

Brand Number

Reason For Replacement

Disposition Of Old Tires

Return old tires to driver.

3288 G&D INTEGRATED TRANSPORTATION ~ 50 Commerce Dr, Morton, Illinois 61550

NOTE: Maximum replacement on road service call is 3 tires. NOTE: 3 tires or more requires Manager's authorization.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.451.6680, Opt 5.Emergency breakdown service obtain a

Purchase Order # by calling 309.284.6778

Authorized By

First and last name of person authorizing service

Vehicle Number

Trailer with container, obtain the Trailer Chaise # and Container #.

PIN #

Reason for Replacement

Odometer Reading

3737 H C TRANSPORT, INC. ~ 6045 Bridgetown Road, Cincinnati, Ohio 45248

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Division Number

3731 H E BUTT GROCERY CO. ~ 4710 N Pan Am Expressway, San Antonio, Texas 78218

NOTE: Tire Preferences:

Steer - G395 LHS (load range H)

Trailer - 1st Choice SP181A 2nd Choice G316 LHT

Purchase Order Number

For Emergency Road Service call QA/Breakdown at 210-938-6583

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8994 H O WOLDING, INC ~ P O Box 56, Nelsonville, Wisconsin 54458

Purchase Order Number

Vehicle Number

Truck and trailer number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

License Number And State Issuing

Odometer Reading

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Disposition Of Old Tires

Return old tires to the driver.

Driver's Name

Wheel Location

Reason for Replacement

3735 H P INC. ~ DBA HILL BROTHERS 7850 I Street, Omaha, Nebraska 68127

Purchase Order Number

PO# must be obtained by calling TOLL FREE 1-800-228-4455

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

3764 HALE TRAILER BRAKE & WHEEL, INC. ~ D/B/A HALE TRAILER Rt 73 & Cooper Road, Voorhees, New Jersey 08043

Purchase Order Number

PO# must be obtained by calling 800-232-6535 ext 190

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Trailer Number

Hubdometer Reading

You must include this information when submitting document

Wheel Location

Tread Depth

Reason for Replacement

You must include this information when submitting document

3766 HALLIBURTON ENERGY SERVICES ~ Div of Halliburton Co P O Box 1431, Duncan, Oklahoma 73536

Purchase Order Number

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

License Number And State Issuing

Odometer Reading

Driver's License Number And State Issuing

If Adjustment Due - Show Tread Depth Of Tire Replaced Or Months Of Service On Battery

Employee Number

3770 HALVOR LINES INC ~ 217 Grand Avenue, Superior, Wisconsin 54880

Purchase Order Number

Driver will provide phone number to call for PO# or call 715-392-8161 ext 128

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

3768 HAMM & PHILLIPS SERVICE CO INC ~ Div of CES Mid-Continent Hamm, LLC PO Box 3907, Enid, Oklahoma 73702-3907

Purchase Order Number

Yard #

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Signed By

Full name of Hamm & Phillips employee

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3780 HAN FENG, INC. ~ 6001 West Market Street, Greensboro, North Carolina 27409

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Wheel Location

Odometer Reading

CC Token

CC Type

CC Holders Name

CC Exp Date (MM/YYYY)

3776 HANSON AGGREGATE ~ (Various Locations)

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

The address entered in this field is where the bill will be sent. Ask driver for the invoice address. Do NOT use driver's home

address.

Vehicle Number

Odometer Reading

3790 HARMS OIL COMPANY ~ 411 SW 10th Avenue, Aberdeen, South Dakota 57401

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

6733 HAROLD J POHL INC ~ 9394 McGreevey Rd, Versailles, Ohio 45380

THIS ACCOUNT WILL ONLY PURCHASE NEW TIRES.

STEER POSITION G395

DRIVE POSITION G372A

TRAILER POSITION - FIRST CHOICE G395, SECOND CHOICE G314

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/837-5046.

Vehicle Number

Odometer Reading

Disp Of Old Tires

Return old tires to driver

3820 HARRIS TEETER ~ 6001 Highway 74E, Indian Trail, North Carolina 28079

Road Service Notes: Steer Tire to be replaced with a G399

Drive Tires to be replaced with a Gold Medallion G182 Retread if possible

Trailer Tires to be replaced with a Gold Medallion G316 Retread if possible.

No New Drive Tires

No New Trailer Tires.

FLEET-HQ: Please e-mail [email protected] and [email protected] after work is completed on any Fleet HQ Calls.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the following people

Shirley Smith Indian Trail, NC location at 704/844-4308

Tommy Cole Greensboro, NC location at 336/294-7225

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

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Odometer Reading

Cost Center

3852 HAYNES TRUCKING, LLC ~ 1229 Versailles Road, Lexington, Kentucky 40508

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

3726 HCM CLAIM MANAGEMENT CORP ~ 225 Brae Blvd, Park Ridge, New Jersey 07656

Purchase Order Number

The driver will have the Purchase Order Number. In an emergency or for verification call TOLL FREE 800/426-2223.

Complete Ship-To Name And Address Of Location Making The Purchase

License Number And State Issuing

Odometer Reading

4260 HD SUPPLY, INC ~ 501 West Church Street, Orlando, Florida 32805

Note: Only Tires and tire related service is to be billed to this National Account Program. All other service work is to be billed under the MAP

WHEELS program (NA 5290) OR THE HD SUPPLY C/O ARI program (NA 4259). Please refer to the driver for additional information.

NOTE: CONTACT BRANCH MANAGER TO VERIFY LOCATION CODE AND VEHICLE NUMBER FOR PROPER BILLING.

NOTE: The Line of Business will be one of the following based on the business unit (correct one must be used for correct billing):

CODE~ ~DESCRIPTION

CB~ ~CROWN BOLT

CRP~ ~CORPORATE

ELE~ ~ELECTRICAL

PLU~ ~PLUMBING/HVAC

PVF~ ~INDUSTRIAL PVF

UTL~ ~UTILITIES

WC~ ~WHITE CAP

WTW~ ~WATERWORKS (FIRE PROTECTION)

CTI~ ~CREATIVE TOUCH INTERIORS

FMA~ ~FACILITIES MAINTENANCE

RR~ ~REPAIR REMODEL

Purchase Order Number

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Id Number

Branch Number

Odometer Reading

VIN Number

LAST 6 DIGITS OF VIN# ARE REQUIRED

Line of Business Code

The Line of Business Code will be one of the following based on the business unit (correct one must be used for correct billing):

CODE~ ~DESCRIPTION

CB~ ~CROWN BOLT

CRP~ ~CORPORATE

ELE~ ~ELECTRICAL

PLU~ ~PLUMBING/HVAC

PVF~ ~INDUSTRIAL PVF

UTL~ ~UTILITIES

WC~ ~WHITE CAP

WTW~ ~WATERWORKS (FIRE PROTECTION)

CTI~ ~CREATIVE TOUCH INTERIORS

FMA~ ~FACILITIES MAINTENANCE

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RR~ ~REPAIR REMODEL

License Number and State Issuing

4259 HD SUPPLY, INC. - C/O ARI ~ 9000 Midlantic Drive, Mt. Laurel, New Jersey 08054

DO NOT CONFUSE WITH HD SUPPLY, INC. - NA 4260, WHICH IS FOR VEHICLES HD SUPPLY MANAGES ITSELF. THIS ACCOUNT (4259) IS FOR

HD SUPPLY VEHICLES THAT ARE MANAGED BY ARI.

Service Card Number or Purchase Order Number

Call ARI Fleet Management Dept TOLL FREE 800/257-8246 8:30 AM thru 8:00 PM EST Monday thru Friday or 8:30 AM thru 5:00

PM EST on Saturday. Perform EMERGENCY repairs after hours or on weekends and holidays then call the ARI Fleet Management

Dept (above) the NEXT business day and obtain a P O Number.

Complete SHIP - TO Name and Address of Location Making the Purchase

Lessee / Client Number

Vehicle Number

VIN Number

Year, Make, & Model of Vehicle

Odometer Reading

3853 HEADWATERS INCORPORATED ~ 10635 S. Riverfront Parkway Suite 300, South Jordan, Utah 84095

Purchase Order Number

You must obtain PO# from driver

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

3854 HEADWATERS RESOURCES, INC.-CC ONLY ~ DBA HRI 22 Lamps Glow Place, The Woodlands, Texas 77382

NOTE: THIS ACCOUNT IS TO BE USED FOR CARS, PICKUPS AND SUV'S ONLY. CREDIT CARD MUST BE PRESENTED AT POINT-OF-SALE.

Purchase Order Number

Blanket PO# HRI2010

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

CC Token

CC Type

AX, MC, VS

CC Exp Date (MM/YYYY)

CC Holders Name

3856 HEARTLAND EXPRESS INC OF IOWA ~ 901 North Kansas Avenue, North Liberty, Iowa 52317-4726

Order of preferred tires for replacement:

1 Goodyear 295/75R22.5 G G316 LHT Fuel Max Duraseal

2 Goodyear 295/75R22.5 G G316 LHT Fuel Max

3 Goodyear 295/75R22.5 G G399 LHS Fuel MAx

4Kelly options are the KLHA or the KTSA, all load range G.

If these tires are not available and you need to install a different tire or load range, PRIOR APPROVAL must be obtained with the PO#.

Also, please list the name of the breakdown operator authorizing the alternative product.

NOTE: Valve stems are no longer authorized for purchase.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling from within Iowa TOLL FREE 800/553-4546. From all other states call 800/441-4954.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

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Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application

License Number And State Issuing

Tread Dept Of Old Tire

Reason For Replacement

Odometer Reading

Disposition Of Old Tires

Return old tires to driver

3908 HELENA CHEMICAL COMPANY ~ 225 Schilling Blvd - Suite 300, Collierville, Tennessee 38017-6937

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT the Fleet Maintenance Department 901/537-8616.

Vehicle Number

Odometer Reading

3915 HELLER'S GAS, INC. ~ 500 North Poplar Street, Berwick, Pennsylvania 18603

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

CC Token

Refer to instructions on Tire-HQ training tab for instructions on tokenizing a credit card.

CC Exp Date (MM/YYYY)

CC Type

AX, MC, VS

CC Holders Name

3917 HELWIG & SON LLC, J. S. ~ 2578 Hwy 276 , Rockwall, Texas 75032

Purchase Order Number

Phone TOLL FREE 888-771-3331 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Truck or trailer number

Odometer Reading

3925 HEMPHILL TRUCKING INC ~ 1921 Yellowstone Road PO Box 1863, Rock Springs, Wyoming 82902

Purchase Order Number

You MUST obtain PO# by calling 307-382-5650

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

3936 HENKELS & MCCOY INC ~ 985 Jolly Rd, Blue Bell, Pennsylvania 19422

A Purchase Order MUST be obtained by calling the appropriate person listed below (Pre-authorization is not required for one (1) tire if the

appropriate contact is not available.):

Division States Contact Name Phone

17 OK, PA, MI, OH, ND, MS Ken Grigsby 405/760-6604

50 OR, WA, ID Rob Haynes 503/849-5650

50 CA, AZ Joe Kogel 909/322-7871

50 UT Bill Grigsby 623/385-2004

50 HI Malia Cook 808/455-1310

55 Batavia, IL/WI Ed Higgs 608/838-2144

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No Repairs are to be performed until authorization and purchase order is given by the authorized division personnel. Pre-authorization is not

required for one (1) tire if the appropriate contact is not available.

Purchase Order Number

The below requirements must be obtained before calling for authorization.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Division Number

Employee Name

Odometer Reading

3940 HERCULES TRANSPORT INC ~ 3452 Highway 145 N PO Box 536, Choudrant, Louisiana 71227

Purchase Order Number

You must obtain PO# by calling 800-742-9250 or 318-768-2534 and ask for Tommy

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

3945 HERITAGE OPERATING LP ~ 8801 S Yale, Suite 310, Tulsa, Oklahoma 74137

Purchase Order Number

Driver MUST have Purchase Order Number from either the District or Region Office before any work is Performed.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Region Number

District Number

INCLUDE PRECEDING ZEROS

3948 HERITAGE TRANSPORT, LLC ~ 1626 Research Way, Indianapolis, Indiana 46231

Purchase Order Number

Obtain PO# by calling Jim Litton at 317-243-4391

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

2865 HERMAN R EWELL, INC ~ 1260 Division Hwy P O Box #8, East Earl, Pennsylvania 17519

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800-233-0161.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

55 Salem, IL, IN Dean Webster 618/267-1601

55 IN, MN, WI Jim Blevins 574/596-5517

55 AL, FL, TN, MS, LA Chris Finch 610/770-1054

55 TX Bob Hersperger 214/244-8723

55 OH John Mihalik 740/927-1737

60 PA,MA,CT,VA Ed Smith, Jr. 215/283-7960

60 York, PA Tom Parson 717/266-5641

60 NJ Tim Barton 609/685-4420

Back up All states Joe Cherone 267/640-4051

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Driver's License Number And State Issuing

3953 HERR FOODS, INC. ~ 20 Herr Drive PO Box 300, Nottingham, Pennsylvania 19362

Branch Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Signed By

3966 HERTZ CORPORATION ~ Rent A Car Division 225 Brae Blvd, Park Ridge, New Jersey 07656-0713

DO NOT CONFUSE WITH HERTZ EQUIPMENT RENTAL

Purchase Order Number

Location/Area To Be Charged (4 Digits)

Location/Area To Be Charged

Complete Ship-To Name And Address Of Location Making The Purchase

Odometer Reading (Required On 1-4 Tire Purchases Only)

Vehicle Number (Required On 1-4 Tire Purchases Only)

License Number And State Issuing (Required On 1-4 Tire Purchases Only)

Vin Number (17 Digits)

Required only when a vehicle is involved AND the P O Numbers are issued by the Warranty Claims Division as described above.

3999 HERTZ EQUIPMENT RENTAL CORP ~ 225 Brae Blvd, Park Ridge, New Jersey 07656

NOTE: Do not install tubeless tire valves or balance wheels

Four Digit Area Number

Odometer Reading

Complete Ship-To Name And Address Of Purchasing Location

Location address may be either in the name of Hertz Equipment Rental Corp or their subsidiary King McIver Sales; Inc.

CC Token

CC Type

CC Holders Name

CC Exp Date (MM/YYYY)

3970 HERTZ LICENSEE DIVISION ~ (Various Locations)

NOTE:THIS PROGRAM MAY BE USED ONLY FOR THE APPROVED LICENSEES LISTED BELOW:

A T & C Rentals, Inc

Allard Rental Corp

Auto Rentals, Inc

Barrett Driv Ur Self, Inc

Booton, Inc

Broadway Rental Cars, Inc

C A R Rental, Inc

Carco Carriage Corp

Cerini Investments, Inc

Cunningham Rentals, Inc

Decatur Transit, Inc

East Ridge Rentals

Fairbanks U Drive, Inc

H K Enterprises, Inc

Bill Hardy's Inc

J and J Transportation Services, Inc

Ken LeDrew DBA Hertz Licensee Pendleton

LAU-CON Auto Rental, Inc

John Nottoli, Inc

Marjon, Inc

Moyer Car Rental, Inc

Northway Car Rentals, Inc

Passaic Clifton Driv Ur Self System, Inc

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Paducah Rent A Car, Inc

Penn Jersey Leasing Corp

R E S Enterprises Inc

Rent-Lease, Inc

River City Rentals Inc

Rocky Mountain Transportation, Inc

Schepker, Inc

Slocal Inc

Southeastern Rent-A-Car Inc dba Hertz of Valdosta

Tom Collins Leasing Corp

Traverse City Leasing, Inc

Tri-City Rentals, Inc

Union County U Drive It, Inc

Western Rentals, Inc

Yellow Cabs of Tupelo, Inc dba Hilltop U-Drive It Co

Purchase Order Number

A Purchase Order Number MUST be obtained from the approved licensee making the purchase.

Complete Ship-To Name And Address Of Hertz Licensee Dealer Making The Purchase

Vehicle Number

Required on purchases of 1-4 tires only

Licensee Location Number (Obtain When Receiving A P O Number)

This is a five (5) digit number beginning with a "9".

Odometer Reading

3975 HERTZ LOCAL EDITION ~ 225 Brae Blvd, Park Ridge, New Jersey 07656

Purchase Order Number (12 Digits)

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

License Number And State Issuing

Vin Number

Odometer Reading

4015 HESTER INDUSTRIES INC ~ 104 S Main St, Moorefield, West Virginia 26836

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/722-1166 or COLLECT 304/538-1462.

Odometer Reading

4025 HEYL TRUCK LINES, INC. ~ 220 Norka Drive PO Box 500, Akron, Iowa 51001

Purchase Order Number

Driver will provide number to call to obtain the PO#.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

4035 HIGHWAY EXPRESS, INC ~ 5600 Midlothian Turnpike, Richmond, Virginia 23225

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 804/232-5674 or 804/232-5600

Vehicle Number

Odometer Reading

4040 HIGHWAY TRANSPORT CHEMICAL, LLC ~ 1500 Amherst Road, Knoxville, Tennessee 37909

NOTE: On Emergency Road Service calls old tire must be put in spare rack and sent with driver, Highway Transport will not pay a tire disposal

charge.

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NOTE: Please bill STOCK purchases separately from Emergency Road Services (separate transactions).

Purchase Order Number

PO# must be obtained by calling toll free 800-818-0157

Complete SHIP - TO Name and Address of Location Making the Purchase

Signed By

Vehicle Number

Wheel Location

Odometer Reading

Location Code

4048 HILLDRUP MOVING AND STORAGE CO, INC ~ 4022 Jefferson Davis Hwy P O Box 1290, Stafford, Virginia 22555-1290

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/476-6683 or COLLECT 703/221-7155

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you must ask the customer for the correct information.

Odometer Reading

4055 HINZ TRUCKING, INC. ~ 125 Odessa Road PO Box 370, Kearney, Nebraska 68848

NOTE: MUST OBTAIN AUTHORIZATION BY CALLING ONE OF THE FOLLOWING AT 800-523-4631:

Bob Lybarger Ext 307

Steve Vaughn Ext 302

Al Kufeldt Ext 303

James Galloway Ext 304

Rick Taylor Ext 305

Scott Hinz Ext 301

Rod Hinz Ext 315

Todd Hinz Ext 313

Authorized By

You must enter the name of the person authorizing purchase, which must be from list above.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

4068 HIRSCHBACH MOTOR LINES, INC ~ Box 9, South Sioux City, Nebraska 68776

In the case of severely mismatched tires, or a proposed service plan would result in a mismatch, Hirschbach breakdown call managers will

authorize re-matching of tire positions. The fleet specification for matches is: 3/32nds for tandem positions & 6 /32nds or less across a

differential. * If 6/32nds cannot be achieved across a differential, the mismatch should be moved to the forward non-drive axle and advise the

driver that the mismatch exists (along with notating the mismatch on the repair order/invoice).

You must get repair authorization by calling 402-404-2285. Once complete, you must call 402-404-2286 for a PO#.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 402-404-2286.

Vehicle Number

Odometer Reading

4070 HMD TRUCKING, INC. ~ 10031 Virginia Avenue, Chicago Ridge, Illinois 60415

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

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Vehicle Number

Odometer Reading

4075 HOC TRANSPORT COMPANY ~ 1569 Industrial Parkway, Akron, Ohio 44310

You MUST get prior authorization from Matt Youngblood or Carl Hummel by calling 330-620-5360.

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

4098 HOLLIDAY ROCK COMPANY INC ~ 1401 North Benson Avenue, Upland, California 91786

Purchase Order Number

You MUST obtain PO# provided at time service is requested.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

4106 HOME RUN, INC ~ 1299 Lavelle Dr, Xenia, Ohio 45385

Name Of Person Authorizing Purchase

Verbal approval MUST be obtained prior to work being done. After approved and work is complete call again for a Purchase Order

Number.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling between 8:00 AM - 5:00 PM TOLL FREE 800/543-9198. After hours call

COLLECT 513/376-8103.

Vehicle Number

Odometer Reading

Disposition Of Old Tires

Return old tires to driver

4120 HONEY-BESTWAY TRANSPORT ~ 2994 Orange Ave PO Box 908, Plymouth, Florida 32768-0908

NOTE: Tires must be returned to driver.

Purchase Order Number

A Purchase Order MUST be obtained by calling toll free 800/966-2953, ask for Ned or David

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

4124 HOOSIER AIR TRANSPORT INC ~ 3010 W 650 N PO Box 963, Columbus, Indiana 47202

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

4125 HOOVESTOL, INC. ~ 3321 Mike Collins Drive, Eagan, Minnesota 55121

Tire preferences are as follows:

Steer - Goodyear G-399LHS, Second Choice Dunlop SP -384

Drive - Goodyear G-372 LHD, Second Choice Goodyear G-399LHS, Goodyear G-316 LHT

Trailer - Goodyear G-316 LHT, Second Chice Dunlop SP -193, Kelly KTSA

If none of these are available call Hoovestol

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Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Driver's Name

4141 HORNADY TRANSPORTATION, LLC ~ 1736 Hwy 21 Bypass, Monroeville, Alabama 36460

NOTE: Batteries are NOT eligible for delivery

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Road Maintenance TOLL FREE 800/633-1313

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

Vehicle Number

Odometer Reading

Complete SHIP-TO Name and Address of Location Making the Purchase

4130 HOT LINE FREIGHT SYSTEM, INC ~ COULEE COUNTRY TRUCK & TRAILER, INC W2197 County Road B PO Box 205, West Salem,

Wisconsin 54669

Purchase Order Number

Provided when service is requested

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information. Applies to Hot

Line only, not Coulee.

4135 HOTLINE CONSTRUCTION, INC. ~ 9020 Brentwood Blvd, Suite H, Brentwood, California 94513

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

0927 HOWARD BAER, INC ~ 1301 Foster Ave, Nashville, Tennessee 37210

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 615/255-7351.

Vehicle Number

Odometer Reading

Driver's License Number And State Issuing

4215 HOWL TRANSPORTATION LLC ~ 11528 Confederate, El Paso, Texas 79936

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Signed By

4315 HYDAKER-WHEATLAKE COMPANY ~ Div of Utilities Supply & Construction Company 420 Roth Suite B, Reed City, Michigan 49677

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Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Be sure to enter the name of the company you are servicing, not the corporate name.

Odometer Reading

Driver's Name

4343 I & N TRANSPORTATION, LLC ~ 20406 105th Place SE, Kent, Washington 98031

NOTE: Drivers name MUST be on every invoice.

Vehicle Number

Odometer Reading

4330 IBC TRUCKING LLC DIP ~ 12 E Armour Blvd, Kansas City, Missouri 64111

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Cost Center Number

Plant #

4357 IDAHO POWER CO ~ P O Box 70, Boise, Idaho 83707

Purchase Order Number Or Blanket Purchase Order Number

A Purchase Order Number can be obtained by calling COLLECT 208-388-2083 or 208-399-6397

License Number and State Issuing

Vehicle Number

Odometer Reading

4359 IDEALEASE NORTH AMERICA, INC ~ dba Idealease (Various Locations)

Purchase Order Number

A P O Number MUST be obtained from the Idealease member requesting the merchandise or service. This Idealease Purchase

Order number must be obtained from an Idealease supervisor.

Idealease Member Id Number (Five Digits)

Complete Ship-To Name And Address Of Idealease Member Making The Purchase

This is to be the name of the Truck Dealer leasing the vehicle.

Vehicle Number

License Number And State Issuing

Odometer Reading

4334 IE MILLER SERVICES INC ~ 826 Industrial Lane, Eunice , Louisiana 70535

Purchase Order Number

Will be phoned in by person authorizing the work

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Authorized By

4364 IMARK GROUP INC ~ 4201 North View Dr. Suite 303, Bowie, Maryland 20716

Token Number

Credit Card Type

American Express (AX), MasterCard (MC), Visa (VS)

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Credit Card Holders Name

Name as shown on the credit card

Credit Card Expiration Date

MM/DD/YY or MM/DD/YYYY

Vehicle Number

Odometer Reading

4381 INDIAN RIVER TRANSPORT ~ 2580 Executive Rd, Winter Haven, Florida 33884

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/877-2430

Vehicle Number

Odometer Reading

Disposition Of Old Tires

4416 INGLES MARKETS INC ~ 2913 US Hwy 70 West, Black Mountain, North Carolina 28711

Repair tire whenever possible. If not repairable return tire to driver whenever possible.

PLEASE ENTER A DESCRIPTION OF THE SERVICE PERFORMED AND WHAT CAUSED THE PROBLEM IF A SERVICE CALL IS NEEDED

***NEED A COMPLETE DESCRIPTION OF ALL NON-TIRE RELATED SERVICE***

Purchase Order Number

Phone 800-635-5066 or COLLECT 828-669-2941 EXT 324

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disp Of Old Tires

Repair tire if possible, if not returned to driver note why

Wheel Location

Wheel position of tire(s) being replaced

4492 INTERNATIONAL SPEEDWAY CORP ~ 1801 W International Speedway Blvd, Daytona Beach, Florida 32114

Purchase Order Number

Phone TOLL FREE 800/634-3558 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

4502 INTERNATIONAL TRUCK & ENGINE CORPORATION ~ 4201 Winfield Rd, Warrenville, Illinois 60555

NOTE: ONLY deliveries to International Used Truck Centers and those Independent Dealerships that are listed below are to be billed thru this

program.

They use 9 digit P O Numbers: (1 alpha and 8 numeric)

NOTE: The Used Truck Centers location codes are as follows: 113 329 330 332 333 337 341 343 345 349 351 358 407 602 603 607 616 663

and 665.

Deliveries To International Used Truck Centers Only:

Deliveries To International Used Truck Centers AND Independent Dealerships listed below:

Olson & Johnson International

Purchase Order Number

Location Code for Used Truck Centers (Last 3 digits of PO Number). Location Code for Independent Dealership (6

numeric)

Complete SHIP-TO Name and Address of the Used Truck Center or Independent Dealership Making the Purchase

VIN Number(last 8 digits)

4525 INTERSTAR NORTH AMERICA INC ~ 500 Meijer Dr Suite 300, Florence, Kentucky 41042

NOTE: Cupples Tube Code 197-535-251 is the ONLY tube eligible for delivery to Interstar.

NOTE: 256-120-100, 256-253-478, 256-799-478 and 256-802-456 are the only eligible casing codes for delivery.

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NOTE: NO D143 TIRES

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/888-1001 Ext 2. Fax the work order to 859/525-4189.

The following information will be needed to receive a Purchase Order Number: Correct trailer/container/chassis number wheel

position(s) exact defect on/off brand name roll time who has possession of old tire labor parts charges and product #'s.

Chassis Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Container Number

Odometer Reading

4530 INTERSTATE BATTERY SYSTEMS OF AMERICA INC ~ 12770 Merit Dr, Dallas, Texas 75251

Complete SHIP-TO Name and Address of Location Making the Purchase

Location Code

Vehicle Number

Odometer Reading

VIN Number

Last 8 positions

4536 INTERSTATE DISTRIBUTOR CO ~ 11707 21st Ave South, Tacoma, Washington 98444

Customer will not accept fuel charges.

These codes are the only authorized codes to use for valve stems and valve caps:

04127300000 - Tubeless Aluminum Valve Stem

04127100000 - Tubeless Steel Valve Stem

04121300000 - Double Seal Valve Caps

For Commercial Tire disposal fee you MUST use code: 04635600000

Purchase Order Number

Vehicle Number

Odometer Reading

4539 INTERSTATE FLEETS, INC ~ 696 Bethlehem Pike, Colmar, Pennsylvania 18915

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 800/884-4960 or 215/996-9890. On weekends call 215/822-8115.

VIN Number

Last 6 digits

Odometer Reading

4545 INTERSTATE POWER SYSTEMS INC ~ 2601 American Blvd E, Minneapolis, Minnesota 55425-1321

Purchase Order Number

To obtain call 701-746-8400 speak to Pete Mooney or Gary Berger

Vehicle Number

License Number and State Issuing

Odometer Reading

4548 INTERSTATE TRUCK CENTER LLC ~ 1500 Sycamore Road, Montoursville, Pennsylvania 17754

Purchase Order Number

Given at time of order.

Authorized By

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4589 ISLAND TRANSPORTATION CORP ~ 299 Edison Ave, West Babylon, New York 11704

Purchase Order Number

A Purchase Order Number MUST be obtained by calling drivers home office. Driver will have the phone number.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

4349 ITS LOGISTICS INC ~ 620 Spice Island Dr, Sparks, Nevada 89431

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 775-358-5300.

Vehicle Number

Wheel Location

Reason for Replacement

Odometer Reading

4590 IVEY MECHANICAL COMPANY LLC ~ P O Box 610, Kosciusko, Mississippi 39090

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/688-4839.

Vehicle Number

Odometer Reading

4599 J A T OF FORT WAYNE INC ~ 5031 Industrial Rd, Fort Wayne, Indiana 46825

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Authorized By

Name of person authorizing purchase.

Reason for Replacement

4296 J B HUNT TRANSPORT, INC ~ P O Box 130, Lowell, Arkansas 72745

DURASEAL TIRES ARE NOT AUTHORIZED FOR SALE TO THIS NATIONAL ACCOUNT

NOTE: DUPLICATE PO#'S WILL BE CHARGED BACK.

YOU MUST GET A UNIQUE PO# FOR EACH DOCUMENT SUBMITTED.

THIS INCLUDES CORRECTIONS OR REBILLS.

WHEELS ARE NOT TO BE REPAIRED. IF TIRE CANNOT BE MOUNTED YOU WILL BE ADVISED TO REPLACE WHEEL.

NOTE: Call 888/524-8473 for tire disposal instructions.

Purchase Order Number

Supply points will first be notified by J B Hunt Road Service. A P O number MUST then be obtained after work has been

completed.

For Emergency Road Service purchases call TOLL FREE 800.237.0320. For all other purchases call 888.524.8473. Do NOT give

this number to driver.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number (3 To 6 Digits)

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Gross Vehicle Weight Over 26 000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application

Odometer Reading

Wheel Position Of Old Tire

Brand Of Old Tire

Tread Depth Of Old Tire

Reason For Replacement

Disposition Of Old Tires

Call 888/524-8473 for disposal instructions.

Trailer Number

Chassis #

5176 J F LOMMA, INC ~ 48 Third St, South Kearny, New Jersey 07032

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/461-2080.

Vehicle Number

License Number And State Issuing

Odometer Reading

Driver's License Number And State Issuing

4607 J GRADY RANDOLPH INC ~ 541 Concord Rd , Gaffney, South Carolina 29341

Purchase Order Number

Phone COLLECT 864-304-9779 or 864-270-4014 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Reason for Replacement

Wheel Location

8604 J H WALKER TRUCKING ~ P O Box 19771, Houston, Texas 77224

Purchase Order Number

A Purchase Order Number can be obtained by calling TOLL FREE 800/880-5669

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disposition Of Old Tires

Return old tires to driver

4606 J J KENNEDY INC ~ 1790 Route 588, Fombell, Pennsylvania 16123

Hubdometer reading

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

4609 J L ROTHROCK, INC. ~ dba Rothrock Trucking 3111 Southbrook Drive PO Box 77257, Greensboro, North Carolina 27417-7257

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

4600 J MAR EXPRESS INC ~ P O Box 9198, Searcy, Arkansas 72145-9198

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Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 501/268-8969.

Vehicle Number

Odometer Reading

2580 J P DONMOYER INC ~ 10603 Allentown Boulevard, Ono, Pennsylvania 17077

NOTE: G395 should be used for replacement on steer, drive and trailer positions where possible for Emergency Road Service.

If a G395 is not available, please substitute a Goodyear G169 RSA or any other new all position rib tire.

Purchase Order Number

PO# must be obtained at time service is requested or by calling 800-428-5577 for emergency road service calls. Please use 717-

645-8718 as a secondary number should you get the answering service.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

4603 J RAYL TRANSPORTATION INC ~ 1016 Triplett Blvd, Akron, Ohio 44306

NOTE: USE CLOSEST GOODYEAR SUPPLY POINT. DO NOT DISPATCH OVER 50 MILES.

NOTE: RECAPS ONLY ON DRIVE AND TRAILER

NOTE: BEFORE SERVICE CHECK AIR IN TRAILER TIRES THEN RECORD AND REPORT PSI ON DELIVERY TICKET. AIR ALL TIRES TO 105 PSI.

***** WHEN PERFORMING EMERGENCY ROAD SERVICE CALLS, SERVICING DEALER IS REQUIRED TO CHECK AND ADD AIR IF APPROPRIATE TO

EVERY TRAILER TIRE.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.753.5050 Ext 734.

Vehicle Number

Reason for Replacement

Serial Number of Old Tire

Serial Number of New Tire

Wheel Location

4611 J TRANS, INC. ~ 2025 East 38th Street, Marion, Indiana 46953

NOTE: Retreads are NOT authorized for this account. Only NEW TIRES.

Purchase Order Number

Will be provided at time service is requested.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Trailer Number

Authorized By

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

7380 J & R SCHUGEL TRUCKING ~ 2026 N Broadway, New Ulm, Minnesota 56073

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/359-2900.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Odometer Reading

4616 JACOBUS ENERGY INC. ~ DBA QUICK FUEL FLEET SERVICES 11815 West Bradley Road, Milwaukee, Wisconsin 53224

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Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Reason for Replacement

Signed By

0998 JAMES F BARRON TRUCKING ~ 10314 Somerset Pike, Somerset , Pennsylvania 15501

Odometer Reading

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Truck number

4613 JAMES PETERSON SONS INC ~ N2251 Gibson Dr, Medford, Wisconsin 54451

Authorized By

Complete name of person authorizing

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

4617 JAYHAWK PIPELINE LLC ~ 2000 South Main Street, McPherson, Kansas 67460

Vehicle Number

CC Token

Credit card must be tokenized. See Tire-HQ for instructions on tokenization.

CC Type

Visa

CC Holders Name

CC Exp Date (MM/YYYY)

Odometer Reading

4624 JENKINS BRICK COMPANY ~ 201 North 6th St, Montgomery, Alabama 36104

Purchase Order Number

To obtain a Purchase Order Number during normal business hours, Monday thru Friday 7:00 am to 5:00 pm call 334.241.0782.

To obtain a Purchase Order Number AFTER hours call one of the following contacts:

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Wheel Location

Odometer Reading

8252 JIMMIE TUCKER TRUCKING INC ~ P O Box 428 Martin Luther King Jr Dr, Broken Bow, Oklahoma 74728

Purchase Order Number

Unit Number

License Number

Odometer Reading

David Whitmire 334.657.2946

Neil Messick 334.657.2331

Tim Sowell 334.657.2334

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Disposition of Old Tire

Return Old tire to driver

7349 JIMMY SANDERS SEED CO ~ P O Box 1169, Cleveland, Mississippi 38732

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/844-5533.

Vehicle Number

Odometer Reading

4602 JNJ LOGISTICS LLC ~ DBA JNJ EXPRESS INC P O Box 30983, Memphis , Tennessee 38130

Purchase Order Number

Phone 888/383-7157 or 901/362-3444

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

4635 JOBE MATERIALS L P ~ 1150 Southview Dr, El Paso, Texas 79928

Purchase Order Number

Phone Leo Escobar 915-298-9900

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Plant #

1691 JOHN CHRISTNER TRUCKING INC ~ P O Box 1900, Sapulpa, Oklahoma 74067

Purchase Order Number

Phone TOLL FREE 800/324-1900 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7494 JOHN L SHADD TRUCKING INC ~ P O Box 506, Lake Butler, Florida 32054

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/488-0409 or COLLECT 904/496-2631.

Vehicle Number

Odometer Reading

Wheel Location

Wheel position(s) of tire(s) replaced or repaired.

4638 JOHNS MANVILLE ~ 717 17th St, Denver, Colorado 80202

Token Number

Credit Card Type

American Express (AX), MasterCard (MC), Visa (VS)

Credit Card Holders Name

Name as shown on the credit card

Credit Card Expiration Date

MM/DD/YY or MM/DD/YYYY

Vehicle Number

Odometer Reading

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Contractor Number

4643 JOHNSON FEED INC ~ 305 W Industrial Rd, Canton, South Dakota 57013

Purchase Order Number

Required for Road Service ONLY. Phone John Lems 605/359-0337 to obtain. FAX copy of Workorder/Delivery receipt to 605/987-

4209.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

4652 JOHNSRUD TRANSPORT, INC ~ 200 SE 34th St, Des Moines, Iowa 50317

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/237-9795.

Odometer Reading

Vehicle Number

4680 JONES MOTOR GROUP, INC ~ 654 Enterprise Dr, Limerick, Pennsylvania 19468

Id Card Number

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 888/233-3260

Complete Ship-To Name And Address Of Location Making The Purchase.

Vehicle Number

Tractor and Trailer

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Name of Person Authorizing Purchase

Disposition Of Old Tires

Return old tires to driver

Odometer Reading

4592 J&C TRUCKING OF BALDWIN INC ~ 2500 Alreich Ave, Baldwin, Wisconsin 54002

Purchase Order Number

To obtain call J.R. at 612-919-2615

Vehicle Number

Odometer Reading

4709 K & B TRANSPORTATION INC ~ 4700 Dakota Ave, South Sioux City, Nebraska 68776

NOTE: Batteries are NOT eligible for delivery.

NOTE: ONLY Medium Commercial Tire related services are authorized.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/317-3851 or 800/663-6291.

Vehicle Number

Gross Vehicle Weight Over 26, 000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application; so you MUST ask the customer for correct information.

Odometer Reading

4711 K & J TRUCKING, INC. ~ 1800 E 50th Street N, Sioux Falls, South Dakota 57104

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Purchase Order Number

Driver will furnish

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

4724 KALEEL BROS INC ~ PO Box 538, Youngstown, Ohio 44501

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

4727 KANE FREIGHT LINES, INC. ~ 3 Stauffer Industrial Park, Scranton, Pennsylvania 18504

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

4791 KANSAS CITY POWER & LIGHT CO ~ P O Box 418679, Kansas City, Missouri 64141

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 816/556-2033

Odometer Reading

4795 KANSAS PAVING ~ CONSPEC INC P O Box 4204, Wichita, Kansas 67204

Purchase Order Number

Phone 316-832-0828 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

4730 KAPLAN TRUCKING COMPANY ~ 6600 Bessemer Avenue, Cleveland, Ohio 44127

You MUST get authorization from Jeff Reis, Ron Wood, or Kyle Rapson by calling 800-892-5040.

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Wheel Location

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

4704 KAUFF'S INC ~ 1440 53rd Street, Mangonia Park, Florida 33407

Purchase Order Number

PO# MUST BE OBTAINED BY CALLING 561-844-5283

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

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4712 KBS, INC. ~ PO Box 7, Thomasville, Pennsylvania 17364

Purchase Order Number

You must obtain PO# by calling 800-527-0771 x221

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

4710 KCG, INC ~ dba Magnum Products (Various Locations)

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the location making the purchase. The driver will have the telephone

number. In an emergency or for verification call COLLECT 913/438-4142.

Complete Ship-To Name And Address Of Location Making The Purchase

The address entered in this field is where the bill will be sent. Ask driver for the invoice address. Do NOT use driver's home

address.

Vehicle Number

License Number And State Issuing

Odometer Reading

4825 KELLE'S TRANSPORT SERVICE, INC. ~ 5305 West 2400 South, Salt Lake City, Utah 84120

Authorized By

You MUST get authorization prior to performing service by calling 801-975-8000 option 7. Record the name of the person giving

authorization.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Reason for Replacement

4842 KELWORTH TRUCKING COMPANY INC ~ Highway 59 South P O Box 220, Poteau, Oklahoma 74953

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/331-3399. After hours; call COLLECT 501/484-8104.

Vehicle Number

Odometer Reading

Trailer Number

Reason for Replacement

4845 KENAN ADVANTAGE GROUP INC ~ 4895 Dressler Rd NW, Canton, Ohio 44718

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the location making the purchase. The driver will have the number.

Complete Ship-To Name And Address Of Location Making The Purchase

Ask driver for the invoice address. Do NOT use driver's home address.

Vehicle Number

Odometer Reading

Terminal #

4861 KEY ENERGY SERVICES INC ~ PO Box 78000, Detroit, Michigan 48278

Yard #

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Vehicle Number

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4862 KEYSPAN ENERGY ~ 175 East Old Country Road, Hicksville, New York 11801

Purchase Order Number

PO# MUST be obtained by calling 516-924-8984

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Odometer Reading

4860 KEYSTONE AUTOMOTIVE OPERATIONS, INC. ~ 44 Tunkhannock Avenue, Exeter, Pennsylvania 18643

Driver must have DOT# at time of order, it should be 210026.

Also, they only want steer tires for replacement in all positions. Preferably the G399.

Authorized By

Name of supervisor authorizing purchase

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

4870 KIMRAD TRANSPORT, LP ~ 371 W Loop 335 South, Amarillo, Texas 79118

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Signed By

4880 KINARD TRUCKING INC ~ 310 N Zarfoss Dr, York, Pennsylvania 17404

Purchase Order Number

A Purchase Order Number must be Obtained by call TOLL-FREE 800.233.1906 ext 220.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

4887 KINGS EXPRESS, INC. ~ 10913 County Road 75 PO Box 550, Saint Joseph, Minnesota 56374

You MUST call one of the numbers/people below for authorization of tire orders:

Beth Stueve: Off: 320-363-7236

Steve Van Heel Off: 320-363-7236 Cell: 320-492-8596

Dean Cigelske Off: 320-363-7236 Cell: 320-492-0513

Jim Young Off: 320-363-7236 Cell: 320-333-5880

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

4890 KIRKPATRICK CONCRETE, INC. ~ 2000A Southbridge Pkwy Suite 610, Birmingham, Alabama 35209

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

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Manufacturing Equipment (Y/N)?

Please inquire if vehicle serviced is manufacturing equipment. Your 'Y' or 'N' answer will facilitate correct tax application.

4900 KLAPEC TRUCKING COMPANY ~ PO BOX 1278, Oil City, Pennsylvania 16301

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

4713 KLLM TRANSPORT SERVICES, LLC ~ P O Box 54287, Jackson, Mississippi 39288-4287

Purchase Order Number

Name Of Person Authorizing Purchase

Needed for Emergency deliveries Only.

Serial Number Of New Tires

Tractor Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Trailer Number (If Available)

License Number And State Issuing

Odometer Reading

Wheel Position

Disposition Of Old Tires

Location Code

4925 KNIGHT TRANSPORTATION ~ 5601 W. Buckeye Rd, Phoenix, Arizona 85045

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/489-7467 before the work is done.PO# must be finalized

by calling back and verifying all work after completed.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer/Hubometer

Wheel Location

Disposition Of Old Tires

Disposition must be entered as 'DRIVER', 'JUNK', OR 'BANK'

4927 KNOUSE FOODS COOPERATIVE, INC ~ 800 Peach Glen - Idaville Roads, Peach Glen, Pennsylvania 17306-1199

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 717/677-8115.

Vehicle Number

Odometer Reading

4939 KOHLS CORPORATION ~ N 56 W 17000 Ridgewood Dr, Menomonee Falls, Wisconsin 53051

Purchase Order Number

The driver will have the Purchase Order Number or call TOLL FREE the Distribution Center making the purchase.

800/515-6457.... Menomonee Falls WI

800/494-3441.... Findlay OH

800/565-6898.... Winchester VA

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Location Code

Vehicle Number

Odometer Reading

4945 KOPF TRUCKING INC ~ 18520 US Highway 20 PO Box 148, Goshen, Indiana 46527

NOTE: Old tires must be returned to driver.

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Trailer Number

Odometer Reading

Driver's Name

4977 KROGER COMPANY ~ (Various Locations)

Identification Card Number

Employee Identification Card Number

Year, Make And Model

Complete Ship-To Name And Address Of Location Making The Purchase.

Odometer Reading

Kroger Marketing Area (Kma) Number

Required for deliveries to Garage locations purchasing Medium Commercial truck tires.

Purchase Order Number Deliveries:

Purchase Order Number

A P O Number MUST be obtained by calling COLLECT the location making the purchase. Driver will have the telephone number.

For deliveries to Gateway Freight Lines call COLLECT 309/699-4231.

Complete Ship-To Name And Address Of Location Making The Purchase.

Odometer Reading

4979 KRUEPKE TRUCKING, INC ~ 2881 Highway P, Jackson, Wisconsin 53037

Purchase Order Number

A P O Number MUST be obtained by calling TOLL FREE 800/798-5000 or COLLECT 414/677-4221 during business hours or

COLLECT after hours 414/677-3155.

STOCK purchases will use the name of person authorizing instead of a P O Number.

Vehicle Number

License Number And State Issuing

Odometer Reading

Disposition Of Old Tires

4975 KUHNLE BROS., INC. ~ 14905 Cross Creek Parkway PO Box 375, Newbury, Ohio 44065

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

4981 KURTZ BROS., LLC ~ 6415 Granger Road, Independence, Ohio 44131

800/565-6898.... Grain Valley MO

903-641-4340.... Corsicana TX

845-888-8168.... Wurtsboro NY

909-382-4332.... San Bernardino CA

478-785-6071.... Macon GA

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Purchase Order Number

To be provided at time service is requested.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Requested by

4986 L C L TRANSIT COMPANY ~ P O Box 10828, Green Bay, Wisconsin 54307-0828

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/455-4735.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading

4985 L & L TRANSPORTATION LLC ~ DBA PAPCO LLC 1709 S Burlington Rd, Bridgeton, New Jersey 08302

Purchase Order Number

To obtain call 856-455-0450

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Odometer Reading

4992 LAKEVILLE MOTOR EXPRESS INC ~ P O Box 130280, St Paul, Minnesota 55113

Driver Name *MUST* be noted for every purchase.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/888-4950 ext 2333 or 2305

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

5000 LAMB-WESTON, INC ~ P O Box C1900, Tricities, Washington 99302

Purchase Order Number

A Purchase Order Number MUST be obtained by calling driver's local office. The driver will have the phone number.

Vehicle Number

Odometer Reading

5011 LANDAIR TRANSPORT INC ~ 1110 Myers St, Greeneville, Tennessee 37743

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Toll Free 800.347.1327. After hours call next business day.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Disposition of Old Tires

Driver to take tire when possible

Wheel Location

5009 LANDOLL CORPORATION ~ 1900 North St, Marysville, Kansas 66508

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Purchase Order Number

A Purchase Order Number MUST be obtained by calling 785.562.5381 ext 4719

5005 LANDSPAN ~ P O BOX 95007, Lakeland, Florida 33804

Purchase Order Number

Phone 800/248-4847

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

5088 LANDSTAR RANGER, INC ~ P O Box 19060, Jacksonville, Florida 32245

Company van trailers purchase G314 retreads (1st choice), KTSA (2nd choice), SP193 (3rd choice), G316 (4th choice)

Company flat bed 255/70R22.5 KTSA (1st choice), SP160 (2nd choice), G105 (3rd choice)

Any company van or flat bed trailer tire purchase over 2 tires requires digital photo of pulled tires

Purchase Order Number

Determine ownership of vehicle. Obtain authorization code from Landstar to begin work.

For company owned trailers, call 1-800-872-9486.

For owner-operator tractors and trailers call 1-800-531-5227.

Authorization code MUST BE OBTAINED PRIOR TO STARTING WORK. After work is complete, obtain actual purchase order from

Landstar as shown above.

BOTH AUTHORIZATION NUMBER AND PURCHASE ORDER NUMBER MUST BE SHOWN ON DELIVERY RECEIPT.

Fax signed delivery receipt. For company-owned trailers, fax to 1-800-872-9443.

For owner-operator tractors and trailers, fax to 1-888-329-5787.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

License Number And State Issuing

Odometer Reading

Disposition Of Old Tires

Casing credit required immediately. If denied please explain why.

Driver's License Number And State Issuing

Serial Number of New Tire

Req/Auth/Rel Number

VALID NUMBER MUST BE OBTAINED

Wheel Location

5015 LATTIMORE READY MIX ~ 15900 Dooley Road PO Box 2469, Addison, Texas 75001

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5018 LAYNE CHRISTENSEN CO ~ 1900 Shawnee Mission Pkwy, Mission Woods, Kansas 66205

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Cost Center Number

5035 LEASEPLAN, USA ~ 5350 Keystone Ct, Rolling Meadows, Illinois 60008

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MUST SHOW CLIENT NAME AND ADDRESS IN SHIP-TO OF DOCUMENT!!!!!!

NOTE: ALL DELIVERY RECEIPTS MUST REFLECT THE FOUR-DIGIT NA SEQUENCE NUMBER AND THE APPROPRIATE SIX-DIGIT NON-SIG NUMBER

GIVEN BELOW UNDER "SPECIAL INSTRUCTIONS".

SHOW AS FOLLOWS:

Enter one of the Non-Sigs given below in the Ship-To Search Name field. DO NOT ENTER ANY OTHER NON-SIG IF NOT LISTED BELOW AS YOU

WILL NOT BE PROMPTED CORRECTLY FOR REQUIREMENTS.

NOTE: STATE VEHICLES LEASED THRU LEASEPLAN USA FOR METROPOLITAN WATER REC DIST SEE THE GOVERNMENT MANUAL GA 9353. PACE

VAN POOL SEE THE GOVERNMENT MANUAL GA 9352. THESE CLIENTS BILL THRU STATE PROGRAMS, NOT NATIONAL ACCOUNT.

FOR TIME WARNER CABLE BILL TO NA 8082 - NOT UNDER THIS ACCOUNT.

NOTE: Please read coupon instructions carefully. LeasePlan USA coupons request replacing plugs, coolant and transmission fluid at specific

intervals. The coupon specifically EXCLUDES changing PLATINUM PLUGS, DEX COOL AND DEXTRON in vehicles OEM equipped with those

products. LeasePlan USA will be deducting these charges from invoices for all vehicles in their fleet management program that use these

products where the coupon specifically EXCLUDES. Supply points that ignore the coupon instructions will be chargedback.

THE FOLLOWING BASIC REQUIREMENTS MUST BE OBTAINED FOR ALL CLIENTS IN ADDITION TO ANY UNIQUE CLIENT REQUIREMENTS FOR

THOSE CLIENTS LISTED UNDER "SPECIAL INSTRUCTIONS" BELOW.

Purchase Order, Service Card or Preventive Maintenance Coupon

See NOTES Below.

Additional Authorization (Service Card # Coupon # or P O#)

If additional authorization is not required enter NA.

Name of Person Authorizing Additional Work

Also required for 30 Minute Lube Oil and Filter for all clients except the one listed above.

Complete SHIP-TO Client Company Name and Address

VIN Number

Vehicle Number

License Number and State Issuing

Odometer Reading

Year Make and Model of Vehicle

Do Not Telephone LeasePlan Without First Following The Instructions Below.

If a call to LeasePlan is STILL warranted call TOLL FREE 800/323-0108.

Credit Card Limit

LeasePlan has four methods of purchasing

A. Physical Purchase Order

If the driver has a Physical Purchase Order in his possession and needs additional authorization changes or substitutions contact

the home/ /branch office telephone number which is listed on the bottom of the purchase order.

Make sure you secure the name of the individual who gave authorization for the addition change or substitution and enter this on

the Delivery Ticket.

EMERGENCY DELIVERY WITHOUT PURCHASE ORDER

Have driver call his company COLLECT or for further assistance contact LeasePlan USA as indicated above.

NOTE: If you do not receive the Physical Purchase Order within seven (7) working days please contact the driver's home office or

LeasePlan USA as indicated above.

B. Verbal Purchase Order Number

Purchase Order Numbers beginning with "BX" require no physical or confirming Purchase Order.

No additions changes or substitutions can be made without prior approval. For additions changes or substitutions to a verbal

Purchase Order Number telephone the company who gave the original authorization.

Make sure you secure the name of the individual who gave authorization for the addition change or substitution and enter this on

the delivery ticket.

C. Service Cards

NO PURCHASE ORDERS ARE REQUIRED WHEN A SERVICE CARD IS PRESENTED.

Ask to see the actual service card.

There are two different types of service cards. Determine which one the driver carries.

NO DOLLAR LIMIT SERVICE CARDS

Ask to see the actual Service Card. If no limitations appear on either the front or back of the card the driver's authorization and

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the complete Credit Card Number will be sufficient to finalize the delivery.

DOLLAR LIMITED SERVICE CARDS

If the driver presents a Service Card with a dollar amount and the purchase exceeds this amount call the telephone number listed

on on the service card. Always obtain the name of the individual giving additional authorization.

If no telephone number appears on the service card contact LeasePlan USA for assistance as indicated above.

D. Preventive Maintenance Coupons

No Coupon is to be accepted for a vehicle other than that listed on the inside cover.

Do not accept the Coupon if it has been detached from the book.

Each Coupon specifies the mileage interval and the services to be performed. Should additional work be required notify the driver

to determine if they have a Credit Card and telephone the number on the Credit Card or obtain a Purchase Order from their

home/branch office or contact LeasePlan USA for further assistance as indicated above.

All information on the Coupon must be completed and the driver's signature must appear on the Coupon.

PHYSICAL PURCHASE ORDERS and COUPONS must be attached to your supply point copy of the Delivery Ticket for possible

future reference.

Special Instructions

NOTE: THE FOLLOWING CLIENT NUMBERS HAVE UNIQUE REQUIREMENTS WHICH MUST BE OBTAINED IN ADDITION TO THE

BASIC REQUIREMENTS LISTED ABOVE. ALL DELIVERY RECEIPTS MUST SHOW THE APPROPRIATE NON-SIG NUMBER AS GIVEN

BELOW.

USE N/S # 206050 FOR CLIENT NUMBERS NOT LISTED BELOW. DO NOT USE ANY OTHER NON-SIG IF NOT LISTED BELOW. NOTE

THAT SOME CLIENTS HAVE MORE THAN ONE ACCOUNT WITH LEASEPLAN USA THEREFORE THEY WILL HAVE MORE THAN ONE

CLIENT NUMBER. IF THE CLIENT NUMBER THEY USE IS NOT LISTED BELOW USE THE MISC N/S # 206050.

Non-Sig #

221567 ALLEN BRADLEY (BX23) (Client of Southgate Leasing)

Use the same Non-Sig requirements and restrictions as Southgate Leasing

Physical Purchase Order

221569 HALLMARK CARDS INC (H083)

Physical Purchase Order or Coupon

221567 SOUTHGATE LEASING (BX23)-Verbal P O Numbers

5044 LEASING ASSOCIATES, INC ~ 3101 Smith St P O Box 243, Houston, Texas 77001

DO NOT CONFUSE WITH: LeasePlan NA-5035

NOTE: The correct PO# is crucial for tax purposes. You MUST obtain accurate PO# for every transaction.

Purchase Order Number Or Coupon Number Or National Account Card Number

Drivers will present a Leasing Associates National Account Card which specifically outlines Requirements for each client (lessee)

company on the face of the card. These could vary from those given below. They WILL ask that you obtain ONE of the four

authorization numbers listed below:

1. A Leasing Associates P O Number -Obtain by calling Leasing Associates TOLL FREE 800/869-9771. Be sure to include any

prefix given. Mention every product or service to be billed for specific approval. Additional work not covered by a Coupon must

also be authorized by calling these numbers

2. A Client (Lessee) Company P O Number - Obtain by calling the CLIENT COMPANY at the phone number provided by the

driver.

3. A Credit Card Number given on the card. If a National Account Card is not presented or if you have any questions about the

special requirements call Leasing Associates TOLL FREE at 800/869-9771.

Complete Ship-To Name And Address Of Lessee Company

Vehicle Number (When Available)

License Number And State Issuing

Vin Number (Last 8 Digits)

Year Make And Model

Odometer Reading

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5050 LEDCOR CMI, INC. ~ 5905 South Virginia Street, Suite 300, Reno, Nevada 89502

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5058 LEE JENNINGS TARGET EXPRESS, INC. ~ 1465 East Franklin Avenue, Pomona, California 91766

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

5057 LEE TRANSPORT SYSTEMS, LLC ~ 228 Garden Road, Pittsgrove, New Jersey 08318

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

5054 LEED ENERGY SERVICES ~ P O Box 329, Fort Lupton, Colorado 80621

Purchase Order Number

Driver will have number to phone to obtain purchase order number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5101 LEVARI TRUCKING CO LLC ~ 5050 Landis Ave, Vineland, New Jersey 08360

Vehicle Number

Trailer Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey ONLY. Your Y/N answer will facilitate correct sales tax application.

5110 LEXMAR DISTRIBUTION INC ~ 200 Erie St, Pomona, California 91768

Purchase Order Number

To obtain phone 866/323-8757 or 602/424-0933

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

VIN Number

Last six digits

5135 LINDEN BULK TRANSPORTATION CO INC ~ 1300 Lower Rd P O Box 169, Linden, New Jersey 07036

Purchase Order Number

A Purchase Order Number MUST be obtained by calling from within New Jersey TOLL FREE 800/922-8029. From all other states

call COLLECT (day) 201/862-1400 (night) 201/862-1403. For Linden Bulk Transportation, you must call driver's terminal for PO

number. Driver will supply phone number.

Vehicle Number

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License Number And State Issuing

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you must ask the customer for correct information

5141 LINK AMERICA INC ~ 2627 East 21st St, Tulsa, Oklahoma 74114

MUST SHOW CORRECT AND COMPLETE SHIP TO ADDRESS FOR EVERY PURCHASE

Link America Atlanta and Seminole Transport - for all road service calls:

First tire of choice should be Pre-cure G314 Cap and Casing.

Second choice Pre-cure G159 HS cap and casing.

Third choice should be a G314 new tire.

NOTE: Please fax delivery receipt to 918-828-3774

Purchase Order Number

Vehicle Number

License Number And State Issuing

Odometer Reading

Reason for Replacement

Complete SHIP-TO Name and Address of Location Making the Purchase

Location Code

Wheel Location

5146 LIQUID CARGO INC ~ 470 Schuler Ave, Kearny, New Jersey 07032

Purchase Order Number

Obtain PO # from terminal manager/dispatcher, driver will have the phone #.

Terminal Name

Name of terminal driver works out of.

Vehicle Number

Tractor #

Trailer Number

License Number and State Issuing

Authorized By

Name of person issuing PO

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

5151 LISK TRUCKING INC ~ 6975 NC 742 N, Wadesboro, North Carolina 28170

Vehicle Number

Tractor #

Trailer Number

Wheel Location

Authorized By

Name of person authorizing purchase.

Odometer Reading

5171 LOGICORP ENTERPRISES LLC ~ 1301 N State Hwy 336, Hidalgo, Texas 78557

NOTE: First and second tire choices:

STEER 1st G395 LHS, 2nd SP384

DRIVE 1st G372A, 2nd SP453

TRAILER 1st G314, G316 , 2nd SP181

Purchase Order Number

Phone TOLL FREE 888-353-1716 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

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Vehicle Number

Odometer Reading

Disp Of Old Tires

Driver MUST always take old tires

Trip Load Number MUST always be provided

5216 LONE STAR TRANSPORTATION, LLC ~ 1100 North Way Drive, Fort Worth, Texas 76131

NOTE: AUTHORIZATION NUMBER MUST BE OBTAINED BY CALLING TOLL FREE 800-392-0254.

Preferred Tires: Retreads are preferred in drive and trailer positions.

Retreads G305, G119, G159, G316

New G399, G305, G169

Purchase Order Number

Vehicle Number

And trailer number

License Number And State Issuing

Wheel Position Of Old Tire

Odometer Reading

Disp Of Old Tires

5238 LOOMIS ~ 1320 Greenaway Dr Suite 950, Irving, Texas 75038

Purchase Order Number

A Purchase Order Number MUST be obtained by calling driver's office COLLECT. Driver will have the telephone number.

Complete Ship-To Name And Address Of Location Making The Purchase.

Branch Number

Vehicle Number

Odometer Reading

5259 LOWE'S COMPANIES INC ~ 1000 Lowe's Blvd., Mooresville, North Carolina 28117

ANY TIRE PUT ON DRIVE AXLES (11R225 SIZE) MUST BE A RETREAD AND NOT A NEW TIRE.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disposition Of Old Tires

Describe what happened to old tires or casings

Reason for Replacement

3745 LOWELL C HAGEN TRUCKING INC ~ W8092 Cox Road, Whitewater, Wisconsin 53190

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

5260 LOYD JONES WELL SERVICE, LLC ~ Div CES Mid-Continent Hamm, LLC 205 West Maple Suite 600 PO Box 3907, Enid, Oklahoma

75702

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Yard #

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Odometer Reading

Signed By

Get signature and full name

5278 LUFKIN INDUSTRIES INC ~ PO Box 849, Lufkin, Texas 75902-0849

Purchase Order Number

A Purchase Order Number is required for stock orders ONLY by calling TOLL FREE 800.658.9611.

Vehicle Number

Odometer Reading

5279 LUMBERMENS MERCHANDISING CORP ~ 137 West Wayne Ave , Wayne, Pennsylvania 19087-8790

Purchase Order Number

Show if provided, but not all members use a p o number.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Dealer Code

5282 LYNDEN, INC ~ P O Box 3757, Seattle, Washington 98124-3727

Purchase Order Number

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

License Number And State Issuing

Odometer Reading

5287 LYONS TRANSPORTATION INC ~ 1265 N. Minnewawa Ave., Clovis, California 93619

Purchase Order Number

Same as Vehicle #

Vehicle Number

Odometer Reading

1257 M BRUENGER CO INC ~ 6250 North Broadway, Wichita, Kansas 67219

Purchase Order Number

Phone TOLL FREE 800-876-7623 for purchase order number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5342 M & M TRANSPORT SERVICES, INC. ~ 21 McGrath Highway, Suite 204, Quincy, Massachusetts 02169

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

License Number and State Issuing

Reason for Replacement

Disp Of Old Tires

Driver to take old tires with him.

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5314 MAC TRAILER LEASING INC ~ PLM TRAILER LEASING 6600 LBJ Freeway Suite 179, Dallas, Texas 75240

DO NOT CONFUSE WITH MAC TRAILER MFG INC NA 5291 OR MAC/VOLVO TRUCK LEASING SYSTEM NA 5310

SERVICING DEALER SHOULD TAKE A MINIMUM OF TWO TIRES TO THE BREAKDOWN LOCATION

NOTE: IT IS CUSTOMER CRITICAL THAT ALL DELIVERIES FOR MAC TRAILER/PLM ARE PROCESSED WITHIN 5 BUSINESS DAYS OF THE DATE

FINAL SERVICE IS PERFORMED.

Customer G316 retread (1st choice), Gold Medallion (2nd choice), trailer retread (3nd choice), G316 (4th choice), SP193 (5th

choice)...DOCUMENT THE FOLLOWING FOR ALL 8 TIRES - initial psi, initial tread depth, reason replaced (see code below). Air all tires to 100psi.

Advise PLM (1-877-613-2115) if any additional work is needed.

Purchase Order Number

An SE# (which is the PO#) will be provided by PLM when svc/tires are requested

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Disposition Of Old Tires

Linehaul casing MUST be purchased and casing credit given IF NOT purchased state WHY.

Location Code

LFO - LEFT FRONT OUTSIDE

3-digit tire pressure in PSI, 2-digit tread depth in 32nds, Code for what was Done, Code for why tire Failed.

EXAMPLE: 090-08-S-IP

Code for what was DONE

S - switch

M - mt/dsmt

I - Inspect only

A - air only

R - repair

Code for FAILURE

LA - low air

LT - low tread

PU - puncture

BS - brake skid

RF - run flat

IP - impact

GT - good tire

LFI - LEFT FRONT INSIDE

See explanation and legend under LFO

LRO - LEFT REAR OUTSIDE

See explanation and legend under LFO

LRI - LEFT REAR INSIDE

See explanation and legend under LFO

RRO - RIGHT REAR OUTSIDE

See explanation and legend under LFO

RRI - RIGHT REAR INSIDE

See explanation and legend under LFO

RFO - RIGHT FRONT OUTSIDE

See explanation and legend under LFO

RFI - RIGHT FRONT INSIDE

See explanation and legend under LFO

5291 MAC TRAILER MANUFACTURING, INC ~ 14599 Commerce Street, Alliance, Ohio 44601

Purchase Order Number

PO# will be provided by phone or fax at time service is requested.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5310 MACK/VOLVO TRUCK LEASING SYSTEM ~ 7900 National Service Road, Greensboro, North Carolina 27409

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NOTE: Mechanical Service not authorized.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the member company making the purchase. Driver will have the

telephone number.

Complete Ship-To Name And Address Of Location Making The Purchase

Distributor Code (One Alpha Plus Three Numeric)

Vehicle Number

Odometer Reading

5337 MAG CARRIERS, LLC ~ 184 Printup Street, Dearing, Georgia 30808

Purchase Order Number

No work is to be done without prior authorization from Kim Smith, George Hay or Angela Prince. Office hours number 706-699-

7043 ...ext 201 or after hours 706-962-8287

Driver's Name

Vehicle Number

5316 MAGNUM LTD ~ 3000 7th Avenue North PO Box 2023, Fargo, North Dakota 58107-2023

Purchase Order Number

Magnum will give PO# when calling for service or tires

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Trailer Number

If applicable

Driver's Id Code

Odometer Reading

5318 MAINTENANCE INSIGHT, LLC ~ 11355 Stephens Road, Warren, Michigan 48089-1802

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5320 MANATT'S, INC ~ RR #1 PO Box 535, Brooklyn, Iowa 52211-0535

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 515/522-9206.

Complete Ship-To Name And Address Of Subsidiary Or Parent Location Making The Purchase

Vehicle Number

Odometer Reading

Location Code

5321 MANKE LUMBER COMPANY INC ~ 1717 Marine View Dr, Tacoma, Washington 98422

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/562-0376.

Vehicle Number

Odometer Reading

Disp Of Old Tires

Return old tires to driver

5290 MAP INC ~ dba MAINTENANCE ASSISTANCE PROGRAMS INC 666 Garland Place, Des Plaines, Illinois 60016

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NOTE: State of Michigan's vehicles leased thru the MAP Inc

program - use the Government section GA-9321.

NOTE: MAP authorizes Thrust Alignment ONLY. Four (4)Wheel Alignment requires SPECIFIC PRIOR Purchase Order approval. NOTE: If the

Passport does not indicate synthetic oil, and the vehicle requires synthetic, you must contact MAP for a PO.

You Must Obtain Either A:

Purchase Order Number (Client # W033)

See NOTES Below. (OR)

Service Card Number (Client # W077)

See NOTES Below.

Or

Coupon (Client # W777)

See NOTES Below.

And All Of The Following

Additional Authorization

When coupon is presented, if additional authorization is needed the number provided should go in PO# field, if no additional

authorization is needed the coupon# should be in both the PO# and Coupon# fields.

Name Of Person Authorizing Purchase

Complete Ship-To Name And Address Of The Map Client Making The Purchase

4 5 Or 6 Alpha/numeric Digit Car Number

License Number And State Issuing

Odometer Reading

VIN Number

Last 8 digits or complete VIN#

Year Make And Model Of Vehicle

11 Digit Purchase Order Number (W033)

Must consist of the Client Number (W033) plus seven numeric for a total of 11 digits. A Purchase Order Number MUST be

obtained by calling TOLL FREE 800/477-2211 between the hours of 7:00 AM to 7:00 PM Monday thru Friday and 7:00 AM to 3:00

on Saturday Central Standard Time. Be sure to show Name of Person AUTHORIZING Purchase Order Number AND Purchase Order

Number before doing work. IF ADDITIONAL REPAIRS ARE NECESSARY OBTAIN AN ADDITIONAL PURCHASE ORDER NUMBER. In

an emergency outside of business hours do only the minimum repairs necessary to get the vehicle operating and contact MAP Inc

the next business day.

Coupon Number (W777)

Must consist of the client Number (W777)plus alpha and 5 numeric digits.

If additional authorization is needed for service not covered by the COUPON call MAP as indicated on the coupon. They will issue a

P O Number under client number W033. BILL THE EXTRA SERVICES ON A SEPARATE DELIVERY RECEIPT. Do NOT bill on the

same ticket as the coupon. Follow all instructions on the coupon.

Service Card Number (W077)

Must consist of the Client Number (W077)plus 4 5 or 6 alphanumeric digits.

If additional authorization is needed for service not covered by the Service Card limit call MAP for an ADDITIONAL P O Number.

IN THIS CASE BOTH THE SERVICE CARD AND P O PURCHASES ARE TO BE BILLED ON THE SAME DELIVERY RECEIPT.

NOTE: This account uses a "Coverage Card" which MAY NOT BE ACCEPTED FOR NATIONAL ACCOUNT AUTHORIZATION. Its intent

is to handle minor purchases ON SUPPLY POINT BOOKS ONLY.

Driver Passport

Refer to the "MAP Driver Passport, Wheels Inc." for specific work required at designated mileage intervals. Only those services

specified at those mileage intervals will be authorized. If the Passport does not indicate synthetic oil, and the vehicle requires

synthetic, you must contact MAP for a PO.

5331 MARATHON PETROLEUM CO LP ~ 1304 Olin Ave, Indianapolis, Indiana 46222

Purchase Order Number

A Purchase Order # MUST be obtained by calling 317-260-3273

Vehicle Number

Unit #

Reason for Replacement

Employee Number

Odometer Reading

5335 MARCO MINE SUPPLY INC ~ Route 3 Aiport Road PO Box 429, Lovely, Kentucky 41231

Purchase Order Number

PO# will be provided by requestor of service.

Complete SHIP - TO Name and Address of Location Making the Purchase

Driver Name

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Phone#

5343 MARKET TRANSPORT, LTD ~ 110 North Marine Dr, Portland, Oregon 97217

Purchase Order Number

Market Transport: A Purchase Order Number MUST be obtained by calling COLLECT 503/283-3279 or TOLL FREE 800/826-1173.

Sammons Trucking: A Purchase Order Number MUST be obtained by calling COLLECT 406-728-2600 or TOLL FREE 800/626-

1747.

Vehicle Number

Odometer Or Hubdometer Reading

5345 MARRLIN TRANSIT INC. ~ PO BOX 645, Van Buren, Arkansas 72957

Purchase Order Number

PO# must be obtained by calling TOLL FREE 800-554-2325

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5352 MARTEN TRANSPORT, LTD ~ 129 Marten St, Mondovi, Wisconsin 54755

DO NOT CONFUSE WITH NA 5357 MARTIN TRANSPORT INC.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/395-3330.

Vehicle Number

Odometer Reading

5355 MARTIN MARIETTA MATERIAL, INC. ~ AGGREGATE AND MERIDIAN DIVISION ONLY 2710 Wycliff Road, Raleigh, North Carolina 27601

Purchase Order Number

Driver should have a P O Number. If not; you MUST call the driver's office COLLECT. Driver will have the telephone number.

Odometer Reading

5357 MARTIN TRANSPORT INC ~ P O Drawer 191, Kilgore, Texas 75662

DO NOT CONFUSE WITH NA-5352 MARTEN TRANSPORT LTD.

DO NOT CONFUSE WITH NA-5354 MARTIN TRANSPORATION SYSTEMS

Purchase Order Number

A Purchase Order Number MUST be obtained for purchases over $100 by calling dispatch TOLL FREE 800/256-4421

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading

5358 MARTIN TRUCKING, INC. ~ 1015 West City Limits PO Box M, Hugoton, Kansas 67951

DO NOT CONFUSE WITH MARTIN TRANSPORT INC, MARTEN TRANSPORT LTD, OR MARTIN TRANSPORTATION SYSTEMS,

Purchase Order Number

You MUST obtain PO# by calling 888-325-0630

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Signed By

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You MUST have driver sign and print name legibly.

5370 MASTER TRANSFER COMPANY, INC. ~ 4025 85th Avenue North, Brooklyn Park, Minnesota 55443

NOTE: “Virgin” casings will be capped as drive tires, all others as trailer. Retreads are first option always on the road other than steers. Repairs

must not exceed current casing values.

NOTE: Master Transfer does NOT authorize tire balances of any type, whether spin balance or “equal” balance.

NOTE: ALL transactions MUST be approved BEFORE work is completed and must include Delivery point.

Purchase Order Number

ALL transactions MUST be approved BEFORE work is completed. For approval and PO# contact Tony Nguyen at 612-217-3184

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Signed By

Disp Of Old Tires

5383 MATHIOWETZ CONSTRUCTION CO ~ 30676 County Road 24, Sleepy Eye, Minnesota 56085

Purchase Order Number

You MUST call for PO# at 507-920-7085, ask for Jim Warwick

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5388 MATHY CONSTRUCTION CO INC ~ 1010 River Rd , Sparta, Wisconsin 54656

Purchase Order Number

Vehicle Number

Odometer Reading

5395 MATLACK LEASING, LLC ~ 191 Presidential Boulevard, Suite W5, Bala Cynwyd, Pennsylvania 19004

Purchase Order Number

Should be provided at time service is requested.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5413 MAVERICK TRANSPORTATION, INC ~ P O Box 15428, Little Rock, Arkansas 70231

NOTE: Medium Commercial Tires and Tubes Only are eligible for delivery. No batteries are authorized.

NOTE: Only Truck related services are eligible.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 501/945-6130.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

5414 MAWSON AND MAWSON, INC. ~ 1800 Old Lincoln Highway PO Box 248, Langhorne, Pennsylvania 19047

All service work must be pre-approved by the corporate office in Langhorne, PA.

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After Hours calls – Authorized to replace a MAXIMUM OF (1) steer tire OR (2) drive tires OR (2) trailer tires

Purchase order can be obtained following business day.

Purchase Order Number

PO# MUST be obtained by calling 215-750-1100.

PO# must be given by one of the following:

Steve Ebersole, Brendan Durbin, or Sean Durbin or Mike Owens.

After Hours calls – Authorized to replace a MAXIMUM OF (1) steer tire OR (2) drive tires OR (2) trailer tires

Purchase order can be obtained following business day.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Driver's Id Code-"MAN#"

Obtain MAN# when calling for PO#

Driver's Name

5410 MAXIM CRANE WORKS HOLDINGS ~ 1225 Washington Pike, Bridgeville, Pennsylvania 15017

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Unit#

It is imperative this be collected accurately for tax purposes

Location Code

5408 MAXUM PETROLEUM OPERATING COMPANY ~ 210 Park Avenue Suite 1800 , Oklahoma City, Oklahoma 73102

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

Location code is comprised of the Company Abbreviation and the SAP ID

5341 MAY TRUCKING COMPANY ~ 4185 Brooklake Road NE PO Box 9039, Salem, Oregon 97305

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5328 MBT TRANSPORT, INC. ~ 5200 South Lawndale Avenue, Summit, Illinois 60501

Purchase Order Number

You must obtain PO# by calling 708-563-9552 x607 or after hours 708-341-9803

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

5295 MC VANKAMPEN TRUCKING, INC. ~ 5841 Clay Avenue SW, Wyoming, Michigan 49548

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

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5425 MCCONNELL HEAVY HAULING, INC ~ P O Box 164918, Little Rock, Arkansas 72216

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 501/490-1481.

Vehicle Number

Odometer Reading

5426 MCCORKLE TRUCK LINES, INC ~ 2132 S E 18th, P O Box 94968, Oklahoma City, Oklahoma 73143

The driver has no authority to authorize any repairs. Call 405-677-8349 for authorization and the determination of what needs to be done

according to company policy prior to repairs being made.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 405-677-8349.

Vehicle Number

Odometer Reading

5447 McELROY TRUCK LINES INC ~ 163 Sumter St P O Box 104, Cuba, Alabama 36907

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/992-7863

Compete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading

5460 MCILVAINE TRUCKING, INC. ~ 7556 Cleveland Road, Wooster, Ohio 44691-9697

Authorized By

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

5468 MCKEE FOODS CORP ~ 9950 Appison Pike P O Box 750, Collegedale, Tennessee 37315

Purchase Order Number

A Purchase Order Number MUST be obtained by calling driver's office TOLL FREE. Driver will have the telephone number.

Vehicle Number

Odometer Reading

5471 MCKENZIE TANK LINES, INC ~ P O Box 1200, Tallahassee, Florida 32302

Purchase Order Number

A Purchase Order Number MUST be obtained by calling driver's terminal. Driver will have the telephone number.

Vehicle Number

Odometer Reading

Wheel Location

5475 MCKIMM MILK TRANSIT, INC. ~ 1145 Adam Street PO Box 51, Hutchinson, Minnesota 55350

Purchase Order Number

Driver will provide

Complete SHIP - TO Name and Address of Location Making the Purchase

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Vehicle Number

Odometer Reading

5472 MCKINNEY VEHICLE SERVICES, INC. ~ dba McKinney Trailer Rentals 8400 East Slauson Avenue, Pico Rivera, California 90660

Purchase Order Number

MUST be obtained from the location making the purchase.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Odometer Reading

Wheel Location

Reason for Replacement

5473 MCKISSICK TRUCKING INC ~ 699 Pinegrove School Road PO Box 62, Venus, Pennsylvania 16364

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

VIN Number

Odometer Reading

5478 MCLANE COMPANY, INC ~ 4747 McLane Parkway, Temple, Texas 76504

Location Code

Complete Business Ship-To Name And Address Of Division Making The Purchase. Do Not Use The Driver's Name And

Address.

Drivers License Number

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Odometer Reading

5298 MDU RESOURCES GROUP, INC ~ DBA Knife River Corp 918 E Divide Ave, Bismarck, North Dakota 58501

MUST OBTAIN COMPLETE ADDRESS OF THE LOCATION MAKING THE PURCHASE.

Purchase Order Number

Location manager will provide

Complete SHIP - TO Name and Address of Location Making the Purchase

You must obtain complete billing address of the location making the purchase, NOT the parent company.

Odometer Reading

Location Code

5501 MEDELEZ, INC. ~ 30522 Oldfield Street, Hermiston, Oregon 97838

Purchase Order Number

Use Unit# for PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

5507 MELTON TRUCK LINES, INC ~ 808 161st East Avenue, Tulsa, Oklahoma 74116-4115

Purchase Order Number

Purchase Order Numbers MUST be obtained by calling TOLL FREE 800/545-6645.

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Tractor Or Trailer Number

Odometer Or Hubdometer Reading

Disposition Of Old Tires

Return old tires to driver

5522 MERCEDES-BENZ OF NORTH AMERICA, INC ~ WARRANTY PROGRAM P O Box 350, Montvale, New Jersey 07645-350

NOTE: New tires only and restricted to OE equipment

NOTE: No maintenance or emergency road service are eligible

NOTE: Retreads and Repairs are not eligible

Repair Order Number

A Repair Order Number can be obtained from the dealer's Tire Requisition Form.

Complete Ship-To Name And Address Of Location Making The Purchase

Cost Center Number

Mercedes Dealer Code (5 Digit)

Vin Number

5528 MERCER WELL SERVICE ~ DIV OF TEXAS CES INC P O Box 1299, Gainesville, Texas 76420

Purchase Order Number

Driver will have the phone number to call to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

5525 MERCHANTS AUTOMOTIVE GROUP ~ P O Box 16415, Hooksett, New Hampshire 03106-6415

NOTE: Please be sure to obtain accurate vehicle information (customer will reject incorrect Vehicle#, Vin# and Odometer readings).

NOTE: Valve stems are NOT authorized.

NOTE: ALD Automotive is not to be billed on this account. See NA 0025. ALD Automotive will present a Merchant's service card but the PO# will

not work on this account. Again, ALD Automotive should be billed on NA 0025.

Purchase Order Number

Driver's Authorization limit is $100. You MUST obtain a Purchase Order Number for all other purchases by calling the Fleet

Authorization Department at 603-695-9261 8am-8pm EST M-F or Sat 8am-1pm EST. Please verify Unit#, Mileage, complete

VIN#, Make, Model, Year, Color and Plate# before calling. Under $100 ONLY 6-digit number from rear view mirror required.

Vehicle Number/Unit#

Please be accurate, customer will reject if not valid.

Vin Number

Please be accurate, customer will reject if not valid.

Authorization Number (6 Six Digit Number From Rear View Mirror)

Required for purchases under $100 ONLY.

Odometer Reading

Please be accurate, customer will reject if not valid.

5526 MERRELL BROS., INC. ~ 8811 West 500 North, Kokomo, Indiana 46901

Purchase Order Number

You must call 574-699-7782 for PO#. If after hours, listen to recording for instructions.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Vehicle Type

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

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5530 MERVIS INDUSTRIES INC ~ P O Box 827, 3295 Main St, Danville, Illinois 61832

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/637-3016.

Vehicle Number

Odometer Reading

Location Code

5517 MESILLA VALLEY TRANSPORTATION ~ dba MVT Services, LLC 3590 W Picacho, Las Cruces, New Mexico 88007

NOTE: Repair or use spare, if possible.

NOTE: All replacements require TirePix service.

Purchase Order Number

For Emergency Road Service call 915-791-4000 x2209 or non-emergency call 915-791-4000 x4223

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5521 MET-CON CONSTRUCTION, INC. ~ 15760 Acorn Trail, Faribault, Minnesota 55021

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5536 METRO READY MIX CONCRETE, INC. ~ 1136 2nd Avenue North, Nashville, Tennessee 37208

Purchase Order Number

Purchase Order number must be obtained by calling 615.255.1900

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

5533 METRO XPRESS ~ METRO COMPANIES, INC. 3518 North Ohio, Wichita, Kansas 67219

NOTE: Use Load Range H tires for steer tire replacement.

Purchase Order Number

You must obtain PO# by calling 316-832-9300 during business hours. After hours, dispatcher will call with PO#.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

5540 METROPOLITAN TRUCKING INC ~ 6675 Low Street, Bloomsburg, Pennsylvania 17815

Purchase Order Number

Will be provided at the time service is requested.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Reason for Replacement

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5552 MIAMI VALLEY INTERNATIONAL TRUCKS, INC. ~ 11775 Highway Drive, Cincinnati, Ohio 45241

Purchase Order Number

You must obtain PO#, which will be provided or by calling 937-898-3660 and ask for Patty Neal with Unit# and work done.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

VIN Number

Last 8 digits

Odometer Reading

Location Code

5569 MID-ATLANTIC COOPERATIVE SOLUTIONS, INC. ~ DBA AERO ENERGY 230 Lincoln Way East, New Oxford, Pennsylvania 17350

NOTE: ON EMERGENCY ROAD SIDE ASSISTANCE, REPLACE 11R225 WITH 11R225 G395 LHS Fuel Max

Purchase Order Number

Provided at time of request for service or after hours call Randy at 717-624-5831

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5573 MID-OHIO VALLEY BULK TRANSPORT, INC. ~ 14949 State Route 7, Marietta, Ohio 45750

NOTE: Old tires are to be taken by driver.

Purchase Order Number

You MUST obtain PO# by calling 740-373-2481 or 740-525-1225

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Trailer Number

Odometer Reading

Signed By

5567 MID CONTINENT TRUCKING COMPANY ~ 701 South 15th Street PO Box 310, Denison, Iowa 51442

Purchase Order Number

Obtain PO# by calling 888-878-5090 and follow prompts

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5559 MIDDLETON PEST CONTROL, INC. ~ 1736 33rd Street, Orlando, Florida 32839-8856

NOTE: You MUST obtain PO# from Branch Manager if over $100

Purchase Order Number

Obtain PO# from Branch Manager if over $100. If under enter 'UNDER' in the PO# field.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Branch Number

VIN Number

Last 8 digits

Odometer Reading

5562 MIDWEST COAST TRANSPORT, LP ~ P O Box 5233, Sioux Falls, South Dakota 57117-5233

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Drivers License Number

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/843-9904.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

5570 MIDWEST CONCRETE MATERIALS ~ Wamego Sand Company, Inc. 701 South 4th Street PO Box 668, Manhattan, Kansas 66505-0668

Vehicle Number

You will be given the actual Vehicle# or be told to use the word 'STOCK'. Please be accurate as this will determine the correct tax.

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

5571 MIDWEST CONTINENTAL, INC. ~ 33941 Frelon Drive PO Box 3289, Sioux City, Iowa 51102

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

5563 MIDWEST EXPRESS INC ~ 2110 East Highway 30, Grand Island, Nebraska 68801

Purchase Order Number

Phone 877-809-7016 ext 1 or 3 to obtain. Phone 308-390-1549 after hours dispatch.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5560 MIDWEST INDUSTRIAL SUPPLY INC. ~ 1101 3rd Street SE, Canton , Ohio 44707

Purchase Order Number

Vehicle Number

Reason for Replacement

Wheel Location

Complete SHIP-TO Name and Address of Location Making the Purchase

5564 MIDWEST MOTOR EXPRESS INC ~ P O Box 1058, Bismarck, North Dakota 58502-1058

Purchase Order Number

A Purchase Order MUST be Obtained by calling 800/741-4097 or collect 701/223-1880

Vehicle Number

Odometer Reading

Complete SHIP-TO Name and Address of Location Making the Purchase

Driver Name

5565 MIDWEST TRANSPORT, INC. ~ 205 E Main Street PO Box 8608, Robinson, Illinois 62454

NOTE: ALL TIRE PURCHASES MUST BE INITIATED BY THE CORPORATE OFFICE IN ROBINSON, IL.

NOTE: Tire preferences for over the road purchases are as follows:

Steer Tires:

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1st- Goodyear G-399 Fuel Max

2nd - Dunlop SP-384

3rd- Kelly KLS

Drive Tires New:

1st- Goodyear G-305 Fuel Max

2nd- Goodyear G-399 Fuel Max

3rd- Goodyear G-372 LHD

Trailer Tires New:

1st- Goodyear G-316 Fuel Max

2nd- Dunlop SP-193

3rd- Kelly KTSA

Drive Tire Retreads:

1st- Precure G-305

2nd- Goodyear G-399 Fuel Max New

3rd- Precure G-372

Trailer Tire Retreads:

1st- Precure G-316

2nd- Precure G-314

3rd- Precure Rib 20

2nd & 3rd Choices are for the over the road purchases ONLY, when 1st choice is not available.

In instances where both the tractor and trailer are serviced, please submit a separate delivery ticket for each.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Odometer Reading

Wheel Location

Tread Depth

Serial Number of New Tire

First 2 and last 4 characters

Serial Number of Old Tire

First 2 and last 4 characters

Disp Of Old Tires

5591 MIKE FROST TRUCKING, INC. ~ 430 Old Georgia Highway 2, Tunnel Hill, Georgia 30755

Purchase Order Number

Will be provided at time of service request.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5572 MILAN EXPRESS CO INC ~ 31 El Morgan Dr, Jackson, Tennessee 38301

NOTE: Auto Service work (excluding Wheel Balancing and Valve Stems) MUST be approved prior to work being performed by calling Bobby

Wilson TOLL FREE 800/238-8324.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Bobby Wilson TOLL FREE 800/238-8324.

Vehicle Number

Odometer Reading

Wheel Location

5574 MILLER HOLDING COMPANY, LLC ~ 105 North 8th Avenue PO Box 665, Stroud, Oklahoma 74079

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Purchase Order Number

Driver will have number to call for PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Wheel Location

Reason for Replacement

Odometer Reading

Signed By

5581 MILLER INTERMODAL LOGISTICS SERVICES ~ 5500 Highway 80 West, Jackson, Mississippi 39209-1123

NOTE: When obtaining a PO#:

Give Casing DOT#

Miller brand# on casing

Retread DOT#, if supplying a retread

Give cause of failure and if its a retread or new tire

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the driver's office COLLECT. Driver will have the telephone number.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

5582 MILLER TRANSFER & RIGGING CO, INC ~ P O Box 453, Rootstown, Ohio 44272

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Ron Christoff TOLL FREE at 800/669-6877 Ext 240.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

5583 MILLER TRANSPORTERS, INC ~ P O Box 1123, Jackson, Mississippi 39215-1123

NOTE: When obtaining a PO#:

Give Casing DOT#

Miller brand# on casing

Retread DOT#, if supplying a retread

Give cause of failure and if its a retread or new tire

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the driver's office COLLECT. Driver will have the telephone number.

Vehicle Number

Brand Number

Not required for tire sizes with less than 20" rims.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

5579 MILLERCOORS ~ 17755 W 32nd Ave, Golden, Colorado 80401

6-DIGIT DISTRIBUTOR NUMBER MUST BE PROVIDED

NOTE: Only Distributors that have completed the proper paperwork and have been approved by Akron's Credit Department are authorized to

purchase on this account. Only the authorized Distributor#'s have been loaded in the system. If the Distributor# does not work it is likely that

distributor has not yet submitted their application and been approved.

Distributor

Distributor number required (6-digits)

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Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to transactions in New Jersey

5586 MILLIS TRANSFER, INC ~ P O Box 550, Black River Falls, Wisconsin 54615-0550

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/284-8152.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

Driver's License Number And State Issuing

Disposition Of Old Tires

Old tires are to be returned to the driver, if possible.

5607 MINNEGASCO, INC ~ 501 W 61st Street, Minneapolis, Minnesota 55419

NOTE: Replacement tires authorized at 3/32" remaining tread depth or wear bar appearance. Tires to be replaced like for like in load capacity,

tread and construction. Deviations will require authorization from Minnegasco Fleet Office.

NOTE: All Parts and Service in excess of $50 requires special approval. Indicate Name and Telephone Number of person authorizing the

additional work on the Delivery Ticket.

Check Id Card Or Driver's License

Purchase Order Number

A Purchase Order Number MUST be obtained for purchases exceeding $100 or tire replacements; by calling COLLECT Rod Mielke

at 612/861-8453 or John Tuttle 612/861-8454.

Vehicle Number

License Number And State Issuing

Odometer Reading

5612 MINNESOTA VALLEY TRANSPORT INC ~ 301 North Water Street, New Ulm, Minnesota 56073

Purchase Order Number

Obtain PO# by calling 800-423-7251 or 507-354-3276

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5627 MISSION PETROLEUM CARRIERS, INC ~ 8450 Mosley Rd, Houston, Texas 77075

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/737-9988.

Vehicle Number

Odometer Reading

5630 MISSISSIPPI MATERIALS COMPANY ~ 1052 Highland Colony Parkway - Suite 201, Ridgeland, Mississippi 39157

Purchase Order Number

Driver will have number. This is the Location code followed by the Unit#

Complete Ship-To Name And Address Of Location Making The Purchase

Location Code (3 Alpha)

Odometer Reading

Equipment Hours (If Applicable)

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5637 MITCHELL FARMS, INC. ~ 1301 30th Avenue South PO Box 9112, Fargo, North Dakota 58106

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

CC Token

CC Type

Two-digit code

CC Holders Name

Name as printed on the credit card

CC Exp Date (MM/YYYY)

5710 MO-VAC SERVICE COMPANY, INC. ~ 3721 South McColl Street PO Box 2677, McAllen, Texas 78502

NOTE: Customer will not pay for nail hole repairs, spot repairs, section repairs or any other charge other than the cost of the retread and or

casing price.

Purchase Order Number

A PO# must be obtained and will be provided at time service is requested.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Brand Number

5642 MOBILE MINI, INC. ~ 7420 South Kyrene Road, Suite 101, Tempe, Arizona 85283

NOTE: DO NOT FOAM FILL FORKLIFT TIRES.

Purchase Order Number

PO# will be provided when service requested.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Authorized By

5650 MODERN DISPOSAL SERVICES, INC. ~ 4746 Model City Road, Model City, New York 14174

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5680 MORGAN SOUTHERN, INC. ~ 1500 Cedar Grove Road, Conley, Georgia 30288

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Signed By

VIN Number

Last 6 digits

5698 MOTOR CARGO ~ 185 South Redwood Rd, North Salt Lake City, Utah 84054

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/922-4099 or COLLECT 801/299-5292.

Vehicle Number

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Odometer Reading

5699 MOTORLEASE CORPORATION ~ 1506 New Britain Avenue, Farmington, Connecticut 06034-0525

NOTE: All tires delivered must be of OE level; No substitutions permitted without prior authorization by calling the TOLL FREE numbers given

below.

NOTE:

For Repairs/Maintenance Costing Less Than $75.00 – Shop may use the Vehicle Unit Number as the PO.

For Repairs/Maintenance Costing More Than $75.00 - Shops are required to get prior authorization from Motorlease.

Prior authorization is required for use of Full Synthetic oil

Tire rotations will only be approved every other oil change

Air Filters will only be approved at every 20,000-25,000 miles

All Fluid Changes (except oil changes) require prior authorization

**Drivers are NOT authorized to approve any service work exceeding the pre-approved limit

Purchase Order Number

A P O Number can be obtained for every sale by calling TOLL FREE Maintenance Dept in Connecticut at 800/243-0182 then

prompt 6.

Odometer Reading

Vehicle Number

License Number And State Issuing

Vin Number (Last 6 Digits)

Vehicle Type

Vehicle year, make, and model

5700 MOUNTAIN RIVER TRUCKING CO., INC. ~ 207 Direct Lane PO Box 6301, Mount Airy, North Carolina 27030

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

5705 MOUNTAIN VALLEY EXPRESS CO INC ~ 1019 Bessemer Avenue PO Box 2569, Manteca, California 95336

Purchase Order Number

PO# must be obtained at the time service is requested or by calling 800-237-9669.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Authorized By

5715 MTS EXPRESS, LLC ~ 101 Log Canoe Circle, Suite I, Stevensville, Maryland 21666

NOTE: DO NOT CONFUSE WITH MTS TRANSPORT, LLC NA 5720

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

5720 MTS TRANSPORT, LLC ~ 101 Log Canoe Circle, Suite I, Stevensville, Maryland 21666

NOTE: DO NOT CONFUSE WITH MTS EXPRESS, LLC NA 5715

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

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Odometer Reading

Wheel Location

5743 MULTISERV COMPANY ~ DIV OF HARSCO CORPORATION PO Box 5003, Cranberry Township, Pennsylvania 16066

(OFF-THE-ROAD TIRE DEPARTMENT ACCOUNT)

Purchase Order Number

A purchase order number MUST be obtained by calling local MultiServ office COLLECT. Driver will supply number.

Odometer Reading

Needed only when mechanical service is performed.

5730 MURRAY LEASING, INC. ~ 14778 East Liverpool Road PO Box 2138, East Liverpool, Ohio 43920

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Signed By

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

5307 MV TRANSPORTATION INC ~ 360 Campus Lane , STE 201, Fairfield, California 94585

Purchase Order Number

Purchase Order number MUST be obtained from the Maintenance Facility placing the order.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Division Number

4-digits, use preceding zeros where necessary.

Odometer Reading

5776 NALCO COMPANY ~ 50 California St, 24th Floor, San Francisco, California 94111-9796

NOTE: CASING CREDITS MUST BE listed on the SAME transaction with charges for replacement tires and/or service.

Unit Number

Location Code

VIN Number

Number of Casings for Possible Credit

If no casing input 0

5833 NATIONAL CAR RENTAL SYSTEM, INC ~ AN ENTERPRISE HOLDINGS (LEASING) CO, Co-owned Locations 6929 N Lakewood Ave, Ste

100, Tulsa, Oklahoma 74117

Purchase Order Number

Complete SHIP-TO Name and Address of Location Renting the Vehicle

Location Code

Authorized By

License Number and State Issuing

VIN Number(last 8 digits)

5834 NATIONAL CAR RENTAL SYSTEM, INC ~ LICENSEE LOCATIONS 4680 Conference Way South, Boca Raton, Florida 33431

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Purchase Order Number

A P O Number MUST be obtained by calling the licensee location making the purchase. For emergency repairs or tire replacement

on a vehicle operated by a renter call TOLL FREE 800/367-6767.

Location Number

Licensee location numbers are 5-7 digits beginning with an 8

Complete Ship-To Name And Address Of Location Making The Purchase

Odometer Reading

VIN #

Last 8 digits

License Number and State Issuing

5855 NATIONAL CARRIERS, INC ~ P O Box 1358, Liberal, Kansas 67905

NOTE: Tire deliveries are restricted to Truck Tires ONLY.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/835-9180 Ext 359.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

5857 NATIONAL CEMENT CO OF CA INC ~ 15821 Ventura Blvd Ste 475, Encino, California 91436

Purchase Order Number

A Purchase Order number will be given when tires are ordered.

5851 NATIONAL COOP REFINERY ASSOC ~ dba NCRA 2000 South Main Street, McPherson, Kansas 67460

NOTE: Credit Card MUST be presented at Point of Sale

Purchase Order Number

Vehicle Number

Odometer Reading

CC Token

Refer to instructions for tokenizing on Tire-HQ

CC Type

CC Exp Date (MM/YYYY)

CC Holders Name

5859 NATIONAL DAIRY HOLDINGS LP ~ 5327 South Lamar St, Dallas, Texas 75215

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5886 NATIONAL FREIGHT INC ~ 71 W Park Ave, Vineland, New Jersey 08360

NOTE: The following rules apply ONLY to trucks with breakdowns on the road.

1. Any Service or Merchandise under $25 MUST be paid by the driver.

2. NO STOCK PURCHASES. All Merchandise or Service MUST be mounted or installed on the vehicle.

NOTE: Spot Repairs may ONLY be performed on trailer retreads and ONLY if you obtain authorization by calling the BREAKDOWN number below.

There is a maximum of 3 Nail Hole Repairs per tire.

Drivers Id Number

Purchase Order Number

A Purchase Order Number MUST be obtained by calling BREAKDOWN TOLL FREE 800/922-5088. A NEW Purchase Order Number

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MUST be obtained when billing any additional charges not on the original PO.

Name Of Person Issuing Purchase Order

Tractor/Trailer Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Brand Number Of Old Tires

Serial Number Of New Tires

Wheel Position Of Tire

Reason For Replacement

Odometer/Hubdometer Reading

Disposition Of Old Tires

Return tires with driver. NOTE: IF THE DRIVER CANNOT TAKE OLD TIRES A SCRAP FEE IS AUTHORIZED.

Cost Center #(3 digits)

Obtain Cost Center number when calling for Purchase Order.

5890 NATIONAL GRID USA SVC CO INC ~ 25 Reserve Dr, Westborough, Massachusetts 01582

Blanket Purchase Order Number

Blanket Purchase Order Number must be entered for all transactions.

Authorization must be obtained. If additional repairs are required beyond what was originally authorized; ANOTHER phone call

must be made to the appropriate transportation supervisor PRIOR to the additional work being done.

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Employee Number

Wheel Location of Tire being Replaced

Reason for Replacement

License Plate number

Location Code

This will be a three numeric digit number that will identify each facility

Odometer Reading

5921 NATIONAL SEMI-TRAILER CORP ~ 2300 E Landstreet Rd, Orlando, Florida 32824

Purchase Order Number

Vehicle Number

Branch Location Code

Odometer Reading

5938 NATIONAL VAN LINES INC ~ 2800 Rosevelt Rd, Broadview, Illinois 60155

NOTE: All new trailer tires are to be a SmartWay approved product.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling between 8:00 AM and 5:00 PM (CST), Monday thru Friday, TOLL FREE

800.323.1962 Ext 2931. After hours until 10:00 PM (CST) call 708.557.3324. After 10:00 PM (CST) call next day.

ONLY the following individuals are able to authorize purchases.

Richard Nichols

Vicki Van Ostrand

Claudell (Dell) Edwards

Laura Manning

Len Bambach

Mike Yost

Destiny Aguero

Drivers License Number

Unit Number

License Number and State Issuing

Wheel Location

Reason for Replacement

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY

Your Y/N answer will facilitate correct sales tax application, so you MUST ask the customer for correct information.

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Odometer Reading

5952 NATIONWIDE SOUTHEAST INC ~ 1000 S River Industrial Blvd SE, Atlanta, Georgia 30315-8811

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 800.486.4409.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Wheel Location

Odometer Reading

5959 NATIONWIDE TRUCK BROKERS ~ dba NTB Inc 1240 84th St SW, Byron Center, Michigan 49315

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5980 NEBCO INC ~ 1815 Y St, Lincoln, Nebraska 68501

Authorized By

Complete SHIP - TO Name and Address of Location Making the Purchase

5984 NEBRASKA TRANSPORT CO INC ~ 1225 Country Club Rd, Gering, Nebraska 69341

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.347.6331.

VIN Number

Last 8 digits

Vehicle Number

Truck OR Trailer # of replacement tire

Vehicle Type

5987 NEIER INC ~ 8069 West Main St, Coatsville, Indiana 46121

Purchase Order Number

A Purchase Order Number will be provided at time of service

Vehicle Number

Tractor #

Trailer Number

When serving a Trailer also provide the Tractor #

Odometer Reading

6001 NESTLE ICE CREAM CO ~ 3003 Bainbridge Rd, Solon, Ohio 44139-2290

Purchase Order Number

A Purchase Order Number MUST be obtained from the local Distributor.

Complete Ship-To Name And Address Of Location Making The Purchase

Location Code

Odometer Reading

6002 NESTLE TRANSPORTATION CO ~ 800 Nestle Court, Dekalb, Illinois 60115

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Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/754-2669 OR 815/754-2669

Vehicle Number

Odometer Reading

6007 NETWORK ~ 5350 Keystone Court, Rolling Meadows, Illinois 60008

Purchase Order - Service Card or Preventive Maintenance Coupon

Phone TOLL FREE 800/323-0108

Additional Authorization (Service Card # Coupon # or P O #) When more than one number is used

If additional authorization is not required enter NA

Name of Person Authorizing Additional Work

Complete Ship-To Client Company Name and Address

VIN Number

Vehicle Number

License Number and State Issuing

Odometer Reading

Year Make and Model of Vehicle

6010 NETWORK SERVICES COMPANY ~ 1100 E Woodfield Dr Ste 200, Schaumburg, Illinois 60173

DO NOT CONFUSE with National Account having same name NA#-6007 NETWORK, Rolling Meadows, IL

CC Token

Credit Card Type

MasterCard (MC), Visa (VS). American Express (AX)

Credit Card Holders Name

Name as printed on the credit card

Credit Card Expiration Date

mm/dd/yy or mm/dd/yyyy format

Distributor #

3 digit numeric number (use leading zeros where applicable.

Vehicle Number

Odometer Reading

6011 NEVILLE WELDING INC ~ 5581 SW 50 St , Kingman, Kansas 67068

Signed By

Name of person ordering tires

Telephone Number

6012 NEW BERN TRANSPORT CORPORATION ~ DBA Pepsi-Cola Bottling Group 1 Pepsi Way, Somers, New York 10589-2201

NOTE: DO NOT CONFUSE WITH:

ALLIED PURCHASING CO NA-0183

Purchase Order Number (7 Numeric Digits)

A purchase order MUST be obtained from the driver.

For after hours emergency road service obtain Purchase Order next business day.

Complete Ship-To Name And Address Of Location Making The Purchase

Location Code (4 Digits)

Vehicle Number

Odometer Reading

Driver's License Number And State Issuing

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application; so you MUST ask the customer for correct information.

6020 NEW CENTURY TRANSPORTATION INC ~ 45 East Park Drive, Westhampton, New Jersey 08060

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Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 877/870-4031

Vehicle Number

Odometer Reading

6014 NEW ENGLAND MOTOR FREIGHT INC ~ I-71 North Ave East, Elizabeth, New Jersey 07201

NOTE: A COPY OF THE S I G N E D DELIVERY RECEIPT MUST BE FAXED TO 330.796.1917, ATTN: MATT.

NOTE: PASSENGER TIRES MUST BE OF OE LEVEL.

NOTE: AUTO AND LIGHT TRUCK TIRES MUST BE WORN TO 3/32NDS FOR REPLACEMENT WITHOUT AUTHORIZATION FROM BOB RAMBONE OR

JOHN BELMONTE.

Purchase Order Number

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

License Number And State Issuing

Odometer Reading

6021 NEW ENTERPRISE STONE and LIME CO INC ~ 3912 Brumbaugh Rd, New Enterprise, Pennsylvania 16664

Purchase Order Number

A Purchase Order Number MUST be obtained at time of order/service

Complete SHIP-TO Name and Address of Location Making the Purchase

6022 NEW PENN MOTOR EXPRESS INC ~ 625 South 5th Ave, Lebanon, Pennsylvania 17042

FAX a copy of the completed delivery ticket to 717.273.6696

Purchase Order Number

A purchase order number MUST be obtained by calling 717.270.4612 Ext 4243.

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Emergency Road Service (Y/N)?

6023 NEW PRIME INC ~ 2740 N Mayfair, Springfield, Missouri 65803

NOTE: Driver MUST take all 'off' or 'damaged' tires.

NOTE: NO valve stems, caps OR scrap/tire disposal fees can be charged. If valve stem or cap needed must be charged against driver's credit

card.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/852-2298.

Vehicle Number

Vehicle Type

Wheel Location

Tread Depth of Old Tire

Reason for Replacement

Disposition Of Old Tires

Do NOT input 'NA'. All off or damaged trailer tires MUST be returned to driver.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Odometer Reading

6044 NEW YORK STATE ELECTRIC & GAS CORP ~ (Various Locations)

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Blanket Purchase Number

Complete Ship-To Name And Address Of Location Making The Purchase

The address entered in this field is where the bill will be sent. Ask driver for the invoice address. Do NOT use driver's home

address.

Odometer Reading

6051 NEWS GROUP DISTRIBUTION SVCS INC ~ DBA THE NEWS GROUP FREIGHT CO 2571 SARADAN DR, JACKSON, MICHIGAN 49202

Vehicle Number

Location Code

3-Digit Number

VIN Number

Odometer Reading

CC Exp Date (MM/YYYY)

CC Holders Name

Token Number

CC Type

6097 NITTANY OIL COMPANY INC ~ 321 North Front St, Philipsburg, Pennsylvania 16866

Vehicle Number

Unit #

6111 NORFOLK SOUTHERN CORPORATION ~ (Various Locations)

NOTE: Tires, Batteries and Shock Absorbers are limited to Original Equipment or equal quality and type ONLY

Highway Equipment Purchases

Service Card Number OR Purchase Order Number

UNDER $50 you MUST obtain the driver's SERVICE CARD NUMBER.

OVER $50 YOU MUST obtain a VERBAL PURCHASE ORDER NUMBER PRIOR to any work being done by calling TOLL FREE 888/637-

6884.

Complete SHIP-TO Name and Address of Divison or Station Making the Purchase

Lessee / Client Number

Vehicle Number

Year Make & Model of Vehicle

VIN Number

Odometer Reading

6144 NORTH AMERICAN VAN LINES INC ~ P O Box 12668, Ft Wayne, Indiana 46837-1327

NOTE: PLEASE ENSURE THAT YOUR DELIVERY RECEIPT IS COMPLETE AND CORRECTLY CODED THE FIRST TIME. NAVL REQUIRES A NEW P O

NUMBER TO COVER ANY ADD-ONS PROCESSED ON A SECOND TICKET.

NOTE: This account wishes to buy ONLY Goodyear produced Retreads. Use only regular nine digit product codes. No misc codes - no dealer

produced Retreads.

NOTE: Customer Authorized to purchase Gold Medallion

Navl Purchase Order Number

Dealer or Store MUST call Vehicle Service for approval TOLL FREE 800/348-3732 PRIOR to work being performed. Approval MUST

be obtained before any repairs are started. When repairs are completed call back again TOLL FREE 800/348-3732 with the final

repair cost. A staff coordinator will then issue a Purchase Order Number.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle/Unit Number

Both Tractor and Trailer Number designating which unit had services.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

License Number And State Issuing

Serial Number Of Old Tires

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Serial Number Of New Tires

Year, Make And Model

Vin # (Last Six (6) Digits)

Odometer Reading

Disposition Of Replaced Tires:

A. NAVL OWNED EQUIPMENT - All serviceable casings are to be credited on the invoice for the tire purchase.

B. AGENT OWNED EQUIPMENT - Disposition of tires removed from agent equipment must be negotiated with agents or agents

drivers.

C. CONTRACT TRUCKMEN (OWNER OPERATORS) - Disposition of tires removed will be negotiated between driver and the

supplying Dealer or Store.

6148 NORTH PARK TRANSPORTATION CO INC ~ 5150 Columbine St, Denver, Colorado 80216

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 303/295-0300.

Complete Ship-To Name And Address Of Location Making The Purchase.

Vehicle Number

Odometer Reading

6154 NORTH STAR RANCH INC ~ 3575 W Grand River, Howell, Michigan 48855

Purchase Order Number

A Purchase Order number MUST be obtained by calling 517.545.7760.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersery and New York ONLY. Your Y/N answer will faciliate correct sales tax application.

6199 NSTAR ELECTRIC & GAS CORP ~ P O Box 250, Norwood, Massachusettes 02062

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 617/541-6287.

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

5759 N&M TRANSFER CO INC ~ 630 Muttart Rd, Neenah, Wisconsin 54956

Purchase Order Number

A Purchase Order Number MUST be obtained at time of sale by calling 920.722.7760.

Vehicle Number

Unit #

Odometer Reading

5757 N.A. DEGERSTROM INC ~ 3303 N Sullivan Rd, Spokane, Washington 99216

Purchase Order Number

A PO # will be provided by the person placing the order.

6251 O'HARE TRUCK SERVICE INC ~ 2424 Wisconsin Ave, Downers Grove, Illinois 60515

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Purchase Order Number

A Purchase Order # will be provided at time of transaction. After hours a Purchase Order # MUST be obtained by calling the

dispatcher TOLL FREE at 800.227.6890

Vehicle Number

Odometer Reading

6235 OAK HARBOR FREIGHT LINES INC ~ 1339 West Valley Hwy N, Auburn, Washington 98001

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.858.8815

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

6228 OAKLEY TRANSPORT INC ~ 101 ABC Rd P O Box 4170, Lake Wales, Florida 33853

NOTE: Credit approval required for more than 20 Truck Tires. Call National Account for approval.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling

FOR STOCK PURCHASES ........................... 880.969.8265 EXT 223

FOR EMERGENCY BREAKDOWN CALL TOLL FREE 800.969.8265 Ext 225 FOR AUTHORIZATION

ONCE WORK IS COMPLETED OBTAIN A PURCHASE ORDER NUMBER BY FAXING A COPY OF THE DELIVERY TICKET TO

863.638.4785

Complete Ship-To Name And Address Of Location Making The Purchase

Disposition of Old Tires

Return old tires to driver. Account will NOT pay scrap disposal on over-the-road purchases

Wheel Location

Excludes Stock purchases

Vehicle Number

Location Code

Odometer Reading

6248 OGDEN CORPORATION ~ 2 Penn Plaza, New York, New York 10121

DELIVERIES TO International Terminal Operating Co, Inc:

Purchase Order Number Or Blanket Purchase Order

A Purchase Order Number is required for all deliveries to ITO Corporation of Ameriport. A Blanket Purchase Order Number

BA6577; is required for deliveries to ITO Corp of Baltimore.

Requisition Number

Required for deliveries to ITO Corp of Baltimore ONLY in addition to the BPO Number.

Complete Ship-To Name And Address Of Location Making The Purchase

Odometer Reading

DELIVERIES TO All Others:

Physical Purchase Order

In an emergency; a Purchase Order Number can effect delivery and MUST be obtained by calling the driver's home office

COLLECT.

Complete Ship-To Name And Address Of Location Making The Purchase (Emergencies Only)

Odometer Reading

6231 OGE ENERGY CORPORATION ~ 321 North Harvey, Oklahoma City, Oklahoma 73102

NOTE: Refer to Tire- HQ for OGE's Tire Replacement and Repair Policy and Tire Standards Size and Model

Purchase Order Number

2011 Blanket Purchase Order Number (4500540701)

Complete SHIP - TO Name and Address of Location Making the Purchase

Unit #

Engine Hours (if available)

Off-road equipment

License Number and State Issuing

Odometer Reading

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6260 OIL TOOL RENTALS COMPANY ~ Div CES Mid-Continent Hamm, LLC 205 West Maple Suite 600, Enid, Oklahoma 75702

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Yard #

Odometer Reading

Signed By

Get signature and full name

6226 OK INDUSTRIES INC ~ P O Box 1119, Ft Smith, Arkansas 72902

Name Of Person Authorizing Purchase

Obtain name of Person Authorizing the purchase by calling from within Arkansas TOLL FREE 800/542-1011. From all other states

call 800/643-2506.

Vehicle Number

Odometer Reading

6264 OLD DOMINION FREIGHT LINE, INC ~ 500 Old Dominion Way , Thomasville, North Carolina 27360

NOTE: EFFECTIVE IMMEDIATELY THIS PROGRAM COVERS OLD DOMINION COMMERCIAL VEHICLES ONLY.

OLD DOMINION COMPANY CARS ARE NOW MANAGED BY LEASEPLAN. OBTAIN A PO # BY CALLING THE LEASEPLAN TOLL FREE NUMBER LISTED

BELOW AND BILL THROUGH NA-5035.

NOTE: DO NOT PROCESS TIRES AND CASING CREDITS ON THE SAME DELIVERY TICKET.

ISSUE SEPARATE DOCUMENT FOR CASING CREDITS AND SERVIVCE.

ISSUE SEPARATE DOCUMENT FOR RETREADS AND NEW TIRES.

NOTE: DO NOT DELIVER 'STOCK' CAP AND CASINGS, THEY WILL BE CHARGED BACK. DELIVER NEW TIRES ONLY.

NOTE: DUNLOP SP 160 11R225 (P/C: 271-108-673) IS NOT AN AUTHORIZED TIRE FOR THIS PROGRAM.

NOTE: GOODYEAR G662 IS NOT AN AUTHORIZED TIRE FOR THIS PROGRAM.

Purchase Order Number

FOR COMPANY CARS ONLY: A PURCHASE ORDER # MUST BE OBTAINED PRIOR TO WORK BEING PERFORMED. Call LeasePlan

TOLL FREE 800-323-6644 to obtain a PO and process through NA-5035.

For Road Service Calls

A Purchase Order Number beginning with "GO" or "FR" is to be obtained by calling TOLL FREE 800/632-0266; Ext 6850. This

number is available 24 hours a day; 7 days a week.

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application, so you MUST

ask the customer for correct information.

6266 OLDCASTLE, INC ~ Various Locations

Purchase Order Number

Complete Ship-To Name And Address Of The Location Making The Purchase

The address entered in this field is where the bill will be sent. Ask driver for the invoice address of the subsidiary he is servicing.

Do NOT use driver's home address.

Vehicle Number

VIN Number

6270 OLDENKAMP TRUCKING INC ~ 13535 South Union Ave, Bakersfield, California 93307

Vehicle Number

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6308 ONLINE TRANSPORT INC ~ 6311 Stoner Dr, Greenfield, Indiana 46140

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 888-248-8246.

Vehicle Number

A vehicle number must be obtained

Odometer Reading

6327 ORMSBY TRUCKING INC ~ 888 W Railroad, Uniondale, Indiana 47791

Purchase Order Number

Vehicle Number

Odometer Reading

6334 OSBORN TRANSPORTATION INC ~ P O Box 1830, Gadsden, Alabama 35902-1830

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 866/410-6843. The Purchase Order Number MUST be written

on the New and Old Tire.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Serial Number Of Old Tire Or

Brand Number (If Available)

Serial Number Of New Tire

Odometer Reading

Driver's License Number And State Issuing

Disposition Of Old Tires

Return old tires to driver

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

6232 OST TRUCKS AND CRANES INC ~ 2951 Ventura Ave, Ventura, California 93001

Purchase Order Number

Vehicle Number

Unit #

Driver's Name

6354 OUTPOST OFFICE Division of ~ Roustabout Specialties 777 Valley Court, Grand Junction, Colorado 81505

Purchase Order Number

A Purchase Order Number MUST be obtained when purchases exceed $250 by calling Barb or Deb at 970.243.6900. After hours

call next business day

Vehicle Number

6364 OVERLAND WEST, INC ~ 2805 Washington Blvd, Ogden, Utah 84401

Purchase Order Number

Make And Model Of Vehicle

Vehicle Number

License Number And State Issuing

Odometer Reading

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6363 OVERNITE EXPRESS INC ~ 656 Pelham Blvd, St Paul, Minnesota 55114

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/234-6525.

Vehicle Number

Name Of Person Authorizing Purchase

Odometer Reading

6375 OZARK MOTOR LINES, INC ~ P O Box 181077, Memphis, Tennessee 38181-1077

DO NOT CONFUSE WITH: OZARK TRUCKING INC, McCLELLAN, CA NA-6316

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/264-4100.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Vehicle Number

Odometer Reading

6316 OZARK TRUCKING INC ~ 4916 Dudley Blvd, McClellan, California 95652

DO NOT CONFUSE WITH: OZARK MOTOR LINES, MEMPHIS, TN NA-6375.

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

License Number and State Issuing

Odometer Reading

when applicable

6381 P A M TRANSPORT, INC ~ P O Box 188, Tontitown, Arkansas 72770

NOTE: Only tire related services are eligible for delivery.

NOTE: Tires and Tubes only. Batteries are not eligible for delivery.

Credit Approval Number

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/283-5167.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

6394 P I & I MOTOR EXPRESS INC ~ 908 Broadway Avenue Extension, Masury, Ohio 44438

Preferred tires:

Steer - G395

Drive - G372A

Trailer - G316

No substitutes without approval from P I & I dispatcher. Driver MUST take old tire.

Purchase Order Number

PO# issued by location making purchase.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disp Of Old Tires

Driver MUST take old tires

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6378 P & B TRANSPORTATION INC ~ 1807 Revere Dr, Bismarck , North Dakota 58501

Purchase Order Number

Phone 877-472-9534 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

6379 P & S TRANSPORTATION INC ~ P O Box 8250 , Ensley, Alabama 35218-8250

DRIVER MUST ALWAYS TAKE OLD TIRES

Purchase Order Number

To obtain phone COLLECT 205/788-4000

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Tractor or trailer number

Odometer Reading

Disp Of Old Tires

OLD TIRES MUST ALWAYS BE RETURNED TO DRIVER

6403 PACCAR LEASING CO ~ P O Box 1518, Bellevue, Washington 98009

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the franchisee. The driver will have the number.

Complete Ship-To Name And Address Of Location Making The Purchase

Franchise/Location Code (3 Digit Number)

Vehicle Number (6 Digits)

Vin Number (Last 6 Digits Only)

Odometer Reading

6414 PACIFIC GAS AND ELECTRIC CO ~ 77 Beale St, San Francisco, California 94177

Repair order number

12-digits

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Hubometer

Location Code

Garage code

CC Exp Date (MM/YYYY)

Credit Card Token Number

CC Type

CC Holders Name

6418 PACIFIC LOGISTICS CORP ~ 7255 Rosemead Blvd, Pico Rivera, California 90660

Purchase Order Number

Vehicle Number

6410 PACIFICORP ~ 825 NE Multnomah Suite 1700, Portland, Oregon 97232

Complete Ship-To Name and Address of Location making the Purchase

Vehicle Number

Odometer Reading

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6465 PALLETIZED TRUCKING INC ~ P O Box 8744, Houston, Texas 77009

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/683-5614

Vehicle Number

Odometer Reading

6477 PAN-O-GOLD BAKING CO ~ 444 E St Germain St Box 848, St Cloud, Minnesota 56302

Purchase Order Number

A Purchase Order MUST be obtained by calling 320/253-6796

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disposition Of Old Tires

6476 PANELLA TRUCKING LLC ~ 5000 E FREMONT, Stockton, California 95205

Purchase Order Number

Phone Dave Bond @209-943-5010 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

0060 PANHANDLE TRANSPORTATION GROUP LLC ~ 1401 W Farmers Ave, Amarillo, Texas 79118

Formerly: Affiliated Foods

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/753-0157 or by calling 806/345-7793

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

6481 PANTHER EXPEDITED SVCS INC ~ 4940 Panther Pkwy, Seville, Ohio 44273

Purchase Order Number

Phone TOLL FREE 800/685-0657 ext 3053 to obtain. After hours use ext 3004, 3094 or 3110

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

TRAILER

Odometer Reading

6493 PARADIS MAIL SVC INC ~ 812 Highway 92 West, Brooks, Minnesota 56715-0097

Purchase order number is ONLY required for emergency road service calls after 5:00 P.M.

Purchase Order Number

Only required for emergency road service calls after 5:00 P.M. To obtain authorizing purchase order number phone Brian at 218-

698-4613 or Lonnie at 218-686-2522

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

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6501 PARRISH H C TRUCK SVC ~ 1201 N State, Freeburg, Illinois 62243

Purchase Order Number

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disposition Of Old Tires

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST ask the

customer for the correct information.

6502 PASCHALL TRUCK LINES, INC ~ P O Box 1080, Murray, Kentucky 42071-0018

AUTHORIZATION TO DELIVER TIRES AND SERVICE WILL BE GIVEN FOR PASCHALL OWNED EQUIPMENT ONLY. EQUIPMENT OWNED BY OWNER

OPERATORS IS NOT AUTHORIZED TO PURCHASE UNDER THIS NATIONAL ACCOUNT PROGRAM.

A NEW TUBELESS VALVE STEM MUST BE INSTALLED WITH ALL NEW TIRES AND RETREADS.

ONLY G399 LR G OR SP384 LR G TIRES WILL BE AUTHORIZED FOR TRACTORS.

NO LR H TIRES.

ONLY G316, SP193 OR NEW GOODYEAR RETREADS WILL BE AUTHORIZED TO BE DELIVERED ON THE TRAILER AXLES - IF THE SPARE TIRE IS

NOT AVAILABLE FOR USE. APPROVAL TO INSTALL ANY OTHER TYPE OF TIRE, AT ANY WHEEL POSITION TRUCK OR TRAILER, MUST BE

REQUESTED PRIOR TO THE INSTALLATION.

*WHEN SERVICING TIRES ON COMPANY VEHICLES, THE FOLLOWING SPECIFICATIONS SHOULD BE IMPLEMENTED:

STEER TIRE @ 110 PSI, PULL POINT AT 5/32

DRIVE TIRE @ 100 PSI, PULL POINT AT 3/32

TRAILER TIRE @ 100 PSI, PULL POINT AT 3/32

ALL WORK MUST BE PRE-AUTHORIZED BY THE "ROAD MAINTENANCE DEPARTMENT" BEFORE THE WORK IS TO BE PERFORMED BY CALLING

800/225-1259 OR COLLECT 270/753-1717. PROVIDE CASING TYPE, REASON FOR FAILURE AND REMAINING TREAD DEPTH AT THIS TIME.

IF A SERVICE CALL IS GREATER THAN 30 MILES ONE WAY, APPROVAL MUST BE GIVEN BY SCOTT GRAY - DIRECTOR OF ROAD MAINTENANCE

PRIOR TO MAKING THE SERVICE CALL.

*ANY SERVICE WORK THAT IS BEING DONE ON PTL VEHICLES THROUGH OUR SERVICING NETWORK, THE LOCATION IS TO CHECK AND

ADJUST ALL TIRES TO PTL SPEC BEFORE DEPARTING. IF ANY TIRES ARE AT OR BELOW PSI SPECIFICATIONS, ADJUST TO STANDARD SPEC

LISTED ABOVE. IF ANY TIRE IS AT OR BELOW 32ND SPECIFICATION, CONTACT VEHICLE MAINTENANCE DEPARTMENT FOR AUTHORIZATION

AND REPLACEMENT.

Purchase Order Number

ONCE AN INVOICE HAS BEEN PROCESSED AGAINST A PURCHASE ORDER, YOU MUST GET A NEW PURCHASE ORDER TO REBILL

ANY ADDITIONAL WORK AS A REBILL. CALL PASCHALL TRUCK TO GET A NEW PURCHASE ORDER NUMBER.

Vehicle Number

Odometer Reading/Hubometer Reading

Authorized By

Disposition Of Old Tires

Driver must return old tires to their terminal, or the Road Maintenance Dept can authorize the selling or scrapping of the old tire.

Wheel Location

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Brand Of Casing

Type of casing of tire removed

Tread Depth

Remaining on tire removed

Reason for Replacement

6499 PATTAR TRANSPORT COMPANY ~ 1599 Water Lily Lane, Ceres, California 95307

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

6525 PAUL TRANSPORTATION INC ~ 301 W. Maine, Enid, Oklahoma 73702

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Vehicle Number

Authorized By

Disp Of Old Tires

Tires MUST be returned to driver.

Odometer Reading

6507 PAVESTONE COMPANY LP ~ 4835 LBJ Freeway Suite 700, Dallas, Texas 75244

Purchase Order Number

A Purchase Order Number MUST be obtained from the Local Branch.

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Location Number

Odometer Reading

6508 PAYNE INC ~ 500 Hudgins Rd, Fredericksburg, Virginia 22408

Purchase Order Number

Driver will call location making the purchase to obtain P O.

Vehicle Number

Odometer Reading

6842 PCI ROADS LLC ~ 14123 42nd St NE, St Michael, Minnesota 55376-0416

Purchase Order Number

Driver will provide purchase order number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

License Number and State Issuing

6515 PE KRAMME INC ~ 404 Monroeville Rd, PO Box 937, Monroeville, New Jersey 08343

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to Deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

6523 PEAK USA ENERGY SERVICES LTD ~ CO Nabors Shared SVC Ctr A/P Dept P O Box 672008, Houston, Texas 77267

Purchase Order Number

Name Of Person Authorizing The Purchase

Terminal Number

Vehicle Number

Odometer Reading

6531 PEGASUS TRANSPORTATION INC ~ DBA OF DUNCAN ENTERPRISES INC 2903 S English Station, Louisville, Kentucky 40299

Purchase Order Number

Phone 502-212-0676 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Reason for Replacement

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Wheel Location

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New York and New Jersey ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

6538 PEMBERTON TRUCK LINES, INC ~ 2530 Mitchell St, Knoxville, Tennessee 37917

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/621-5530.

Vehicle Number

Hubdometer

6544 PENHALL COMPANY ~ 1801 Penhall Way, Anaheim, California 92803

Purchase Order Number

A Purchase Order Number MUST be obtained by calling from outside Area Code 714 TOLL FREE 800/772-6450. Inside Area Code

call COLLECT 714/772-6450.

Branch Identification Number (2 Digit Number)

Odometer Reading

6577 PENN'S BEST, INC ~ P O Box 128, Meshoppen, Pennsylvania 18630

Purchase Order Number

PO to be issued to servicing dealer after work is completed. Please fax delivery receipt within 24 hours to 570-833-5902.

Vehicle Number

Odometer Reading

Driver's Name

6581 PENSKE TRUCK LEASING CO L P ~ Route 10 Green Hills P O Box 1451, Reading, Pennsylvania 19603-1451

NOTE: Penske does not purchase wheel balance on medium truck tires using wheel weights, balance compounds, or any other product.

NOTE: Please reference tire selection chart for Penske on Tire-HQ under General Info.

NOTE: Effective Immediately Penske will only use G399 Load Range H steer tires on tractors with sleepers.

You can not deliver and can not bill out G399 Load Range G tires to Penske. The codes are locked out.

NOTE: Effective immediately authorized steer tires in 16 inch on non-TPMS equipped vehicles are G949 and G149. Vehicles equipped with TPMS

use the Wrangler HT. Authorized tires on vehicles with 19.5 inch are the G149 and G949 only.

NOTE: Every transaction submitted must have a UNIQUE PO#, including correcting documents.

THE SAME PO# MAY NEVER BE USED TWICE. A NEW PO# MUST BE OBTAINED EACH TIME ATRANSACTION IS SUBMITTED INTO THE SYSTEM.

DUPLICATE PO#'S WILL BE CHARGED BACK AND MAY BE CHARGED BACK AT ANY TIME.

NOTE: Only Light Truck Tires are to be installed on Toyota Box Vans. DO NOT install auto tires on these vehicles.

NOTE: Most tow equipment uses size 215/75R14ST. There are still a few tow dollies using size 205/75R14ST. All tow equipment uses Marathon

tires in Load Range C.

NOTE: Over-the-Highway Medium Commercial tires delivered to this account must be load range"G" with the exception of size 255/70R22.5 LPT,

unless SPECIFIC APPROVALS are obtained for higher ply ratings from Penske DEPARTMENT MANAGERS PRIOR TO INSTALLATION.

NOTE: THIS PROGRAM IS LIMITED TO THE FOLLOWING SERVICE CODES ONLY (Please refer to Service Pricing for Penske on Tire-HQ):

Product Code Description

046-240-000 Road Service Mon.-Fri. 7:00am - 5:00 pm

046-241-000 Road Service Mon.-Fri. 7:00am - 5:00pm /Half Hour

046-244-000 Scheduled Yard Service Mon.-Fri 7:00am - 5:00pm

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(1) Hourly rate includes:

All mounts and dismounts

All flat repairs plus flat repair material

All mileage charges

(2) Hourly rate does not include incidental materials (valves, lug nuts, etc.)

(3) Hourly rate will be billed in ½ hour increments. Hourly rate is portal to portal for road service.

(4) Hourly rate for scheduled yard service begins at arrival and stops at departure from Penske facility.

Purchase Order Number Or Authorization Number

DISTRICT BRANCH INSTRUCTIONS:

The first five or six digits designate the Location Code followed by additional digits. Contact the District Branch for the

PO/Authorization number.

CASING CREDITS for the District branches MUST BE on a SEPARATE Delivery Receipt (which means a separate PO Number).

SOS EMERGENCY ROAD SERVICE INSTRUCTIONS:

Deliveries ordered by the OTR/SOS Dept for emergency road service will be handled as follows:

The Goodyear supply point will be contacted by Penske with a Work Authorization (WA) number. As soon as work is completed

call 800/526-0798 and advise 'Ready to Roll time'. The WA Number is NOT a P O Number. Advise the OTR/SOS Dept of the total

ACTUAL service charges to be applied during the first call. The service charges MUST match the amount authorized by Penske's P

O Number.

Call Penske Location P055111 Emergency Breakdown Center OTR/SOS Dept, in Reading PA TOLL FREE at 800/531-1388 M-F

046-245-000 Scheduled Yard Service Mon.-Fri 7:00am - 5:00pm /Half Hour

046-242-000 Road Service After Hours Sat/Sun/Holiday

046-243-000 Road Service After Hours Sat/Sun/Holiday /Half Hour

046-246-000 Scheduled Yard Service After Hours Sat/Sun/Holiday

046-247-000 Scheduled Yard Service After Hours Sat/Sun/Holiday /Half Hour

Product Code Description

040-400-101 Section Repair

040-306-000 Aluminum Wheel Exchange

040-173-000 Nail Hole Repair

040-174-000 Nail Hole Repair w/retread (no charge)

040-400-300 Spot Repair

040-228-000 Penske wheel exchange (buy/sell)

040-295-000 Target Fleet Maint. (Reg hours)

040-297-000 Target Fleet Maint. (Reg hours)/half hour

040-296-000 Target Fleet Maint. (After hours)

040-298-000 Target Fleet Maint. (After hours)/half hour

046-172-000 Mount and dismount (not on vehicle)

046-174-000 Mount and dismount (on vehicle)

046-337-000 ULT Wheel balancing including weights

046-331-000 ULT Mount dismount (not on vehicle)

088-102-000 Wheel and rim refinish(water base)(includes grommets)

088-111-000 Wheel and rim refinish (powder coat)

088-114-000 Wheel and rim refinish(includes grommets)(primer/powder coated)

041-271-000 Valve(Steel)

044-173-000 Wheel Balance (includes weights)

078-198-000 Front Alignment check

078-191-000 Front axle alignment including toe setting, camber and caster correction

078-192-000 Parts and shims......Market less 10%

078-193-000 Tandem alignment check

078-194-000 Tandem axle alignment

078-195-000 Single axle alignment

078-196-000 Triple axle alignment

078-197-000 Hourly parts installation rate

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8am-5pm EST for the ACTUAL P O NUMBER. The following info will be requested:

Off-casing manufacturer, tread depth, cause of failure, casing credit amount, the PENSKE claim number found on the pre-printed

PENSKE claim form.

CASING CREDITS MUST BE listed on the SAME transaction with charges for replacement tires and/or service.

***Adjustment Process – Do NOT select the ‘Adjustment’ button on the sales screen. This process is unique to Penske. When

asked if the tire is ‘Adjustable’, enter “Y” for yes, or “N” for No on the requirements screen. If the tire is not warrantable, include

the 'Non-warrantable condition' code. If the tire is warrantable, provide the Penske pre-printed claim#, and the 'Warrantable

condition' code. Finalize the replacement sales transaction. Next, send the warranty tire and the completed PENSKE claim form to

Product Services for Penske adjustment credit. Please reference Product Service Bulletin #2010-07 for further instructions.

Warrantable conditions

W01-Belt/Tread separation

W02-Sidewall separation

W03-Liner separation

W04-Open tread splice

W05-Repair failure

W06-Other warrantable

Non-warrantable conditions

NR1-Sidewall injury

NR2-Impact break

NR3-Ran over foreign object

NR4-Brake skid

NR5-Chain damage

NR6-Theft

NR7-Run flat to destruction

NR8-Wheel bent or damaged

NM1-Misalignment

NM2-Nail hole in tread

NM3-Low 32nds - PM

NM4-Recap - non adjustable

NM5-Stock deliveries

NM6-Wheel leaks

Location Code

Vehicle Number

License Number, State Issuing, and Odometer Reading

Complete Ship-To Name And Address Of Location Making The Purchase

Wheel Location

Brand Of Casing

Off tire brand of Casing

Tread Depth

Off-tire

New/Retread Tire?

Off-tire

Reference #

Reason for Replacement

Use one of the following codes:

Warrantable conditions

W01-Belt/Tread separation

W02-Sidewall separation

W03-Liner separation

W04-Open tread splice

W05-Repair failure

W06-Other warrantable

Non-warrantable conditions

NR1-Sidewall injury

NR2-Impact break

NR3-Ran over foreign object

NR4-Brake skid

NR5-Chain damage

NR6-Theft

NR7-Run flat to destruction

NR8-Wheel bent or damaged

NM1-Misalignment

NM2-Nail hole in tread

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NM3-Low 32nds - PM

NM4-Recap - non adjustable

NM5-Stock tires

NM6-Wheel leaks

ADJUSTMENT TRANSACTIONS

All Adjustments are to be prepared on 708-5 (11-94)

Claim Forms (Penske Representative to supply).

No other claim form may be used.

All the Claim Forms and tires are to be forwarded to the local Goodyear Product Service Dept.

THE FOLLOWING MUST BE OBSERVED:

1. All adjustments are to be handled as no-replacement adjustments.

2. Use a separate Claim Form for each vehicle and show the Vehicle Number on the Claim Form.

3. Claim Number on form must be used.

6582 PENSKE TRUCK LEASING CO L P - FOREIGN ~ Route 10 Green Hills P O Box 1451, Reading, Pennsylvania 19603-1451

NOTE - ONLY FOR USE BY THE PENSKE SOS HOTLINE ACCOUNT.

THE PENSKE PURCHASING DEPARTMENT WILL ADVISE WHEN TO USE THIS ACCOUNT.NOTE: THIS PROGRAM IS LIMITED TO THE FOLLOWING

SERVICE CODES ONLY:

The Above Codes include:

All mounts and dismounts

All flat repairs plus flat repair material

All MILEAGE charges.

Purchase Order Number

Deliveries ordered by the OTR/SOS Dept for emergency road service will be handled as follows:

The Goodyear supply point will be contacted by Penske with a Work Authorization (WA) number. As soon as work is completed

call 800/526-0798 and advise 'Ready to Roll time'. The WA Number is NOT a P O Number. Advise the OTR/SOS Dept of the total

Product Code Description

046-240-000 Road Service Mon.-Fri. 7:00am - 5:00 pm

046-241-000 Road Service Mon.-Fri. 7:00am - 5:00pm /Half Hour

046-244-000 Scheduled Yard Service Mon.-Fri 7:00am - 5:00pm

046-245-000 Scheduled Yard Service Mon.-Fri 7:00am - 5:00pm /Half Hour

046-242-000 Road Service After Hours Sat/Sun/Holiday

046-243-000 Road Service After Hours Sat/Sun/Holiday /Half Hour

046-246-000 Scheduled Yard Service After Hours Sat/Sun/Holiday

046-247-000 Scheduled Yard Service After Hours Sat/Sun/Holiday /Half Hour

046-164-000 Misc Commercial Truck Service Call-Regular Hours

046-165-000 Mics Commercial Truck Service Call-After Hours/Holiday

Product Code Description

040-400-101 Section Repair

040-173-000 Nail Hole Repair

040-371-100 Nail Hole Repair w/retread

040-400-300 Spot Repair

046-172-000 Mount and dismount (not on vehicle)

046-174-000 Mount and dismount (on vehicle)

088-102-000 Wheel and rim refinish(water base)(includes grommets)

088-111-000 Wheel and rim refinish (powder coat)

041-271-000 Valve(Steel)

044-173-000 Wheel Balance (includes weights)

078-198-000 Front Alignment check

078-191-000 Front axle alignment including toe setting, camber and caster correction

078-192-000 Parts and shims......Market less 10%

078-193-000 Tandem alignment check

078-194-000 Tandem axle alignment

078-195-000 Single axle alignment

078-196-000 Triple axle alignment

078-197-000 Hourly parts installation rate

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ACTUAL service charges to be applied during the first call. The service charges MUST match the amount authorized by Penske's P

O Number.

Call Penske Location P055111 Emergency Breakdown Center OTR/SOS Dept, in Reading PA TOLL FREE at 800/531-1388 M-F

8am-5pm EST for the ACTUAL P O NUMBER. The following info will be requested:

Off-casing manufacturer, tread depth, cause of failure, casing credit amount, the PENSKE claim number found on the pre-printed

PENSKE claim form.

CASING CREDITS MUST BE listed on the SAME transaction with charges for replacement tires and/or service.

***Adjustment Process – Do NOT select the ‘Adjustment’ button on the sales screen. This process is unique to Penske. When

asked if the tire is ‘Adjustable’, enter “Y” for yes, or “N” for No on the requirements screen. If the tire is not warrantable, include

the 'Non-warrantable condition' code. If the tire is warrantable, provide the Penske pre-printed claim#, and the 'Warrantable

condition' code. Finalize the replacement sales transaction. Next, send the warranty tire and the completed PENSKE claim form to

Product Services for Penske adjustment credit. Please reference Product Service Bulletin #2010-07 for further instructions.

Warrantable conditions

W01-Belt/Tread separation

W02-Sidewall separation

W03-Liner separation

W04-Open tread splice

W05-Repair failure

W06-Other warrantable

Non-warrantable conditions

NR1-Sidewall injury

NR2-Impact break

NR3-Ran over foreign object

NR4-Brake skid

NR5-Chain damage

NR6-Theft

NR7-Run flat to destruction

NR8-Wheel bent or damaged

NM1-Misalignment

NM2-Nail hole in tread

NM3-Low 32nds - PM

NM4-Recap - non adjustable

NM5-Stock tires

NM6-Wheel leaks

Vehicle Number

License Number and State Issuing

Tread Depth

Location Code

Wheel Location

Brand Of Casing

Off tire brand of casing

New/Retread Tire?

Reference #

6592 PERDUE FARMS INCORPORATED ~ P O Box 1537, Salisbury, Maryland 21802

11R22.5 G395 LHS and 11R22.5 G395 FUEL MAX PREFERRED FOR ALL WHEEL POSITIONS

Purchase Order Number

Driver will call his garage and the garage manager will phone in with the purchase order number

Complete Ship-To Name And Address Of Location Making The Purchase

Facility/Location Code Number (2 Digits)

Vehicle Number

Truck and trailer number. Note which one was worked on.

Odometer Reading

VIN Number

Vehicle Type

Reason for Replacement

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4877 PETER KIEWIT SONS' CO ~ 1000 Kiewit Plaza, Omaha, Nebraska 68131

Purchase Order Number

Complete Ship-To Name And Address Of Project Location Making Purchase

Project Number

Used by Gilbert Texas Construction Group Only

Vehicle Number

Odometer Reading

Job Number

6614 PETERMANN LTD ~ 8041 Hosbrook Rd Suite 330, Cincinnati, Ohio 45236

*****RETREAD CASINGS MUST BE 8 YEARS OR NEWER*****

**To use a tire not listed in Petermann process manual requires authorization from Petermann. Contact Steve Hall @ 512-244-2043.

Goodyear G662 tires are NOT approved. Steve Hall @ 512-244-2043 *MUST* authorize if G662 tires are delivered.

Location Code

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

6616 PETROCON CORPORATION ~ P.O. Box 410, 344 East 3rd St., Frederick, Maryland 21705-0410

Member ID #

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

CC Type

American Express (AX), Mastercard (MC), Visa (VS)

CC Holders Name

Name as shown on Credit Card

CC Exp Date (MM/YYYY)

MM/DD/YY or MM/DD/YYYY

CC Token

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

6618 PETRON INC ~ 1600 Harris St, Alexandria, Louisiana 71301

Purchase Order Number

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Hubometer

License Number and State Issuing

Wheel Location

Disposition Of Old Tires

Serial Number of Old Tire

6383 PHH VEHICLE MANAGEMENT SERVICES ~ VEHICLE MAINTENANCE ASSISTANCE (VMA+) P O Box 2174, Baltimore, Maryland 21203

NOTE: THIS PROGRAM IS FOR RED PHH CARDS O N L Y.

DO NOT CONFUSE WITH NA-6384 WHICH IS FOR BLUE CARDS.

NOTE: DO NOT BILL ACCIDENT MANAGEMENT THROUGH THIS PROGRAM. CLIENTS OF THE ACCIDENT MANAGEMENT DEPT ARE TO BE BILLED

THRU NA-6384 BLUE PROGRAM.

Red Plastic PHH Service Card

Driver MUST ALWAYS present a Red Service Card.

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Service Cards begin with 599 or 005. (WHEN PROCESSING CARD IN POS SYSTEM 599 AND 005 IS PRECEDED WITH CCR)

Please note that coupons really authorize NOTHING. They are to be treated as a request NOT authorization. The services listed on

the Coupon must be authorized by the client's Red Card or if they EXCEED the Red Card limit you MUST call PHH for an

AUTHORIZATION NUMBER at the TOLL FREE number given below.

THE RED CARD LIMIT MAY VARY. (THIS WILL BE NOTED ON THE CARD.)

Authorization Number

Prior to any work being done an Authorization Number must be obtained from PHH for ALL PURCHASES (includes tires and

batteries) OVER the card limit. This authorization is obtained by calling the VMA 24 hour Service Center TOLL FREE 800/638-

7900.

You must call for an Authorization Number when purchases exceed the limit shown on the card. Have the amount of the TOTAL

charges ready as PHH will approve ONLY that amount. Any other additional work needed will require ANOTHER CALL for

authorization as the TOTAL amount MUST be approved by PHH.

NOTE that Coupons really authorize NOTHING. They are to be treated as a request. If the services requested on the Coupon

exceed the card limit you MUST call for an Authorization Number as indicated above.

The Authorization Number will be seven (7) digits (either 2 alpha and 5 numeric or 5 numeric and 2 alpha).

License Number and State Issuing

Year Make And Model Of Vehicle

Odometer Reading

Vin Number (Last 8 Digits Only)

Compete Ship To Name And Address Of Client Firm Making The Purchase

PHH Authorized Service $ Dollars

6384 PHH VEHICLE MANAGEMENT SERVICES ~ P O Box 2174, Baltimore, Maryland 21203

NOTE: THIS PROGRAM IS FOR BLUE PHH CARDS O N L Y. DO NOT CONFUSE WITH NA-6383 WHICH IS FOR RED CARDS. NOTE: Clients of the

Accident Management Dept are to be billed thru this program. They will NOT have a Service Card. You are to call PHH TOLL FREE 800/446-7052

for a Purchase Order Number which belongs in the PO field for accident claims. Also obtain the name of the person who authorizes the service.

NOTE: All Parts and Service

NOTE: SHOCK ABSORBERS are NOT to be installed unless the vehicle has over 25,000 miles and replacement is absolutely necessary for safe

operation of vehicle. ORIGINAL EQUIPMENT OR STANDARD HEAVY DUTY SHOCKS ARE TO BE INSTALLED UNLESS ANOTHER SHOCK IS

AUTHORIZED BY THE FLEET MANAGER.

PRIOR FLEET MANAGER APPROVAL must be obtained if shocks are needed on vehicles with less than 25,000 miles and noted on the Delivery

Receipt.

Blue Plastic PHH Service Card Number

Please note that coupons really authorize NOTHING. They are to be treated as a request NOT an authorization.

The service listed on the coupon must be authorized by the client's Blue Card or if they EXCEED the Blue Card limit you MUST call

the client's Fleet Manager for additional approval and indicate Fleet Manager name on the Delivery Receipt.

"BLUE" PLASTIC CARD begins with 599 or 005. (WHEN PROCESSING CARD IN POS SYSTEM 599 AND 005 IS PRECEDED WITH

CCB)

IT IS GOOD FOR THE PURCHASE OF UP TO 4 TIRES, $150 SERVICE WORK, AND 1 BATTERY. ANY SERVICE WORK OVER THE

$150 LIMIT REQUIRES CLIENT'S FLEET MANAGER'S APPROVAL.

Some clients' service card limits may vary. The amount will be indicated on Service Card.

And All Of The Following

Name of Person Authorizing Purchase

CANNOT BE DRIVER.

ONLY NEEDED when Service Card limit is exceeded.

OR when an Accident Management claim.

Complete SHIP-TO Name and Address of Location Making the Purchase

License Number and State Issuing

Year Make And Model of Vehicle

Check vehicle and get exact mileage

PHH Aurthorized Service $ Dollars

VIN Number (Last 8 Digits ONLY)

Odometer Reading

6686 PIKE EQUIPMENT & SUPPLY CO ~ P O Box 868, Mt Airy, North Carolina 27030

MAKE SURE TO OBTAIN PRINTED NAME OF PIKE EMPLOYEE

Purchase Order Number

For work performed at dealer call TOLL FREE 800/343-7453 ext 4214 for prework purchase order. For service calls fax a copy of

the delivery receipt to 336/719-4269 after work is complete.

Vehicle Number

Odometer Reading

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Disposition Of Used Tires

Tires not eligible for casing credit need to be disposed of by the dealer. Description of disposal of tires.

License Number and State Issuing

6691 PILGRIMS PRIDE CORP - DIP ~ 4845 Hwy 271 N , Pittsburg, Texas 75686

Verify that items on delivery receipt match purchase order exactly.

DO NOT CHARGE FOR MILEAGE INCLUDING FUEL UNDER 20 MILES.

DO CHARGE 046910 CONTRACT MILEAGE OVER 20 MILES PORTAL TO PORTAL AT $1.00

Purchase Order Number

Supply point will call Dispatch collect 903-575-3956.

PPC will then fax the supply point a hard copy of the purchase order.

NO purchase order needed for emergency road service.

Verify that items on delivery receipt match purchase order exactly.

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Odometer Reading

Vehicle Number

License Number and State Issuing

6694 PILOT TRAVEL CENTERS LLC ~ P.O. Box 10146, Knoxville, Tennessee 37939

Vehicle Number

Required for ALL Purchases

Odometer Reading

6699 PINNERGY LTD ~ 111 Congress Ave - Ste 2020, Austin, Texas 78701

Complete SHIP-TO Name and Address of Location Making the Purchase

Location Code

Vehicle Number

Odometer Reading

6700 PITT OHIO EXPRESS LLC ~ 15 27th St, Pittsburgh, Pennsylvania 15222

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/366-7488 EXT 6283.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Name Of Person Authorizing

First and Last Name of Pitt Ohio Central Dispatcher authorizing repairs.

Vehicle Number

Odometer Reading

6707 PLAINFIELD TRUCKING ~ 818 W North St, Plainfield, Wisconsin 54966

Purchase Order Number

A Purchase Order MUST be obtained by call TOLL FREE 800-435-6375

Authorized By

Need first and last name of person authorizing the purchase.

Vehicle Number

Needed only if the purchase is made on the road.

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

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6710 PLAINS MARKETING L P ~ 333 Clay St Suite 1600, Houston, Texas 77002

Purchases to be approved by a Plains manager or mechanic through the location making the purchase. Make sure to get the name and phone

number of the purchaser and the person authorizing the work.

Purchase Order Number

Not used for every purchase. Show on workorder/doc if provided.

Vehicle Number

Wheel Position Of New Tire

Odometer Reading

Location Code

6740 POLMAN TRANSFER INC ~ 63425 Highway 10 West, Wadena, Minnesota 56482

NOTE: When prompted for Vehicle Number requirement specify Truck OR Trailer

Purchase Order Number

Obtain a Purchase Order number by calling 218.631.1753

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Specify TRUCK or TRAILER

Wheel Location

Trailer Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

6796 POWER PURCHASING, INC ~ 150 East Pennsylvania Ave Suite 430, Downingtown , Pennsylvania 19335

Purchase Order Number (PPI Prefix)

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/321-0051.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading

6393 PPL ELECTRIC UTILITIES CORP ~ Two N Ninth St, Allentown, Pennsylvania 18101

CREDIT CARD MUST BE PRESENTED AT POINT OF SALE

Location Code

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Employees printed name

Contract Number

CC Exp Date (MM/YYYY)

CC Holders Name

CC Token

CC Type

AX, VS MC

6805 PRAIRIE FARMS DAIRY, INC ~ 1100 N Broadway, Carlinville, Illinois 62626

DO NOT CALL PRAIRIE FARMS CORPORATE OFFICES TO OBTAIN A PURCHASE ORDER #. PRAIRIE FARMS CORPORATE OFFICES IN CARLINVILLE

DOES NOT ISSUE PURCHASE ORDERS.

DRIVER WILL OBTAIN PO'S FROM THEIR ASSIGNED TERMINAL. SEE INSTRUCTIONS IN PO REQUIREMENTS BELOW.

Purchase Order Number

During normal business hours the driver will obtain from their assigned terminal and provide to the supply point the PO Number,

Name and Telephone number of the person issuing the Purchase Order.

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After normal business hours the driver MUST provide the name and telephone number of the person issuing the Purchase Order

for his assigned location. If this person is not available, the supply point will be able to call for the Purchase Order the next day.

Complete Ship-To Name And Address Of Location Making The Purchase

Name Of Person Authorizing The Purchase

Vehicle Number

Location Code (2 Or 3 Digits)

Driver will obtain by calling their assigned terminal

Odometer Reading

6813 PRESTIGE GUNITE OF WPB INC ~ dba PRESTIGE 7228C Westport Place, West Palm Beach, Florida 33413

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the branch location making the purchase

Complete SHIP-TO Name and Address of Location Making the Purchase

Branch Number

Vehicle Number

Odometer Reading

6816 PRIDE TRANSPORT INC ~ 5499 West 2455 South, Salt Lake City, Utah 84120

NOTE: You MUST call 888-774-3303 for prior authorization. Once service is completed you MUST call back for a PO#.

Purchase Order Number

You MUST call 888-774-3303 for prior authorization. Once service is completed you MUST call back for a PO#.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Trailer Number

Odometer Reading

6817 PRIMA EXPRESS INC ~ 32 Forestwood Dr, Romeoville, Illinois 60446

ALL PURCHASES MUST BE AUTHORIZED BY CALLING LINAS @ 630-400-3149.

Odometer Reading

6823 PRITCHETT TRUCKING INC ~ 1050 S E 6th St , Lake Butler, Florida 32054

MUST ALWAYS PROVIDE WHEEL POSITION OF TIRE BEING REPLACED AND REASON FOR REPLACEMENT. INVOICES WITHOUT THIS

INFORMATION WILL BE CHARGEDBACK.

Purchase Order Number

Call 800-486-7504 for Pritchett Trucking or 904-496-2251 for Mid Florida Hauling

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading

Reason for Replacement

Wheel Location

Location Code

6825 PRO STOP TRUCK SERVICE, INC ~ 2815 Highway 55, Eagan, Minnesota 55121

NOTE: All tires replaced should have valve stem replaced

NOTE: Flow-thru valve caps ONLY

NOTE: All tires purchased over the road for power units should be billed to location code EA30.

No tires or service should be delivered on either company owned vehicles or owner operators without PRIOR approval from Prostop Truck

Service.

Purchase Order Number

Complete SHIP-TO Name and Address of Location Making the Purchase

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Vehicle Number

Location Code

Wheel Location

Reason for Replacement

License Number and State Issuing

Driver's Id Code

6828 PRO TRANSPORT & LEASING INC ~ 5520 32nd Ave S, Grand Forks, North Dakota 58201

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/437-0017.

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Brand Of Casing

Reason for Replacement

Disp Of Old Tires

Driver must take old tire

Wheel Location

Serial Number of New Tire

Serial Number of Old Tire

6835 PROBUILD HOLDINGS, LLC ~ 7595 Technology Way, Denver, Colorado 80237

fka The Strober Organization

Location Code

Known by the customer as their ProEdge ID#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Region Number

CC Token

You must obtain credit card number for each transaction and tokenize. Refer to Tire-HQ for tokenization instructions.

CC Exp Date (MM/YYYY)

CC Type

AX, VS, MC

CC Holders Name

6838 PROFICIENT AUTO, INC ~ DBA PROFICIENT AUTO TRANSPORT 10057 103rd St., Jacksonville, Florida 32210

Purchase Order Number

To Obtain PO # call: 904-772-1175 ask for Lenny Martin. If after hours DO NOT hold up vehicle waiting for PO #, service vehicle

and call for PO # next morning.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Wheel position of tire(s) being replaced.

6840 PROGRESS ENERGY SERVICE CO LLC ~ 410 South Wilmington St, Raleigh, North Carolina 27601

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

7 or 8 digit number

License Number and State Issuing

Odometer Reading

Location Code

6-digit number

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6844 PROGRESSIVE WASTE SOLUTIONS ~ dba IESI 2301 Eagle Parkway Ste 200, Fort Worth, Texas 76177

Purchase Order Number

Purchase Order Number will be given at time order is placed. If after hours do NOT hold vehicle for PO# call next day Jessica

Doss at 817.547.9021 and she will issue.

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Vehicle Number

Odometer Reading

CC Exp Date (MM/YYYY)

CC Token

CC Type

Visa (VS)

CC Holders Name

Name as printed on the credit card

6845 PROLOGIX DISTRIBUTION SERVICES EAST, LLC ~ 4070 Shirley Dr SW, Atlanta, Georgia 30336

Token Number

Credit Card Type

Visa (VS)

Credit Card Holders Name

Name as shown on the credit card

Credit Card Expiration Date

MM/DD/YY OR MM/DD/YYYY

Vehicle Number

Location Code

3-digit number

VIN Number

Odometer Reading

6846 PROLOGIX DISTRIBUTION SERVICES WEST, LLC ~ 3995 70TH AVE E SUITE B, FIFE, WASHINGTON 98424

Token Number

CC Holders Name

Name as shown on the credit card

CC Type

CC Exp Date (MM/YYYY)

MM/DD/YY OR MM/DD/YYYY

Vehicle Number

VIN Number

Location Code

3-digit Number

Odometer Reading

6851 PRUDENTIAL OVERALL SUPPLY ~ 1661 Alton Parkway, Irvine, California 92606-4877

Purchase Order Number

Driver will have P O number, or phone Collect 909/906-4105

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

6662 PSC ~ 5151 San Felipe Suite 1600, Houston, Texas 77056

Fleet Mgr Name

Operations Manager

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

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Location Code

VIN Number

6400 PSS WORLD MEDICAL INC ~ 4345 Southpoint Blvd, Jacksonville, Florida 32216

Location Code

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

6853 PUBLIC SVC ELECTRIC & GAS CO ~ 350 Raritan Center Parkway, Edison, New Jersey 08837

FAX A COPY OF THE SIGNED DELIVERY RECEIPT TO 732-346-1072 ATTN: GREG

Purchase Order Number

Use Blanket purchase order number 4500687047.

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

6856 PUBLIX SUPER MARKETS, INC ~ P O Box 32014, Lakeland, Florida 33802

NOTE: SOME OF PUBLIX VEHICLES ARE MANAGED BY ARI. CHECK WITH DRIVER TO DETERMINE IF THEIR VEHICLE SERVICE IS MANAGED

EXTERNALLY BY ARI OR INTERNALLY BY PUBLIX.

IF THE DRIVER AS AN AIR VEHICLE IDENTIFICATION CARD AND/OR ARI SERVICE COUPON, YOU MUST PROCESS YOUR TRANSACTION

THROUGH ARI, NATIONAL ACCOUNT #0800 AND CLIENT CODE 5BB0

Purchase Order Number

A Purchase Order Number MUST be obtained for purchases over $100 by calling the driver's office. Driver will have the phone

number.

Vehicle Number

Odometer Reading

6858 PULLEN BROS INC ~ 1788 State Hwy HH, Sikeston, Missouri 63801

Purchase Order Number

Vehicle Number

Odometer Reading

Driver's Name

Required for every purchase.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

6859 PURDY BROTHERS TRUCKING ~ P O Box 39, Loudon, Tennessee 37774

Please use Dunlop SP193FM and Dunlop SP384FM tires ONLY. Prior approval required for use of a different tire.

Delivery receipt MUST have driver's name and signature.

Tires removed MUST be returned to the driver. Account will NOT accept any tire disposal fees. Also, no valve stem replacements will be accepted

without approval.

NOTE: Any service part or labor that exceeds $100 requires additional authorization.

**NOTE: ROAD CALLS INVOLVING MORE THAN 20 MILES ONE WAY REQUIRE ADDITIONAL AUTHORIZATION. PLEASE CHECK WITH PURDY

BROTHERS BEFORE CALL IS DISPATCHED TO A TECHNICIAN.

Purchase Order Number

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Year/Make/Model

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VIN Number

Wheel Position of New/Old Tire

Serial Number of New Tire

Serial Number of Old Tire

Driver's full name and signature

Location Code

Drivers License Number and state issuing

Truck Operators ONLY

6861 PURYEAR TRANSPORT, INC ~ 5844 Lease Lane, Raleigh, North Carolina 27613

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 919/787-4175.

Vehicle Number

Odometer Reading

6868 PYLES CONCRETE ~ DBA PYLES TRANSPORTATION PO BOX 639, Columbia, Kentucky 42728

Purchase Order Number

Vehicle Number

Odometer Reading

6931 QUAKER CITY MOTOR PARTS CO INC ~ dba NAPA Auto Parts 680 N Broad St, Middletown, Delware 19709

Purchase Order Number

A Purchase Order #/Work Order # will be provided at time of call.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

6934 QUALAWASH HOLDINGS, LLC ~ 101 South Franklin Street, Suite 101, Tampa, Florida 33602

Purchase Order Number

Driver should call for PO#, which will be issued by the local facility manager.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

Wheel Location

6936 QUALITY DISTRIBUTION INC ~ dba Quality Carriers 4041 Park Oaks Blvd, Tampa, Florida 33610-9501

TIRE PREFERENCES:

Trailer Choice

1. Steer Tire - G399, G661, G662, SP343, SP160

2. Drive Tire - G572, G182, G305, SP454

3. Trailer - Gold Medallion G316 Retread, G316 Retread, G316, SP193, KTSA

Truck Choice

Return call to QC extended coverage for approval

FLEET HQ to tell dealer PO. Puchase Order number is same as Authorization #. DO NOT CALL QC for PO#.

Purchase Order Number

FLEET HQ to tell dealer PO. Puchase Order number is same as Authorization #. DO NOT CALL QC for PO#.

Complete SHIP - TO Name and Address of Location Making the Purchase

Unit Number

Location Code

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Reason for Replacement

Wheel Location

Disposition Of Old Tires

Linehaul casing MUST be purchased and casing credit given IF NOT purchased WHY.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries to New York. Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for

correct information.

Driver's Id Code

or BROKER # if terminal

Authorized By

Odometer Reading

6941 QUALITY TRANSPORT INC ~ 5050 Robique Rd, Baton Rouge, Louisiana 70811

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 24/7 the dispatcher TOLL FREE 800.734.6570 Ext 1. Driver is NOT

authorized to order or purchase tires and/or service.

Vehicle Number

Trailer OR Tractor # specific to unit requiring tire and/or service.

6954 QUANTA SERVICES ~ 1360 Post Oak Blvd, Houston, Texas 77056-3023

Complete Ship-To Name And Address Of Location Making The Purchase.

Location # (Company ID #)

Vehicle Number

License Number And State Issuing

Odometer Reading

VIN Number

6943 QUARLES PETROLEUM INC ~ 1701 Fall Hill Ave #200, Fredericksburg, Virginia 22401

Location Code

Quarles associates will give location code when work is performed. For all road tractors and trailers, location code 111 should be

used along with ship-to address of 1701 Far Hill Ave #200, Fredericksburg, VA 22401

Authorized By

Vehicle Number

Complete SHIP-TO Name and Address of Location Making the Purchase

6951 QUIXTAR INC ~ dba The Tire Place 1413 2nd Street, Lake Odessa, Michigan 48849

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Toll Free 800/592-8892

Location Code/StoreID#

Vehicle Number

Lessee / Client Number

Customer IBO# AND DOT# on tires

VIN Number(last eight digits)

Odometer Reading

6961 QWEST CORPORATION ~ 1801 California St, Denver, Colorado 80202

Company ID Card (For Verification)

Purchase Order Number

If parts and labor exceed $500 prior approval must be received before repairs are made. Phone the Fleet Services Dispatch

Center TOLL FREE 800/444-2886 to report the estimate of the repairs and also to give them the repair order number. After the

work is completed call TOLL FREE 800/666-2886 with repair order number; unit number; dollar amount and description of the

repairs. These phone numbers are available 24 hours a day.

Vehicle Number(7 Digits)

Casing DOT #

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Odometer Reading

6968 R D OFFUTT CO ~ dba RDO Equipment 700 South 7th Street, Fargo, North Dakota 58106-7160

Purchase Order Number

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

6967 R E GARRISON TRUCKING INC ~ 9170 Alabama Hwy 157, Cullman, Alabama 35058

Authorization #

Authorization MUST be obtained before work begins. The authorization can be a name, date or number.

Obtain an authorization number by calling 800.947.7467

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL-FREE 800.947.7467. After hour calls a PO # should be obtainedthe

following day.

Wheel Location

Vehicle Number

TRACTOR Number AND

Trailer Number

Disposition of Tire

Return old tire with driver whenever possible

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

Odometer Reading

6971 R J REYNOLDS TOBACCO COMPANY ~ 401 No Main Street, Winston-Salem, North Carolina 27102

REYNOLDS IS A CLIENT OF PHH FOR AUTO AND LIGHT TRUCK TIRES AND SERVICE. IF PRESENTED WITH A RED PHH SERVICE CARD PROCESS

THROUGH PHH NA-6383.

Purchase Order Number

Odometer Reading

6976 R & J TRUCKING INC ~ 8063 Southern Blvd, Youngstown, Ohio 44512

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.362.9365 Ext 118

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Brand Number

Odometer Reading

6972 R & L CARRIERS INC ~ 600 Gillam Road, Wilmington, Ohio 45177-0271

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/543-5589 Ext 1208.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application, so you MUST ask the customer for correct information.

Location Code

4 digit code - 3 alpha and 1 numeric. The numeric will be either a 1 or 2

Odometer Reading

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6979 R & R TRANSPORTATION INC ~ 928 3rd Street, Audubon, Minnesota 56511

DO NOT CONFUSE WITH R & R TRUCKING INC, DUENWEG, MO

Purchase Order Number

A Purchase Order # MUST be obtained by calling TOLL FREE 800.767.0012

Vehicle Number

6982 R & R TRUCKING INC ~ P O Box 545, Duenweg, Missouri 64841

Purchase Order Number

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New York. Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for

correct information.

6989 RAIN FOR RENT ~ WESTERN OILFIELDS SUPPLY CO 3404 State Rd, Bakersfield, California 93303

Purchase Order Number

PO# must be obtained by calling 800-742-7246

Fleet/Unit number

License Number

Provide license plate number for both Trailers and Vehicles

Vehicle Type

Year, Make & Model

Branch Number

Odometer Reading

1827 RALPH CLAYTON & SONS ~ 515 Lakewood New Egypt Rd, Lakewood, New Jersey 08701

Purchase Order Number

Driver will provide

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

License Number and State Issuing

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey

Your Y/N answer will facilitate correct sales tax application, so you MUST ask the customer for correct information.

6990 RAM TOOL & SUPPLY CO INC ~ 3620 8th Ave South, Birmingham, Alabama 35232

Purchase Order Number

Purchase Order MUST be obtained from the driver. Driver to contact their Location Manager for a PO.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

VIN Number

Last 5 digits

Odometer Reading

6987 RAM TRANSIT LINES INC ~ 3651 South Noah Dr, Saxonburg, Pennsylvania 16056

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 724.360.3200 and option 6.

Vehicle Number

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Driver's Name

Odometer Reading

6991 RATLIFF READY MIX LP ~ 22002 Bush Dr, Waco, Texas 76712

Purchase Order Number

A Purchase Order # MUST be obtained by calling Wanda Hoffman at 254.981.7760 between the hours of 8am and 5pm CT. After

hours call next business day.

Vehicle Number

Mixer #

6996 RAVENS FARMS INC ~ 318 North 1900 East Rd , Milford, Illinois 60953

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/358-8340

Vehicle Number

Wheel Location

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.Your Y/N answer will facilitate correct sales tax application, so you MUST

ask the customer for correct information.

2194 RAYMOND CORCORAN TRUCKING INC ~ 532 Klenck Lane, Billings, Montana 59101

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

6999 RAZORBACK CONCRETE ~ 211 North Sixth St, West Memphis, Arkansas 72303-1028

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 870/735-9580

Vehicle Number

Location Code

Odometer Reading

6964 RBX INC ~ 3351 N Farm Rd 209, Strafford, Missouri 65757

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/245-5507.

Wheel Position

Vehicle Number

Odometer Reading

6966 RCI ROBISON CONSTRUCTION CO ~ 1216 140th Ave Court East, Sumner, Washington 98390

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 253/735-8930

Vehicle Number

Odometer Reading

6977 RCS TRUCKING & FREIGHT INC ~ 3523 Goldmine Rd, Goldvein, Virginia 22720

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Purchase Order Number

A Purchase Order Number MUST be obtained by calling 540.439.2875

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

Odometer Reading

7013 READY MIX CONCRETE OF SOMERSET INC ~ 63 Foster Lane, Somerset, Kentucky 42503

Purchase Order Number

A purchase order number MUST be obtained by calling Darrel at 606.678.0082

Vehicle Number

7001 READY MIX USA LLC ~ 2570 Ruffner Rd, Birmingham, Alabama 35210

Purchase Order Number

1. The Ready Mix USA OR Aggregates USA location will call supply point requesting service and provide a verbal authorization

2. Supply point will perform services and finalize delivery receipt

3 Copy must show all merchandise to be billed and signed

4. Supply point will provide Ready Mix/Aggregates USA, Accounts Payable, a signed copy of delivery receipt

5. Accounts Payable will assign a Purchase Order number and call the servicing supply point with the number

6. Supply point inputs PO # in point of sale system and completes transaction

7. Supply point must retain work order copy with purchase order for one year for audit purposes

Complete SHIP - TO Name and Address of Location Making the Purchase

Unit Number

Plant #

6110 RECOLOGY INC ~ 50 California St, Ste 2400, San Francisco, California 94111

Purchase Order Number

Shop will provide

Complete SHIP - TO Name and Address of Location Making the Purchase

Unit Number

Location Code

Odometer Reading

7008 RED EAGLE EQUIPMENT CO ~ 7702 Broadway, Amarillo, Texas 79108

Purchase Order Number

Serial Number of Old Tire

Wheel Position of New Tire

Odometer Reading

Unit Number

Disposition Of Old Tires

Return Old Tires to Driver

7006 REDDY ICE CORPORATION ~ 8750 N Central Expwy, Ste 1800 , Dallas, Texas 75231

MUST OBTAIN FULL NAME OF LOCATION MANAGER AUTHORIZING PURCHASE

Complete SHIP-TO Name and Address of Location Making the Purchase

Complete Name Of Location Manager Authorizing The Purchase

Location Code

Vehicle Number

Odometer Reading

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7004 REEVE TRUCKING CO INC ~ 5050 Carpenter Rd, Stockton, California 95215

Purchase Order Number

A Purchase Order Number will be provided by one of the following authorized personnel ONLY:

Jerry Miranda

Don Reeve

Don Reeve Jr

Jarrod Even

Vehicle Number

Odometer Reading

7017 REILLY SWEEPING INC ~ 20350 HANNAN PKWY, WALTON HILLS, OHIO 44146

Purchase Order Number

Odometer Reading

7020 REINSFELDER, INC. ~ AKA Haser Trucking, Inc. 1023 North Avenue, Pittsburgh, Pennsylvania 15209

Purchase Order Number

PO# and authorization must be obtained by calling 800-424-2737 during regular hours and 412-715-5467 after hours.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Driver's Id Code

Wheel Location

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

7023 RENTAL SERVICE CORPORATION ~ 6929 E Greenway Parkway Suite 200, Scottsdale, Arizona 85254

Purchase Order Number

A Purchase Order Number MUST be obtained by calling each respective location.

Complete Ship-To Name And Address Of Location Making The Purchase.

Store Number

Vehicle Number

Odometer Reading

7128 RENZENBERGER INC ~ 14325 W 95TH ST, LENEXA, KANSAS 66215

Purchase Order Number

Authorization MUST be obtained BEFORE any tire/service performed by calling Maintenance Coordinator at TOLL FREE

800.900.5191. A Purchase Order number will be opened. Once work is completed a second call MUST be made to finalize the

transaction and close the PO.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Unit #

Tread Depth

Reason for Replacement

Odometer Reading

7087 REPUBLIC SERVICES INC ~ (Various Locations)

ALL STEER AXLE POSITION RECAP CASINGS MUST BE VIRGIN CASINGS NOT OLDER THAN TWO YEARS OLD TO BE APPROVED STEER AXLE

CASINGS FOR RETREADING.

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Purchase Order Number

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading

Location Code

7105 RESTON LIMOUSINE & TRAVEL SERVICE INC ~ 45685 Elmwood Ct, Sterling, Virginia 20166

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 703.478.0500 Ext 504.

Vehicle Number

Odometer Reading

7120 REYNOLDS TRUCKING CO LLC ~ 305 Post Office Drive, Ste B , Indian Trail, North Carolina 28079

Purchase Order Number

Driver will have Purchase Order # or will call to obtain

Vehicle Number

Odometer Reading

7138 RICCELLI ENTERPRISES INC ~ 6131 E Taft Rd, N Syracuse, New York 13212

Purchase Order Number

A purchase order number MUST be obtained by calling TOLL FREE 800.863.2732

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7144 RICHARD McNAY INC ~ 700 N 2nd, Quincy, Illinois 62301

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 217.224.3105 during regular business hours, Monday thru Friday 8am to

5pm. After hours: for repairs on Trailers call 217.779.1614 and repairs on Tractors call 217.257.6477.

Wheel Location

Vehicle Number

Disposition of Old Tire

Tire must be returned with driver. If driver unable to take, arrangements to be made for tire pick up.

7148 RIECHMANN TRANSPORT INC ~ 3328 W Chain of Rocks Rd, Granite City, Illinois 62040

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/844-4225 EXT 335.

Vehicle Number

Odometer Reading

7156 RING POWER CORPORATION ~ 500 World Commerce Parkway, St Augustine, , Florida 32232

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 813/671-3700.

Branch Number

Wheel Position

Job Location

Equipment Number

Hour Meter Reading

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7158 RIO TINTO ~ 4700 Daybreak Pkwy, South Jordan, Utah 84095

Purchase Order Number

Location Code Number

Serial Number Of New Tires Purchased

7161 RISINGER BROTHERS TRANSFER, INC. ~ 225 Courtland Street PO Box 5198, Morton, Illinois 61550

NOTE: ALL TIRE SERVICE MUST HAVE AUTHORIZATION FROM RISINGER HQ, MORTON, IL.

ANY SERVICE CALL 40 MILES AND OVER YOU MUST CALL RISINGER BROS FOR AUTHORIZATION BEFORE LEAVING YOUR SHOP. NO

EXCEPTIONS. AUTHORIZATION IS OBTAINED BY CALLING 24/7; TOLL FREE; JOE KELLER AT 800.374.5571 EXT 211.

NOTE: MUST call for a revised Purchase Order if a change of greater than 10% is going to occur from original PO Authorization.

NOTE: Please take a picture of damage to tire being replaced and send picture via email to [email protected].

NOTE: Approved trailer tires authorized for delivery:

1st choice - RETREAD: 314 2015T

2nd choice - RETREAD: 314 mpg

3rd choice - RETREAD: 316 Fuel Max

IF Retreads not available the following New Tires are authorized

1st choice - Dunolop 193

2nd choice - Kelly KTSA

3rd choice - Goodyear G316

Purchase Order Number

PO # provided at time service is requested. Call TOLL FREE 800.374.5571 Ext 211. You MUST call for a revised Purchase Order if

a change of greater then 10% is going to occur from original PO Authorization.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Serial Number of Old Tire

In addition to entering serial# on ticket, please see instructions above regarding 'off' tire.

Serial Number of New Tire

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information

Odometer Reading

Reason for Replacement

7159 RISTOW TRUCKING Inc ~ 1940 Ridgeway St, Hammond, Wisconsin 54015

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.328.6162

Unit Number

Wheel Location

7163 RIVER-ROADS DISTRIBUTING CO ~ dba River-Roads Sales & Leasing 9010 Hall St, St Louis, Missouri 63147

Purchase Order Number

A Purchase Order Number will be provided by the driver or by calling 314.389.7487 Ext 264. After hours a Purchase Order

Number MUST be obtained by calling Russ at 314.308.2713

Vehicle Number

6970 RJB OF BIG STONE INC ~ 552 Main St, Big Stone City, South Dakota 57216

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 866.862.7850 between 7AM and 7PM Central Time. After hours

between 7PM and 7AM Central Time and weekends call 605.880.0407.

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7171 ROAD AMERICA MOTOR CLUB ~ Brickell Financial Services 7300 Corporate Center Dr, Miami, Florida 33126

NOTE: ACCOUNT IS EXEMPT FROM ALL FUEL SURCHARGES.

NOTE: Use the following listed service codes when appropriate. These codes will generate special agreed upon contract pricing.

046242 - Emerg Road Svc Call - After Hrs/Per Hr

046243 - Emerg Road Svc Call - After Hrs/Per 1/2 Hr

046240 - Emerg Road Svc Call - Reg Hrs/Per Hr

046241 - Emerg Road Svc Call - Reg Hrs/Per 1/2 Hr

EFFECTIVE JUNE 1, 2010:

When supply point is called to render a service call they will be given an authorization number.

Once the call is completed, supply point must call 866-250-5596 (dedicated line for Goodyear service)

and advise all service and product to be billed. A PO# will then be given to process the DR.

Deviations from items authorized by the PO# will result in a chargeback.

Ship to address will be customer being serviced to include phone number.

PO#'s that start with TS are not authorized for service billing (this should be for tires only).

Any service billed in conjunction with a TS PO# will result in a charge back.

If a TS PO# is issued then any service is the responsibility of the individual picking up the tires.

Supply points are not to discuss any service or tire pricing with Road America customer.

AN AUTHORIZATION# WILL BE PROVIDED WHEN SERVICE IS REQUESTED. YOU MUST HAVE AN AUTHORIZATION# PRIOR TO PERFORMING

SERVICE. ONCE COMPLETE, YOU MUST CALL 866-250-5596 AND ADVISE ANY PRODUCT TO BE BILLED IN ORDER TO OBTAIN THE PO#.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Req/Auth/Rel Number

To be provided by requestor of service PRIOR to any service being performed.

7165 ROADRUNNER TRANSPORTATION SERVICES ~ 9160 N 107th Street P O Box 23908, Milwaukee, Wisconsin 53224-0908

NOTE: Truck Tires, retreads, and service are eligible for delivery.

Authorized By

Purchase Order Number

Terminal #

Vehicle Number

Odometer Reading

7184 ROBERT SANDERS WASTE SYSTEMS INC ~ 916 Tonsor Rd, Alton, Illinois 62002

Purchase Order Number

Will be provided at the time of purchase

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

7202 ROEHL TRANSPORT, INC ~ 1916 East 29th St, P O Box 750, Marshfield, Wisconsin 54449-0750

NOTE: TRUCK WHEEL BALANCE AND ROTATIONS ARE NOT AUTHORIZED.

NOTE: PRIOR APPROVAL IS REQUIRED for mounting charges other than $15.00 (040-141) for sizes 295/75R22.5 and 255/70R22.5 AS WELL AS

for ALL OTHER LABOR CHARGES. Call the number below.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the Maintenance Support TOLL FREE 800.818.9709.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Vehicle Number

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License Number And State Issuing

Reason for Replacement

New/Retread Tire?

Brand Of Casing

Casing Dot #

Tread Depth

Odometer Reading

7218 ROMEO EXPEDITORS INC ~ 69210 Powell Rd, Armada, Michigan 48005

Authorized By

Vehicle Number

7219 RON & SONS TRUCKING INC ~ 1581 Radar Rd, San Diego, California 92154

Purchase Order Number

A Purchase Order # will be provided at time of delivery/service

7220 RONALD GROSS INC ~ 1037 Winfield Rd, Cabot, Pennsylvania 16023

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.458.5862 or 724.352.1270

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7230 ROOF TILE ADMINISTRATION INC ~ 1289 NE 9th Avenue, Okeechobee, Florida 34972

Purchase Order Number

Complete Ship-To Name And Address Of Location Making The Purchase.

Vehicle Number

Vehicle or Tag Number Required

Odometer Reading

7235 ROSEDALE TRANSPORT, INC ~ P O Box 3427, Dalton, Georgia 30719

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/232-2721 EXT 4291.

Vehicle Number (Tractor Only)

Odometer Reading

7241 ROSS NEELY SYSTEMS INC ~ 1500 2nd Street, Birmingham, Alabama 35214

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/366-3359 or 205/798-1137.

Vehicle Number

Odometer Reading

7243 ROUSTABOUT SPECIALTIES INC ~ 789 Valley Court, Grand Junction, Colorado 81505

Vehicle Number

License Number and State Issuing

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7248 ROWLAND TRANSPORTATION INC ~ 41124 Messick Road, Dade City, Florida 33525

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.338.1146 and follow prompts. Direct line to Breakdown

352.567.7471

Vehicle Number

Equipment #

License Number and State Issuing

Wheel Location

Reason for Replacement

Odometer Reading

7265 ROY STROM EXCAVATING & GRADING CO ~ 1201 Greenwood Avenue, Maywood, Illinois 60153

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7255 ROYAL FREIGHT LP ~ 407 W Sioux Rd , Pharr, Texas 78577

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/687-6098

Vehicle Number

Odometer Reading

7257 ROYAL TRUCKING ~ Hwy 45 N; P O Box 387, West Point, Mississippi 39773

Purchase Order Number

Unit Number

License Number and State Issuing

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New York ONLY. Your Y/N answer will facilitate correct sales tax application, so you MUST ask the

customer for correct information.

Year Make Model

Wheel Location

Odometer Reading

6984 RRR EXPRESS LLC ~ 445 West North Bend Rd, Cincinnati, Ohio 45216

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.723.3424 EXT 4334.

AFTER HOURS a Purchase Order Number MUST be obtained by calling 859.393.6344. If no answer call 859.393.6404.

A copy of the Delivery Ticket MUST be FAXed to 513.458.4398.

Vehicle Number

Odometer Reading

7277 RUAN LEASING CO ~ 666 Grand Ave, Des Moines, Iowa 50309

Purchase Order Number

A Purchase Order Number must be obtained by calling COLLECT 515/245-2626 for Auto Service or TOLL FREE 800/678-3210 for

Truck Tires.

Vehicle Number

Licensee Name

Disposition Of Old Tires

Ruan will advise

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7282 RUMPKE TRANSPORTATION COMPANY ~ 10795 Hughes Rd, Cincinnati, Ohio 45247

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Charlie Beavan COLLECT 513/851-0122 Ext 3510.

Complete Ship-To Name And Address Of Location Making The Purchase.

Location Code

Vehicle Number

Odometer Reading

7283 RURAL-METRO CORPORATION ~ (Various Locations)

Purchase Order Number

A Purchase Order Number MUST be obtained by calling the driver's local operation.

Complete Ship-To Name And Address Of Location Making The Purchase

The address entered in this field is where the bill will be sent. Ask driver for the invoice address. Do NOT use driver's home

address.

Vehicle Number

Odometer Reading

7280 RUSH TRUCKING CORPORATION ~ P O Box 1011, Wayne, Michigan 48184

Account prefers purchase of Goodyear retreads when possible. G372 for drive and G316/G314 for trailer

Purchase Order Number

A Purchase Order Number MUST ALWAYS be obtained PRIOR to work being preformed by calling Eastern Time 7:00 AM until

Midnight 734-641-1703. Midnight till 7:00 AM please call 800-526-7874 and get first and last name of Dispatcher along with

Reference Number.

Pre approval must be obtained when emergency road service is more than 30 miles and 2 1/2 hours in length.

Vehicle Number

Trailer Number

Disposition Of Old Tires

Rush will advise disposition of tires

Location Code

Wheel Location

7285 RUSS DAVIS WHOLESALE INC ~ 266 4th Street NE, Wadena, Minnesota 56482

Purchase Order Number

Driver will provide

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7286 RUST AND SONS TRUCKING INC ~ 15353 Old Highway 80, El Cajon, California 92021

Purchase Order Number

A purchase order number MUST be obtained by calling 619-443-6193

License Number and State Issuing

Vehicle Number

Truck or Trailer Number

Disposition of Tire

Return with driver

Odometer Reading

7288 RYDER TRUCK RENTAL, INC ~ P O Box 020816, Miami, Florida 33102-0816

NOTE: Retreads and Repairs - ONLY Goodyear produced Retreads sold by Goodyear authorized retread supply points can be delivered. Dealers

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and Stores are to furnish pick-up and delivery service to Ryder Truck Rental at no charge.

NOTE: RYDER TRS INC - NA-7293 HAS BEEN CANCELLED AND NOW BUYS THROUGH BUDGET RENT A CAR NA-1260

Purchase Order Number (Including 4 Digit Prefix)

P O Numbers for parent company purchases (not subsidiaries) MUST have a four (4) digit numeric prefix which is the

Shop/Branch Location Code of the location issuing the P O Number.

Is This Sale For A Bus?

You MUST answer Yes or No

Vehicle Number

RYDER'S CUSTOMER-OWNED VEHICLE MAY HAVE NUMBERS BEGINNING WITH A 1. THESE VEHICLES WOULD BE SERVICED

THROUGH THE RYDER CUSTOMER RESPONSE CENTER FOR BREAKDOWN CALLS.

Odometer Reading

Shop/Branch Location Code Number Of Location Issuing The P O Number

NOTE: This MUST BE the four digit location code of the SHOP/BRANCH ISSUING THE P O NUMBER. This Location Code MUST also

prefix the P O Number.

Ryder subsidiaries might not use a Shop/Branch Location Number.

Location 7272 covers breakdown calls.

Complete Ship-To Name And Address Of The Shop/Branch Location Making The Purchase

7300 S AND H TRANSPORT INC ~ dba S and H Express 400 Mulberry Street, York, Pennsylvania 17403

Purchase Order Number

You MUST obtain PO# by calling 717-848-5015 x1136. After hours, call next day for PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7511 S B, INC. ~ dba Sherman Brothers Heavy Trucking 32921 Diamond Hill Drive, Harrisburg, Oregon 97446

Purchase Order Number

You must obtain PO# by calling 888-579-2011

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

7308 S J LOUIS CONSTRUCTION OF TEXAS, LTD. ~ 520 South 6th Avenue PO Box 834, Mansfield, Texas 76063

Purchase Order Number

You MUST obtain PO#. Driver will have telephone number to call.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Reason for Replacement

7305 SADDLE CREEK CORPORATION ~ 3010 Saddle Creek Rd, Lakeland, Florida 33801

NOTE: Batteries are not eligible for delivery.

Purchase Order Number

A Purchase Order Number will be issued at the time service is requested. After hours and weekends call back the next day for a P

O Number.

Name Of Person Authorizing Purchase

Verbal Authorization MUST be obtained by calling COLLECT 863-668-4344 OR 863-668-4362

Vehicle Number

Odometer Reading

Location Code

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7312 SAFETY LANE INC ~ 850 Lone Oak Road, Eagan, Minnesota 55121

Purchase Order Number

You MUST obtain PO# from requestor of service or by calling 651-683-1802.

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

7313 SAFEWAY INC ~ 4410 Rosewood Dr, Pleasanton, California 94588-3492

Purchase Order Number

A Purchase order Number MUST be obtained by calling the driver's office COLLECT. Driver will have telephone number.

Complete Ship-To Name And Address Of Location Making The Purchase

Odometer Reading

Vehicle Number

Tractors and Trailers Only

Location Code

This will be the shop number

7318 SAIA MOTOR FREIGHT LINE INC ~ 1625 Corporate Place, La Vergne, Tennessee 37086

NOTE: THIS ACCOUNT IS AUTHORIZED FOR GOODYEAR TIER 1 PRODUCT ONLY

NOTE: Delivery Receipts must be provided at time of service or faxed to the purchasing location within 24 hours of service.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Mike Durel TOLL FREE 800/950-7242 Ext 3365 or Patrick Mikell at Ext

2814.

Location Code

Vehicle Number

License Number And State Issuing

Odometer Reading

7335 SALEM LEASING CORPORATION ~ 175 Charlois Boulevard, Winston-Salem, North Carolina 27103

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

Wheel Location

Disposition Of Old Tires

7345 SAMUEL CORALUZZO COMPANY, INC. ~ 1713 North Main Road, Vineland, New Jersey 08362

NOTE: GOLD MEDALLION IS THE PREFERRED REPLACEMENT RETREAD FOR G182 AND G316.

Terminal #

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Authorized By

Wheel Location

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

7351 SANDERSON FARMS, INC. ~ 127 Flynt Road PO Box 988, Laurel, Mississippi 39441

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Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

7353 SANJEL USA INC ~ 511 16th Street, Suite 300, Denver, Colorado 80202-4260

Purchase Order Number

Must obtain PO# from driver or person picking up tires. Typically ten digits comprised of Station code, Employee code and Unit

number.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

7361 SAVAGE INDUSTRIES INC ~ 6340 South 3000 East #600, Salt Lake City, Utah 84121

Purchase Order Number

Driver will have the number to call.

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7295 SBA NETWORK SERVICES INC. ~ 5900 Broken Sound Pkwy NW, Boca Raton, Florida 33487

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 800/825-7029.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7371 SCHANNO TRANSPORTATION INC ~ 2461 Kerper Blvd, Dubuque, Iowa 52001

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 563/582-3144 or 651/455-2767 or 715/262-5931.

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

Driver's License Number And State Issuing

Disposition Of Old Tires

Driver is to retain old tires

7377 SCHLUMBERGER WELL SERVICES ~ A Division of Schlumberger Technology Corp 1005 Nelson Lane, Wharton, Texas 77488

Physical Purchase Order OR Properly Identified Schlumberger Well Service Vehicle

Base Office Address

Vehicle Number

Odometer Reading

7376 SCHNEIDER FINANCE INC ~ 911 Glory Rd, Green Bay, Wisconsin 54304

NOTE: Goodyear, Kelly or Dunlop are ONLY authorized tires. Competitor tires may NOT bill through program

NOTE: This account does not authorize the purchase of Farm or Industrial tires

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FUEL SURCHARGE MUST be billed using code 047-528 at approved price on PO

MILEAGE OVER 20 miles MUST be billed using code 046-910 at $1.00

Purchase Order Number

A Purchase Order # MUST be obtained by calling Schneider Finance for authorization TOLL FREE 800.473.8372

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Wheel Location

Dispostion Of Old Tires

Per insturctions at time of transaction

Driver Number

Total Number of Service Call Miles

Odometer Reading

7379 SCHNEIDER NATIONAL INC ~ 3101 South Packerland Drive, Green Bay, Wisconsin 54306-2500

PREFERRED TIRES: 295/75R22.5 size

STEER:

1. G399 - New

DRIVE:

1. G302 ESD/G305 AT- Cust Retread

2. G302 ESD/G305 AT - Stk Retread

3. G314 MPG+/G316 FM - Cust Retread

TRAILER:

1. G314 MPG+/G316 FM - Cust Retread

2. G314 MPG+/G316 FM - Stk Retread

ALL WHEEL:

G316 FM/FM-Duraseal - New

WIDEBASE: 445/50R22.5 size

DRIVE:

G392 New or Retread

TRAILER:

G394 New or Retread

NOTE: Goodyear, Kelly or Dunlop are ONLY authorized tires. Competitor tires may NOT bill through program

NOTE: This account does not authorize the purchase of Farm or Industrial tires

NOTE: Schneider National does NOT authorize the balancing of tires on COMPANY-OWNED vehicles in ANY position

NOTE: INDEPENDENT CONTRACTORS owning their own trucks and driving for Schneider National may authorize balancing

NOTE: ONLY damaged valve stems may be replaced

NOTE: Valve Caps are NOT authorized for replacement

NOTE: Purchases of Tire and Service for company automobiles are to be billed thru GE Capital.

EFFECTIVE WITH DELIVERIES DATED 1-1-06: FUEL SURCHARGE MUST be billed using code 047-528 at approved price on PO

MILEAGE OVER 20 miles MUST be billed using code 046-910 at $1.00

ONLY charge for miles over 20 and not total miles ran

Purchase Order Numbers

Complete Ship-To Address Of Location Making The Purchase

Tire Bank Billing?

Yes or No

Odometer Reading

Vehicle Number

Wheel Location

Driver's Id Code

# Service Call Miles

This field MUST be populated.

You MUST enter TOTAL miles ran. If non-applicable enter NA.

The Following Additional Requirements MUST be Obtained for Emergency Road Service Transactions ONLY:

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Indicate if the Tire is New or a Retread

Casing Brand

Indicate GOODYEAR, MICHELIN, BRIDGESTONE, KELLY or OTHER

Last Three Digits of Casing DOT #

7384 SCHNITZER STEEL INDUSTRIES, INC. ~ 12005 North Burgard Road, Portland, Oregon 97203

You must obtain G/L account code and PO#.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Account Number

18-digit G/L code

Location Code

7381 SCHUSTER COMPANY ~ P O Box 1110, LeMars, Iowa 51031

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/831-4832.

Vehicle Number

Odometer Reading

7382 SCHWAN'S HOME SERVICE INC. ~ 115 W. College Drive, Marshall, Minnesota 56258

SCHWAN'S WILL NOT PROCESS FOR PAYMENT WITHOUT THE FOLLOWING REQUIREMENTS FOR ALL PURCHASES.

ALL TRANSACTIONS REQUIRE VEH#, VIN#, MILEAGE, PURCHASING LOCATION ADDRESS, AND PRINTED DRIVER'S NAME (OR PERSON

AUTHORIZING PURCHASE).

CREDITS MUST BE SUBMITTED ON SEPARATE DOCUMENTS. DO NOT PUT A CREDIT LINE ON A DEBIT DOCUMENT.

IF DELIVERY RECEIPT PLACED IN VEHICLE-DO NOT DISPLAY DOLLAR AMOUNTS

SEE ATTACHMENT ON TIRE-HQ FOR ALL ELIGIBLE PRODUCT CODES. EFFECTIVE 11/01/10, THESE ARE THE ONLY CODES TO BE USED.

PLEASE DO NOT EXCEED A QTY OF 99 ON ANY LINE ITEM. IF QTY IS MORE THAN 99 USE MULTIPLE LINES

If you are a supplier or a service facility that is specifically for tire replacements and/or repairs,

you must have an approved work order from the respective depot management before any tire work is authorized.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Number located on driver's side front top corner or passenger's side top corner of truck body. REQUIRED FOR ALL PURCHASES.

VIN Number

LAST 8 DIGITS-REQUIRED FOR ALL PURCHASES.

Year, Make And Model

Odometer Reading

7390 SCOT INDUSTRIES INC ~ 810 E Nebraska St, Muscoda, Wisconsin 53573

NOTE: TIRE PREFERENCES:

STEER TIRE

First Choice - G395FM

Second Choice - G662

DRIVE TIRE

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First Choice - G372FM

TRAILER

First Choice - G316LHT

Second Choice - Needs to be virgin tire

Purchase Order Number

Purchase Order Number MUST be obtained by calling Monday thru Friday, 7:00am till 3:30pm (Central Time) 608.739.3171. After

hours or weekends call next business day.

Vehicle Number

Unit # or Tractor or Trailer

Plant #

Odometer/Hubdometer Reading

Disposition of Old Tire

Any tire not eligible for credit list reason

Number of Casing for Possible Credit

7385 SCOTTY'S CONTRACTING & STONE LLC ~ 2300 Barren River Road, Bowling Green, Kentucky 42102

Purchase Order Number

PO# must be obtained by calling Gary or Chris at 270-793-7216

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7420 SEABOARD MARINE LTD INC ~ 1630 Port Boulevard, Miami, Florida 33132

NOTE: 11R22.5 Dunlop SP181, Kelly KTSA, or G314 ONLY are approved for tire replacement on trailers.

NOTE: You MUST call for pre-authorization before performing service, unless Seaboard is making a stock purchase.

Call Juan at 305-796-3976 or Manny at 305-970-4258. After you perform pre-authorized service you MUST

fax delivery receipt to Lila at 305-579-9162. She will then fax back the DR with PO#.

Purchase Order Number

You MUST fax delivery receipt to Lila at 305-579-9162 in order to get PO#. Delivery receipt will be faxed back with PO#. For

questions regarding PO# you may call 305-530-5782.

Complete SHIP - TO Name and Address of Location Making the Purchase

Chassis #

This is the trailer/chassis that carries the container.

Wheel Location

Location Code

Zip code of the location making the purchase

Odometer Reading

Authorization#

You MUST obtain pre-authorization before performing service. Not required on STOCK purchases ONLY.

Container #

7430 SECO & GOLDEN "100" INC ~ 1600 Essex Avenue, Deland, Florida 32724

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

7432 SELECT ENERGY SERVICES, LLC ~ 3333 N 135 Building F PO Box 1715, Gainesville, Texas 76241

Purchase Order Number

PO# required for purchases over $1000. Do not truncate PO#, if the PO# does not work it is incorrect.

Complete SHIP - TO Name and Address of Location Making the Purchase

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Vehicle Number

Odometer Reading

Location Code

7433 SELECT FLEET ~ 9503 E 33rd St, Indianapolis, Indiana 46235

Purchase order must be obtained prior to work being done by calling TOLL FREE 866/241-0869.

Name of person authorizing work must be obtained prior to work being performed and must be on the invoice.

Unauthorized tires or service will be charged back.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 866.241.0869

Complete SHIP - TO Name and Address of Location Making the Purchase

Membership Number

2 Alpha/3Numerics

Wheel Location

Authorized By

Must be on the invoice

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to members with ICC exemption status in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales

tax application.

7435 SELECT SERVICE, INC. ~ 1660 State Route 136 PO Box 4527, Eighty Four, Pennsylvania 15330

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

7440 SENSKE AND SON TRANSFER ~ 4375 24th Avenue North, Grand Forks, North Dakota 58203

Purchase Order Number

Call 800-328-7725 to obtain PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Signed By

Obtain legible printed name

7445 SEQUATCHIE CONCRETE SVC INC ~ 406 South Cedar Avenue, South Pittsburg, Tennessee 37380

Purchase Order Number

PO# must be obtained by calling TOLL FREE 1-800-824-0824

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7475 SERCO MANAGEMENT SERVICES ~ 2650 Park Tower Drive Suite 800, Vienna, Virginia 22180-7384

Purchase Order Number

A Purchase Order MUST be Obtained by calling the following offices:

Ohio Deliveries 877/340-8787

Kentucky Deliveries 866/364-8406

The six-digit PO# given on the phone must be preceded by the location code of the location making the purchase.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

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7477 SERVICE TRANSPORT COMPANY ~ 7900 Almeda Genoa PO Box 751418, Houston, Texas 77275

Steer Preference: G399, SP384FMDrive Preference: G362, G372 (No retreads)Trailer Preference: Gold Medallion G316, G316 new

Purchase Order Number

PO# will be provided at time of service request.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7484 SERVICE TRUCKING INC ~ 2815 Highway 44 West, Eustis, Florida 32726

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/899-1300.

Tag Number

Vehicle Number

Odometer Reading

7489 SERVICEMASTER CONSUMER SERVICES LIMITED PARTNERSHIP - COMPANY OWNED LOCATIONS ~ 860 Ridge Lake Blvd,

Memphis, Tennessee 38120-9417

NOTE: PLEASE REFER TO THE SERVICEMASTER TIRE SELECTOR ON TIRE-HQ FOR TIRE PREFERENCES

NOTE: ONLY COMPANY OWNED LOCATIONS may purchase thru this program. Their Branch Numbers are loaded in a requirement edit.

Approved LICENSEES may purchase thru 7490 Servicemaster Licensees.

NOTE: A G82 form (accounting for all casings picked up from the branch by a Goodyear retreader) is to be used. A copy must be signed by the

branch or service manager before leaving with the casings.

NOTE: Use the following service codes for the indicated services:

Light Truck Codes

Medium Truck Codes

Purchase Order Number

A PO# must be obtained for vehicle related services by calling 866-597-4321. Not necessary for 'STOCK', 'EQUIP' or 'TRAILER'

deliveries (use 'NA'). Be prepared to provide tread depth when calling for PO#.

Branch Number

YOU MUST OBTAIN THE CORRECT BRANCH NUMBER. IF THE BRANCH NUMBER AND VEHICLE SERVICED DO NOT COINCIDE, YOU

WILL BE CHARGED BACK. BRANCH NUMBERS ARE ASSIGNED ACCORDING TO THE FOLLOWING:

TRUGREEN BEGINS WITH 5

LANDCARE BEGINS WITH 6 ********EFFECTIVE 8/1/11, LANDCARE IS NO LONGER AFFILIATED WITH SERVICEMASTER

TERMINIX BEGINS WITH 1 OR 2

MERRY MAIDS RANGE FROM 7600-7800

SERVICEMASTER CLEAN BEGINS WITH 7

Product Code ...........Description

044-263-000 ..........Balance

046-163-000 ..........Switch

040-266-100 ..........Flat Repair

041-206-000 ..........Valve Stem

088-105-000 ..........Wheel Refurbishment

041-201-000 ..........Flow Thru Valve Cap (V2B)

040-203-000 ..........Mount & Dismount

044-166-000 ..........Balance

046-167-000 ..........Switch

040-202-000 ..........Flat Repair

041-271-000 ..........Valve Stem

088-105-000 ..........Wheel Refurbishment

041-201-000 ..........Flow Thru Valve Cap (V2B)

040-140-000 ..........Mount & Dismount

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Vehicle Number

YOU MUST ENTER ACTUAL VEHICLE NUMBER. IF NO VEHICLE SERVICED YOU MUST ENTER 'TRAILER' OR 'EQUIP' OR 'STOCK' AS

APPROPRIATE.'STOCK' SHOULD ONLY BE USED WHEN DELIVERING TIRES TO A LOCATION THAT ARE NOT MOUNTED ON A

VEHICLE. NON-VEHICLES SUCH AS MOWERS AND SPREADERS SHOULD USE 'EQUIP' FOR VEHICLE NUMBER. IF 'TRAILER',

'EQUIP', OR 'STOCK' IS USED, YOU MUST USE THE SAME WORD FOR THE VIN#. IF NOT 'STOCK', 'EQUIP' OR 'TRAILER' THEN

PO# MUST BE OBTAINED.

License Number and State Issuing

VIN Number

MUST HAVE LAST 10 DIGITS. IF AUXILLARY EQUIPMENT SUCH AS MOWERS OR SPREADERS, USE 'EQUIP'. IF TRAILER, USE

'TRAILER'. IF STOCK, USE 'STOCK'. IF 'TRAILER', 'EQUIP', OR 'STOCK' IS USED, THE SAME WORD MUST BE USED AS THE

VEHICLE NUMBER. IF A 10-DIGIT VIN# IS COLLECTED THERE MUST BE A 5-DIGIT PO#

Odometer Reading

Complete SHIP-TO Name and Address of Location Making the Purchase

THESE ARE 'REQUIREMENTS' AND ARE NECESSARY FOR THIS ACCOUNT.

STOCK PURCHASES TO BE BILLED SEPARATELY FROM VEHICLE RELATED SERVICES.

SERVICES NOT PERFORMED AT SUPPLY POINT MUST HAVE COMPLETED DELIVERY RECEIPT MAILED TO BRANCH LOCATION

(SHIP-TO) WITHIN 3 DAYS OF RECEIVING SERVICE.5 digit numeric PO is necessary when you have a Vehicle number and 10

digit Vin NumberWhen servicing Auxilary Equipment, Trailers or for Stock Deliveries, use "Trailer, Equip or Stock" in the Vehicle

and Vin fieldsIn this case use "NA" in the PO field.

7490 SERVICEMASTER FRANCHISEES ~ 855 Ridge Lake Blvd, Memphis, Tennessee 38120-9792

NOTE: Don't confuse with NA 7489. Do not call Memphis for a PO when selling to a Servicemaster Franchisee. Follow the requirements under

this page.

NOTE: PLEASE REFER TO THE SERVICEMASTER TIRE SELECTOR ON TIRE-HQ FOR TIRE PREFERENCES

NOTE: A G82 form (accounting for all casings picked up from the branch by a Goodyear retreader) is to be used. A copy must be signed by the

branch or service manager before leaving with the casings.

Franchise must provide a credit card for each purchase. Refer to Tire-HQ for instructions on tokenizing card before submitting the transaction.

Only the following franchisees have been approved to use this program:

Allied Disaster Recovery, Inc.

Arrowhead, LLC

BBC Lawn Care of Jackson, LLC

EB, Inc.

Heartland Lawn Care, Inc.

REB&L, LLC

RGB Inc., dba Terminix of Wyoming

Servicemaster of Tacoma

Terminix of West Michigan

Tiger Lawn Care, Inc.

Tru-Green Chemlawn of Havana, FL

Unique Lawns, Inc.

Westconsin Lawn Care LLC

Branch/Franchise#

Complete Ship-To Name And Address Of Location Making The Purchase.

Vehicle Number (5 Digits)

License Number And State Issuing

Odometer Reading

Vin Number

Last 10 digits

Odometer Reading

CC Token

CC Type

AX, VS, MC

CC Holders Name

CC Exp Date (MM/YYYY)

7482 SEWELL MOTOR EXPRESS COMPANY ~ 370 Davids Drive, Wilmington, Ohio 45177

Purchase Order Number

Driver or requester of service will provide PO# or call 937-382-3847 ext. 1

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Authorized By

Odometer Reading

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7492 SHALE TANK TRUCKS ~ DIV OF TEXAS CES INC P O Box 1299, Gainesville, Texas 76420

Purchase Order Number

Driver will have phone number to call to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

7500 SHARKEY TRANSPORTATION INC ~ P O Box 3156, Quincy, Illinois 62305

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/395-6555 or 800/477-6555 or COLLECT 217/228-6550.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

License Number And State Issuing

Serial Number Of Old Tire

Serial Number Of New Tire

Odometer/Hubdometer Reading

Disposition Of Old Tires

Return old tires to the driver.

7497 SHARP TRANSPORT INC ~ P O Box 155, Ethridge, Tennessee 38456

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/295-7610 or COLLECT 615/829-2017.

Vehicle Number

Odometer Reading

7507 SHORT MOUNTAIN TRUCKING INC ~ 151 Silica Rd, Mooresburg, Tennessee 37811

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 423/921-9868.

Vehicle Number

Odometer Reading

7512 SIEDHOFF DISTRIBUTING CO ~ 1004 Vondera Street PO Box 552, Union, Missouri 63084

Tire preferences are as follows:

No retreads to be used

1st preference for steer and drive is SP384. Second is G399.

Use spare tire for trailer. If no spare, 2nd preference is SP193. 3rd preference is G316 and 4th is SP384.

Call Tim at 636-584-2861 if the above cannot be met.

Purchase Order Number

Provided at time service is requested or, if after business hours, can be obtained next day.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Trailer Number

If trailer is serviced, enter the name on the side of the trailer (Siedhoff, Highland, Prairie Farms, Edys, or PLM). If trailer is NOT

serviced, enter 'TRACTOR ONLY' as the trailer number.

Wheel Location

Disp Of Old Tires

Reason for Replacement

7510 SIERRA PACIFIC POWER COMPANY ~ dba NV ENERGY 295 Edison Way, Reno, Nevada 89502

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Employee Id Number

Blanket Purchase Order Number

Blanket PO# is 3014846

Person Authorizing Purchase

Purchases in excess of $1000 require authorization PRIOR to work being done by calling one of the following:

Work Order#/Rel#

In an emergency a Work Order Number can be obtained by calling COLLECT 702/834-4016.

Vehicle Number

Complete SHIP-TO Name and Address of the Location making the Purchase

Odometer Reading

7513 SIERRA RENTAL & TRANSPORT COMPANY, INC. ~ 1305 Kleppe Lane, Sparks, Nevada 89431

CC Token

CC Exp Date (MM/YYYY)

CC Type

CC Holders Name

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7515 SIGNATURE MOTOR CLUB, INC. ~ Div of Allstate Roadside Services 3075 Sanders Road, Northbrook, Illinois 60062

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Type

Odometer Reading

Membership Number

License Number and State Issuing

7517 SILICA TRANSPORT INC ~ P O Box 9, Guion, Arkansas 72540

Name Of Person Authorizing

Authorization MUST be obtained by calling 800/643-0096 during the day or 800/346-5807 in the evening.

Vehicle Number

Odometer Reading

7519 SILVER EAGLE DISTRIBUTORS LP ~ 7777 Washington Avenue PO Box 825, Houston, Texas 77001

Purchase Order Number

Use UNIT#

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Odometer Reading

CC Token

CC Exp Date (MM/YYYY)

CC Type

CC Holders Name

7535 SIMON'S TRUCKING, INC. ~ 920 Simon Drive PO Box 8, Farley, Iowa 52046

Purchase Order Number

Tim King 775/834-4373

Jeff McKenzie 775/834-4375

Judy Kossow 702/367-5870

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You MUST obtain PO# by calling Justin at 563-744-3304

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

7540 SIMON TRANSPORT, LLC ~ 5285 W 2400 South PO Box 27567, Salt Lake City, Utah 84120

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Driver's Name

7520 SIMS GROUP USA HOLDINGS CORP ~ SIMS METAL MANAGEMENT 110 Fifth Avenue, New York, New York 11003

PO# only authorizes agreed upon services, a new PO# must be obtained for additional items.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

Wheel Location

VIN Number

Last 8 digits

Authorized By

Reason for Replacement

Tread Depth

Disp Of Old Tires

7553 SINED LEASING INC ~ P O Box 217, Wrightstown, New Jersey 08562

Purchase Order Number

A Purchase Order Number MUST be obtained by calling within New Jersey COLLECT 609/723-8222 or in all other states TOLL

FREE 800/631-2123.

Vehicle Number

Odometer Reading

7560 SITTON MOTOR LINES INC ~ P O Box 2587, Joplin, Missouri 64803

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 417/782-2600.

Vehicle Number

License Number And State Issuing

Odometer Reading

Driver's License Number And State Issuing

7297 SJ TRANSPORTATION COMPANY, INC. ~ 1176 U.S. Route 40 PO Box 169, Woodstown, New Jersey 08098

Purchase Order Number

PO# MUST be obtained by calling 856-769-2741 during regular hours or 609-420-9674 after hours.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

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7574 SLAY TRANSPORTATION COMPANY - CONTRACTORS ~ 1441 Hampton Avenue Box 39904, Saint Louis, Missouri 63139

NOTE: DO NOT CONFUSE WITH SLAY TRANSPORTATION COMPANY, NA 7575. THIS PROGRAM IS FOR CONTRACTORS ONLY. CONTRACTORS

MUST ENROLL IN PROGRAM AND BE AUTHORIZED BY GOODYEAR CREDIT DEPARTMENT PRIOR TO PURCHASING. ONLY AUTHORIZED

EMPLOYEE#'S WILL BE VALID IN THE SYSTEM.

Employee Number

ALSO KNOWN AS 'LOG ID#'. ONLY AUTHORIZED CONTRACTORS WILL HAVE A VALID EMPLOYEE# LOADED IN THE SYSTEM.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

CC Token

CC Exp Date (MM/YYYY)

CC Type

CC Holders Name

7575 SLAY TRANSPORTATION COMPANY, INC. ~ 1441 Hampton Avenue, St. Louis, Missouri 63139

NOTE: A GOLD MEDALLION RETREAD IS PREFERED FOR EMERGENCY ROAD PURCHASES WHEN A RETREAD IS REQUESTED

NOTE: THE FOLLOWING LOCATIONS ARE AFFILIATED TERMINALS:

CONTONMENT, FL

INDEPENDENCE, MO

NORTH CHARLESTON, SC

MUSCATINE, IA

NOTE: NEW TIRES OR RETREADS FOR TRAILERS ONLY TO BE BILLED TO THE NATIONAL ACCOUNT.

TIRES FOR THE TRACTORS ARE TO BE BILLED TO THE OWNER AGENT OF THE TRACTOR.

Purchase Order Number

PO# MUST be obtained by calling the driver's terminal. Driver will provide number. In cases of after hour emergencies where no

one can be reached at the terminal, the driver may use the manifest number (seven digits) and terminal number as a temporary

purchase order. A PO# must be obtained the following day by calling the terminal.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

ONLY COMPANY-OWNED UNITS ARE AUTHORIZED TO PURCHASE (ONLY VALID UNIT#'S ARE LOADED IN THE SYSTEM)

Odometer Reading

Terminal #

Authorized By

Disp Of Old Tires

Wheel Location

1497 SLT EQUIPMENT LEASING LLC ~ 7138 North 110th Ave, Glendale, Arizona 85307

Retreads are first preference for Drive or Trailer replacement unless otherwise stated.

Preferred Retreads: Drive - G372 PC or UC, Trailer - G314 or G316 12 UC or PC.

Purchase Order Number

Phone 602-269-1600 ext 124 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7585 SMITH READY MIX, INC. ~ 251 West Lincolnway PO Box 489, Valparaiso, Indiana 46383

Purchase Order Number

PO# will be provided at time of request for service

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

7595 SMITH SYSTEMS TRANSPORTATION, INC. ~ 417 9th Avenue PO Box 2455, Scottsbluff, Nebraska 69361

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NOTE: You must call 800-897-5571 for authorization from Krisa, Sam, Monte, Donny or Sharisa. Dial extension 31 after hours.

Authorized By

Name of person giving authorization by calling 800-897-5571

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

VIN Number

Last 8 digits

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

7620 SNAP-ON, INC. ~ 2801 80th Street, Kenosha, Wisconsin 53143

Only Snap-On dealers that have completed the proper paperwork and have been approved by Akron's Credit Department are authorized to

purchase on this account. Only the authorized dealer codes have been loaded in the system. If the dealer code does not work it is likely that

dealer has not yet been approved.

Dealer Code

aka Franchisee#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

CC Token

CC Type

CC Holders Name

CC Exp Date (MM/YYYY)

7299 SNL DISTRIBUTION SERVICES, CORP. ~ 244 Goodwin Crest Drive, Suite 100, Birmingham, Alabama 35209

NOTE: Preferred trailer tire replacement is G314 or G316 retread. If not available, please install new G316 LHT Fuel Max.

Location Code

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

7630 SNOW CREEK TRUCKING ~ 9464 Highway 268, Elkin, North Carolina 28621

NOTE: RETREADS ARE OKAY FOR OVER THE ROAD, GOLD MEDALLION IS PREFERRED RETREAD.

Purchase Order Number

Obtain by calling 800-251-4099

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7636 SONSIO, INC. ~ 5630 Ward Road, Arvada, Colorado 80002

A Sonsio representative will call before directing the consumer to your facility. Sonsio may require a fax of the original invoice (with stamps

attached).

Once verified, you will be given a PO/Claim# for the tire and service authorized. On very few occasions, you may be asked to collect a

deductible, but for the majority of the transactions it will be similar to processing other National Accounts.

If a deductible is to be collected, you must submit the transaction through the National Account program and enter all services at the normal

price. You will be advised by the person providing the PO/Claim# the amount to collect. Then add product code 046-218-000 with a quantity of

(-1) and enter the amount of the deductible collected.

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Purchase Order Number/Claim#

You must obtain UNIQUE PO/Claim#, which may only be used ONCE. You must obtain a new claim# for each transaction

submitted, including correcting documents. If you are issued more than one PO/Claim# for a vehicle you MUST submit separate

transactions for each PO/Claim#.

Complete SHIP - TO Name and Address of Client Making the Purchase

Contract Number

VIN Number

Vehicle Type

License Number and State Issuing

Serial Number of Old Tire

Odometer Reading

7633 SOO LINE RAILROAD CO ~ PO Box 5039, Mt Laurel, New Jersey 08054-0789

Service Card Number OR Purchase Order Number

UNDER $100 you MUST obtain the driver's SERVICE CARD NUMBER.

OVER $100 YOU MUST obtain a VERBAL PURCHASE ORDER NUMBER PRIOR to any work being done by calling TOLL FREE

866/353-3830.

Complete SHIP - TO Name and Address of Location Making the Purchase

Lessee / Client Number

Vehicle Number

Year Make & Model of Vehicle

VIN Number

Odometer Reading

7642 SOUTHEAST ATLANTIC BEVERAGE ~ 6001 Bowdendale Ave, Jacksonville, Florida 32216

NOTE: Customer prefers the following tires or tire sizes are to be used as specified below:

Front axle(steering)- G159 or G149

Drive axle - G167 retreads

Single axle trailers & Converter dollies - G314 retreads

Dual axle trailers - G159 HS retreads

Purchase Order Number

In an emergency; call TOLL FREE 800-329-2067 Ext 260.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Branch Number

Odometer Reading

Wheel Location

7643 SOUTHEASTERN FREIGHT LINES ~ P O Box 1691, Columbia, South Carolina 29202

NOTE: You MUST indicate in the ship-to address the name of the company being serviced (Southeastern Freight Lines or G & P Trucking, Inc.)

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/922-3596.

Complete Ship-To Name And Address Of Location Making The Purchase

Make sure to get the correct name of the business unit you are servicing.

Vehicle Number

Odometer Reading

7666 SOUTHERN CALIFORNIA GAS COMPANY ~ P O Box 3249 Terminal Annex, Los Angeles, California 90051

Blanket Purchase Order Number

Vehicle Number (Except For Stock)

Odometer Reading

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7676 SOUTHERN CONCRETE MATERIALS, INC. ~ 35 Meadow Road, Asheville, North Carolina 28803

Purchase Order Number

Obtain PO# by calling Donnie Parsell at 828-686-3001, M-F, 8am-5pm eastern. If after hours, call next day for PO#.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Plant #

7671 SOUTHERN CONN GAS COMPANY INC ~ 855 Main St, Bridgeport, Connecticut 06604

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 203/382-8635.

Odometer Reading

7673 SOUTHERN COUNTIES EXPRESS INC ~ 18020 S Santa Fe Ave, Rancho Dominguez, California 90220

NOTE: Owner-Operator tractors not permitted to purchase through National Acct program.

Trailer Number

Wheel Location

Disposition of Old Tire

Authorized By

Dispatcher's Name

7677 SOUTHERN EQUIPMENT CO., INC. ~ DBA READY MIXED CONCRETE CO. 3610 Bush Street, Raleigh, North Carolina 27609

Must have correct pricing to get paid.

Customer would like SEPARATE invoices for:

New tires only

Retreads only

Retreads AND casings only

Purchase Order Number

Must call ordering branch for PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Plant #

7730 SOUTHGATE LEASING CORP ~ 4440 S. 108th St, Milwaukee, Wisconsin 53228

Card Number

Driver will present you with a valid Southgate Leasing Card

For Purchases Exceeding Card Limit, a verbal Purchase order MUST be obtained by calling 414/529-2992.

Enter NA in this field if a Credit Card is not presented at time of transaction

Purchase Order Number or Physical Purchase Order

Purchase must be obtained by calling 414/529-2992. Do NOT call COLLECT. List the phone call on the delivery receipt using

product code 046-150-000. Get time and charges from the operator.

Complete SHIP-TO Name and Address of Location Making the Purchase

VIN Number

Vehicle Number

Odometer Reading

License Number and State Issuing

Account Number

7747 SOUTHWARK METAL MANUFACTURING CO ~ 2800 Red Lion Rd, Philadelphia, PA 19114

Customer requires 11R22.5 G661HSA (G/14 ply) P/C 138-953-337 be used ONLY.

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Purchase Order Number

A Purchase Order Number MUST match unit number.

Vehicle Number

Driver's Name

7751 SOUTHWEST AIRLINES CO ~ 2832 Shorecrest Dr, Dallas, Texas 75235-1611

NOTE: Regular or After-Hour ROAD Service Calls are not eligible. Service call work is performed "on-site" at airport locations. Only code 046-166

is eligible.

Employee Number

City/Location Code (3 Alpha Characters)

Odometer Reading (Auto And Light Trucks Only)

Complete Ship-To Name And Address Of Location Making The Purchase

7758 SOUTHWEST EXPRESS, INC. ~ 1015 West City Limits PO Box Q, Hugoton, Kansas 67951

Purchase Order Number

You MUST obtain PO# by calling 888-325-0630

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Signed By

You must have the driver print name legibly

7755 SOUTHWEST FREIGHTLINES ~ 425 North Americas PO Box 371736, El Paso, Texas 79937

NOTE: TIRE DISPOSAL FEE IS NOT AUTHORIZED. TIRES MUST BE RETURNED TO DRIVER.

NOTE: Every transaction submitted must have a UNIQUE PO#, including correcting documents.

THE SAME PO# MAY NEVER BE USED TWICE. A NEW PO# MUST BE OBTAINED EACH TIME A TRANSACTION IS SUBMITTED INTO THE SYSTEM.

DUPLICATE PO#'S WILL BE CHARGED BACK AND MAY BE CHARGED BACK AT ANY TIME.

Purchase Order Number

You MUST obtain PO# by calling 915-471-1142. You MUST also obtain the name of the person authorizing. Please also fax copy of

delivery ticket to 915-860-9606.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Trailer Number

Only required if Trailer is serviced.

Tire Position

Authorized By

You MUST obtain the name of the person authorizing.

Odometer Reading

7763 SOUTHWEST TOW OPERATORS ~ 2665 Villa Creek Drive Suite 105, Dallas, Texas 75234

Membership Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

CC Exp Date (MM/YYYY)

CC Holders Name

Name as shown on card

CC Token

CC Type

American Express (AX), MasterCard (MC) or Visa (VS)

7762 SOUTHWESTERN MOTOR TRANSPORT INC ~ 4600 Goldfield, San Antonio, Texas 78285

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NOTE: Tires and Tubes ONLY. Batteries are not eligible for delivery.

NOTE: Emergency Road Service is the ONLY service eligible for delivery.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/531-5354.

Vehicle Number

Odometer Reading

7761 SOUTHWESTERN PUBLIC SERVICE COMPANY ~ P O Box 1261, Amarillo, Texas 79170

Blanket Purchase Order #11788-75

Special Purchase Orders may be issued to cover pickup of quantities of tires for stock.

The requirement for stock purchases is a P O Number only.

Vehicle Unit Number

Odometer Reading

7765 SPARHAWK TRUCKING, INC. ~ 421 25th Avenue North, Wisconsin Rapids, Wisconsin 54495-2221

Wheel Location

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

7769 SPECIAL FLEET SERVICE, INC. ~ 875 Waterman Drive PO Box 990, Harrisonburg, Virginia 22803

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

7764 SPECIALIZED TRANSPORTATION SERVICES INC ~ 280 Humboldt Lane, Greeneville, Tennessee 37743

NOTE: DRIVER CANNOT AUTHORIZE WORK. AUTHORIZATION MUST BE OBTAINED PRIOR TO PERFORMING WORK BY CALLING 888-639-8805.

Purchase Order Number

PO# must be obtained by calling 888-639-8805 ,or 423-972-4712 or 423-972-4715 during regular hours or after hours by calling

423-306-0689.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

7772 SPECIALIZED TRANSPORT, LLC ~ dba GE TRANSPORT 3025 Mill Street, Reno, Nevada 89502

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7774 SPEE DEE DELIVERY SERVICE, INC. ~ 4101 Clearwater Road, Saint Cloud, Minnesota 56301

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Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

7767 SPINDLETOP PRODUCTION TOOLS ~ DIV OF TEXAS CES INC P O Box 1299, Gainesville, Texas 76420

Purchase Order Number

Driver will have phone number to call to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

7768 SPINNAKER, INC. ~ 9221 Old Route 22 PO Box 127, Bethel, Pennsylvania 19507

Purchase Order Number

Inside PA call 800-692-7368 ext. 106. Outside PA call 800-233-7065 ext. 106.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Driver's Name

Driver's Phone Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

7807 STAGECOACH CARTAGE & DIST LP ~ 7167 Chino Drive, El Paso, Texas 79915

Purchase Order Number

PO# must be obtained by calling 915-772-8659

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7825 STAR LEASING COMPANY INC ~ 4080 Business Park Dr, Columbus, Ohio 43204

NOTE: DO NOT CONFUSE WITH:

STAR TRANSPORT NA-7824

NOTE: DO NOT CONFUSE WITH:

STAR TRANSPORTATION INC NA-7826

NOTE: Auto Tires and Light Truck Tires are NOT eligible for delivery.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/972-8872.

Vehicle Number

Wheel Position

Tread Depth Of Tire Replaced

Reason for Replacement

Odometer Reading

Disposition Of Tires

Return tires to driver. Tire disposal fees are not authorized.

Driver's Name and Company

7824 STAR TRANSPORT INC ~ P O Box 909, Morton, Illinois 61550

NOTE: DO NOT CONFUSE WITH:

STAR LEASING COMPANY INC NA-7825

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NOTE: DO NOT CONFUSE WITH:

STAR TRANSPORTATION INC - NA-7826

NOTE: VEHICLES FOR THIS ACCOUNT ARE THOSE THAT ARE WHITE WITH A RED STAR ONLY!!!!!

Purchase Order Number

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

7826 STAR TRANSPORTATION INC ~ P O Box 100925, Nashville, Tennessee 37224

NOTE: ALL WORK INCLUDING TIRE REPLACEMENT MUST BE AUTHORIZED BY STAR TRANSPORTATION BEFORE ANY WORK IS PERFORMED.

NOTE: DO NOT CONFUSE WITH:

STAR TRANSPORT INC NA-7824

NOTE: DO NOT CONFUSE WITH:

STAR LEASING COMPANY INC NA-7825

PLEASE NOTE: VEHICLES FOR THIS ACCOUNT ARE WHITE WITH A BLUE STAR ONLY!!!

NOTE: No wheel balances or valve stems authorized.

NOTE: Fax delivery receipts to 800-518-8872.

First Preference: Steer G399 Fuel Max, Drive G305AT Fuel Max, Trailer G316 Fuel Max

Second Preference: Steer G399 LR G, Drive G572 Fuel Max, Steer Dunlop SP384 FM, Trailer Dunlop SP193 FM

Star prefers Smartway Approved Products

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/770-2588.

Wheel Position

Must also be marked on the old tire

Vehicle Number

Must also be marked on the old tire

Odometer Reading

Serial Number of New Tire

Serial Number of Old Tire

7841 STEELMAN TRANSPORTATION INC ~ 2160 North Burton, Springfield, Missouri 65803

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/659-4577.

Vehicle Number

Odometer Reading

Disposition Of Old Tires

Return old tires to driver

7840 STEPHEN'S PIPE & STEEL, LLC ~ 2224 E Highway 619 PO Box 618, Russell Springs, Kentucky 42642

NOTE: Please use Gold Medallion Retread in trailer and drive position when available.

Call 866-810-8888 for authorization

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Trailer Number

Odometer Reading

7848 STEVE KENT TRUCKING, INC. ~ 2680 Main Street PO Box 148, Lottie, Louisiana 70756

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Purchase Order Number

A Purchase Order number MUST be obtained PRIOR to providing tire and/or service

Signed By

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Location Code

Odometer Reading

7845 STEVENS TRANSPORT INC ~ 9757 Military Parkway, Dallas, Texas 75227

Purchase Order Number

PO# Must be obtained by calling 800-874-3012

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

License Number and State Issuing

Wheel Location

MUST always be noted

7850 STEVENS VAN LINES INC ~ 527 Morley Dr, P O Box 3276, Saginaw, Michigan 48605-3276

Purchase Order Number

Prior authorization must be obtained by calling 800-765-3836 ext 380 or 303. After hours call 989-714-7992.

Vehicle Number And Unit Number

Odometer Reading Or Hubdometer As Applicable

Complete Ship-To Address Of Terminal Making The Purchase

7849 STEWART'S SHOPS CORPORATION ~ 461 Church Street, Saratoga Springs, New York 12866

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7851 STOCK BUILDING SUPPLY HOLDINGS LLC ~ 8020 Arco Corporate Drive, Raleigh, North Carolina 27617

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

7854 STONE BELT FREIGHT LINES INC ~ 101 West Dillman Road, Bloomington, Indiana 47403

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 812/824-6741.

Vehicle Number

Odometer Reading

Driver's License Number And State Issuing

7853 STONE TRANSPORT INC ~ 3495 Hack Road, Saginaw, Michigan 48601

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Customer requests NO balances of any kind on their tires (any driver requesting additional service is welcome to pay for them out of his pocket

personally or he can call 800-946-8626 and plead his case to the breakdown department).

Replace valves only if defective and torque all wheels.

Return tires to drivers

When cap and casing is purchased, must use major brand casing under 5 years.

Tire preferences:

Steer: G661/RHSII (31580R22.5)

Drive: G362

Trailer: Dunlop SP160

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800-946-8626

Reference #

A Reference Number MUST be obtained when calling for PO# (Ref# MUST be obtained prior to performing any work. Ref# and

PO# may be given at the same time. Drivers should have obtained these numbers prior to requesting repairs)

Wheel Position

Brand Number

Odometer Reading

Vehicle Number

7857 STREICHER MOBILE FUELING INC ~ 200 West Cypress Creek Road Ste 400, Ft Lauderdale, Florida 33309

Purchase Order Number

Odometer Reading

Vehicle Number

Location Code

7856 STRIDE WELL SERVICE COMPANY ~ Div of CES Mid-Continent Hamm, LLC 205 West Maple Suite 600 PO Box 3907, Enid, Oklahoma

73702

Purchase Order Number

If available

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Yard #

Odometer Reading

Signed By

Get signature and full name

7870 STUTZMAN TRUCKING ~ 157 Pyle Drive, Somerset, Pennsylvania 15501

Driver's Name

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Phone Number

7325 ST. JAMES TRANSPORTS, LLC ~ #6 Industrial Drive PO Box 419, St. James, Missouri 65559

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

Wheel Location

Vehicle Number

7880 SUDDATH VAN LINES INC ~ 815 South Main Street, Jacksonville, Florida 32207

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Purchase Order Number

Vehicle Number

Driver's License Number And State Issuing

Disposition Of Old Tires

Return old tires to the driver.

Driver's Name

7883 SUGAR CANE GROWERS COOP OF FLORIDA ~ 1500 West Sugar House Road PO Box 666, Belle Glade, Florida 33430

Purchase Order Number

PO# will be faxed to the supply point.

Complete SHIP - TO Name and Address of Location Making the Purchase

Signed By

7887 SULLENS TRANSPORT LLC ~ 724 Francis Ferry Road, McMinnville, Tennessee 37110

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

7897 SUMMIT MATERIALS CO'S LLC ~ 2900 K Street NW, Suite 100, Washington, DC 20007

Purchase Order Number

A Purchase Order Number MUST be obtained for all purchases.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Location Code

Wheel Location

Odometer Reading

7900 SUMTER TRANSPORT COMPANY ~ 170 South Lafayette Boulevard PO Box 1060, Sumter, South Carolina 29151

Purchase Order Number

You MUST obtain PO#. If after hours, caller may give you 4-digit authorization number until PO# can be obtained during regular

hours.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Reason for Replacement

7903 SUNBELT HAULING, INC. ~ 1411 Sunbelt Way, Auburn, Georgia 30011

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

7914 SUNBELT RENTALS, INC. ~ 2341 Deerfield Drive, Fort Mill, South Carolina 29715

NOTE: Items to be billed through this National Account are: G3 Auto, Light Truck, Medium Radial Truck, Retreads, Marathon Trailer Tires, and

any associated service.

All other items such as Specialty Tires, Farm Tires, Non-G3 Tires, and any service associated with these items is to be billed on local books.

Call Derl Curry with questions at 336-215-7759

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Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Station/Store Number

aka Profit Center#

VIN Number

You must obtain ENTIRE VIN#

7905 SUNCO CARRIERS INC ~ 1025 Chestnut Rd, Lakeland, Florida 33805

Purchase Order Number

A Purchase Order Number MUST be obtained by calling during the day TOLL FREE 800/446-2864. After hours call COLLECT

404/389-5139.

Vehicle Number

Location Code

Odometer Reading

7912 SUNLAND CAPITAL LLC ~ 3050 Post Oak Blvd, Houston, Texas 77056

Location Code

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7908 SUNLAND CONSTRUCTION, INC. ~ 2532 Aymond Street, Eunice, Louisiana 70535

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Division Number

7906 SUNSET PACIFIC TRANSPORTATION ~ 13875 Norton Ave, Chino, California 91710

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/280-1677 or COLLECT 909/464-1677 during regular

hours. After hours use 'Henry Vassar' as PO#.

Vehicle Number

Odometer Reading

Tire Pix

Please supply Tire Pix for each tire replacement

7917 SUPER SERVICE, LLC ~ 6000 Clay Avenue SW, Grand Rapids, Michigan 49548

On trailer tire replacement, 1st choice Goodyear G316(non duraseal) 2nd choice Dunlop SP193, 3rd choice Kelly KTSA, 4th choice Goodyear

G316 Fuel Max Duraseal. Customer only wants Fuel Max Duraseal tires as a last resort. Super Service must authorize the installation of any Fuel

Max Duraseal trailer tires.

Purchase Order Number

Driver will provide phone number of division to call for PO#. If not, call 800-347-5263 and you will be routed to the correct

division.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

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7913 SUPERIOR PAVING CORPORATION ~ 7940 Gainsford Court, Bristow, Virginia 20136

Purchase Order Number

Provided at time of service

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7916 SUPERSTITION TRAILERS LLC ~ dba Otto Trucking 1564 North Alma School Road, Mesa, Arizona 85201

Purchase Order Number

PO# MUST BE OBTAINED BY CALLING DAVE CAMPBELL COLLECT AT 480-461-0657

Complete SHIP - TO Name and Address of Location Making the Purchase

Driver's Name

Odometer Reading

7304 SVS TRUCKING INC ~ 1717 Lawrence Dr, De Pere, Wisconsin 54115

Purchase Order Number

Vehicle Number

Odometer Reading

7933 SWEET EXPRESS, LLC ~ 525 Burton Street SW, Grand Rapids, Michigan 49548

Authorized By

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

7934 SWIFT LEASING COMPANY INC ~ P O Box 29244, Phoenix, Arizona 85038-9244

Authorization Number

An Authorization Number MUST be obtained prior to the work being done by calling TOLL FREE 800/467-6017.

Purchase Order Number

After the work is complete call back for the Purchase Order Number.

Complete Ship-To Name And Address Of Location Making The Purchase

Tractor Or Trailer Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

License Number And State Issuing

Odometer Reading

Last 8 Digits Of VIN#

7937 SYSCO CORPORATION ~ (Various Locations)

Purchase Order Number

Complete Ship-To Name And Address Of The Location Making The Purchase. Do Not List The Parent Address As The

Ship-To. The Parent Location Never Purchases.

Do NOT use driver's home address.

Vehicle Number

Location Code

Odometer Reading

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Tag Number

Sysco Tire Tag Number found on sidewall.

7938 SYSTEM FREIGHT, INC. ~ 7 Centre Drive, Suite 5, Jamesburg, New Jersey 08831

Purchase Order Number

PO# will be provided at time of service request. If after hours, obtain phone number and call next day during regular hours to get

proper PO#.

Complete SHIP - TO Name and Address of Location Making the Purchase

Name of city where location being serviced resides is location code.

Vehicle Number

Odometer Reading

Location Code

Location code is name of city in which location being serviced resides. Valid values are: Barrington, Dayton, Camillus, or

Lancaster.

7948 T T I INC ~ P O Box 317, 2266 Highway B, Eden, Wisconsin 53019

Purchase Order Number

Prior to any work being done a Purchase Order Number must be obtained from Larry Suda by calling TOLL FREE 800/558-2664.

After hours call COLLECT 414/337-1930.

NOTE: No Purchase Order number is required when flat repair ONLY is performed.

Vehicle Number

License Number And State Issuing

Odometer Reading

Wheel Position Worked On

7970 T & D SOLUTIONS LLC ~ 6411 Masonic Drive, Alexandria , Louisianna 71301

NOTE: NO RETREADS

TIRE PREFERENCES:

1st Choice Dunlop

2nd Choice Goodyear

11R22.5 steer: DU SP343

11R24.5 steer: DU SP343

11R22.5 drive: DU SP932

11R24.5 drive: DU SP932

315/80R22.5: DU SP832

Vehicle Number

Unit #

Department #

Odometer Reading

7960 TAIHEIYO CEMENT USA INC ~ 2025 E Financial Way, Glendora, California 91741

Purchase Order Number

Branches will provide Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Branch Number

7943 TANGO TRANSPORT INC ~ 6009 Financial Plaza, Shreveport, Louisiana 71129

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NOTE: FOR ALL POSITIONS (EXCEPT STEER)

1. GOODYEAR G316 or DUNLOP 193

NOTE: FOR STEER POSITION OR OTHER POSITIONS IF THE TRAILER TIRES LISTED ARE UNAVAILABLE.

1. GOODYEAR G399 OR DUNLOP SP384

DO NOT INSTALL A DRIVE DURING A ROAD CALL.

If possible return OFF tire with driver.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 888/878-2646.

Vehicle Number

Unit #

Wheel Location

Tread Depth

Reason for Replacement

Disposition Of Old Tires

Return OFF tire with driver OR hold until customer can arrange to pick-up or instruct disposition.

New/Retread Tire?

Casing Dot #

If NEW provide Casing DOT #

If RETREAD provide latest retread DOT #.

Odometer Reading

7967 TANNER INDUSTRIES INC ~ 735 Davisville Rd, 3rd Floor , Southampton, Pennsylvania

NOTE: CUSTOMER REQUIRES LOAD RANGE "H" (16 ply) TIRES.

Any questions, contact Johnny Schiele @ 215-281-6574.

Purchase Order Number

A Purchase Order # MUST be obtained by calling Kathleen Gleen between hours of 9am and 5 pm at 215-322-1238 Ext 277.

AFTER HOURS for 1 tire ONLY purchase order may be obtained the following day. For 2 tires or more authorization MUST be

obtained by calling Johnny at 215-281-6574.

Vehicle Number

Wheel Location

Disposition Of Old Tires

Return tire with driver

Odometer Reading

7961 TARGET CORPORATION ~ 1000 Nicollet Mall ReTek 8th Floor, Minneapolis, Minnesota 55403

Formerly Dayton Hudson Corp NA 2400

NOTE: CHOICES FOR TIRE REPLACEMENT:

1ST PREFERENCE ~ G-314 RETREAD & CASING

2ND PREFERENCE ~ DUNLOP SP 193

3RD PREFERENCE ~ GOODYEAR G-316 FUEL MAX

Purchase Order Number

Authorized By

Name of Person Issuing the Purchase Order

Complete SHIP-TO Name and Address of Location Making the Purchase

DC (Dist Center) Number

Vehicle Number

Trailer Number

Breakdown Service ONLY

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New York ONLY. Your Y/N answer will facilitate correct sales tax application, so you MUST ask the

customer for correction information.

Odometer Reading

7955 TAYLOR EXPRESS INC ~ 5417 US Highway 301 S, Hope Mills, North Carolina 28348

NOTE: TIRE OF CHOICE FOR SERVICE CALLS:

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DRIVE - New G395 OR G372

TRAILER - Unicircle G314 OR New

NOTE: CUSTOMER WILL NOT ACCEPT PRECURE RETREADS.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/624-5919. After hours call 877/491-9851.

Vehicle Number

Disposition of Old Tire

Driver is to take old tire

Odometer Reading

7963 TAYLOR MADE EXPRESS INC ~ 6023 S Howell Ave, Milwaukee, Wisconsin 53207

NOTE: TIRE DELIVERY RESTRICTED TO THE FOLLOWING:

Steer Position - First Choice G-395 or call

Drive Position - First Choice G372 - Second Choice Used Tire or call

Trailer Position - First choice G-314 - Second Choice Used Tire or call

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Wayne at 414.406.0589

Truck Number

7959 TAYLOR OIL COMPANY INC ~ 77 Second St, Somerville, New Jersey 08876

NOTE: PREFERRED STEER TIRE: Dunlop SP160

NOTE: PREFERRED DRIVE TIRE: Dunlop SP581

Authorization Number

Emergency Purchases do NOT need Authorization. Purchases of 2 or more tires an authorization number MUST be obtained by

calling 908/685-9597 or (Cell #) 908/553-4555.

Vehicle Number

Odometer Reading

7964 TBM CARRIERS ~ 108 Frontera Rd, Del Rio, Texas 78840

Purchase Order Number

A Purchase Order number MUST be obtained by calling 800.826.3705 Ext 460; between the hours of 8 am and 5 pm (PT). After

hours call next business day.

Vehicle Number

Location Code

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application, so you MUST

ask the customer for correct information.

Odometer Reading

7962 TCI LOGISTICS INC ~ 1386 South Park Dr, Kernersville, North Carolina 27284

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/944-8331.

Vehicle Number

Odometer Reading

8130 TCSI - TRANSLAND INC ~ 1601 W Old Route 66, Strafford , Missouri 65757

NOTE: Driver MUST take 'off' tires back to company terminal.

NOTE: If tire is repairable, it must be repaired instead of installing new tire.

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NOTE: A copy of the Delivery Receipt MUST be faxed to 417.864.0735

Purchase Order Number

A purchase order number MUST be obtained when a replacement tire is needed by calling TOLL FREE 800.234.5710 Ext 233 or

234 during the hours of 7am and 6pm CST. After 6pm call the next business day to obtain a purchase order. A copy of the

Delivery Receipt MUST be faxed to 417.864.0735.

Vehicle Number

Vehicle Type

Wheel Location

Tread Depth of Off tire

Serial Number of New Tire

Serial Number of Old Tire

Reason for Replacement

Disposition of Old Tire

Odometer Reading

Drivers Name

7972 TE SLAA ENTERPRISES LTD ~ 311 320th St, Hull, Iowa 51239

Purchase Order Number

A Purchase Order # MUST be obtained by calling the shop TOLL FREE 800.831.0018 during regular hours 7:30am thru 5:30pm.

After hours and weekends call 712.441.0013.

Vehicle Number

7965 TEAM ONE TRANSPORT INC ~ 4161 N 150 W, Columbus, Indiana 47201

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800-446-1631. Enter the dispatcher's name as the Purchase

Order Number.

Vehicle Number

License Number and State Issuing

Odometer Reading

7975 TENNESSEE STEEL HAULERS INC ~ 2607 Brick Church Pike, Nashville, Tennessee 37207

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Pam Leggio or Randy Cashion TOLL FREE 800/776-4004 between the

hours of 7:00 am and 4:30 pm.

After hours call Pam Leggio, Denise Elmore, Jana Mauldin or Sandy Jones TOLL FREE 800/800-0354.

Vehicle Number

Odometer Reading

7996 TETON TRANSPORTATION INC ~ 5651 South National Drive, Knoxville, Tennessee 37914

NOTE: AUTHORIZATION MUST BE OBTAINED BEFORE PERFORMING ANY WORK.

NOTE: DRIVER IS NEVER PERMITTED TO GIVE AUTHORIZATION.

NOTE: NA PROGRAM FOR TIRES AND TIRE SERVICE ONLY.

Patricia Barkins , Chris & Larry are the only people that can authorize any additional services to be charged to this account.

If Teton requests or needs additional services i.e., air bags, mud flaps, lights etc., they will pay for these items with a T-check.

The driver should remain at the servicing facility until the T-check has been issued.

Purchase Order Number

A purchase order # MUST be obtained before performing any work by calling TOLL FREE 800.956.3846 OR 800.489.4490 and EXT

122 or 166. After hours call TOLL FREE 800.956.3846 or 800.489.4490 and EXT 137 or 173.

A copy of the Delivery Tickets MUST be FAXED to 865.862.1143 within 8 hrs of service call.

Vehicle Number

Tractor Number

Trailer Number

Serial Number of Old Tire

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Serial Number of New Tire

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to Kansas and New Jersey ONLY. Your Y/N answer will facilitate correct sales tax application, so you MUST ask the

customer for the correct information.

7997 TEXAS ENERGY SERVICES LP ~ 3000 S Highway 281 , Alice, Texas 78332

NOTE: ALL delivery receipts MUST be faxed to 830.393.6133.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 866.654.5020.

A copy of the delivery ticket MUST be faxed to 830.393.6133.

Vehicle Number

Odometer Reading

8005 TEXAS UTILITIES INC ~ 2001 Bryan Tower, Dallas, Texas 75201

Purchase Order Number Or Blanket Purchase Order Number

Texas Power & Light Co does not use any purchase authorization.

Release Number (If Applicable)

Check Id Card

Required by all Divisions. ID Card shows Company name.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Odometer Reading

6503 THE PASHA GROUP ~ DBA PASHA DISTRIBUTION SERVICES LLC 5725 Paradise Dr., Corte Madera, California 94925

Purchase Order Number

To obtain call: 800-255-1568 X310, ask for Joe, Matt or Phillip. After Hours call: 314-518-0441

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Authorized By

Location Code

7974 THE SERVICE COMPANIES, INC. ~ 14750 NW 77th Court, Suite 100, Miami Lakes, Florida 33019

Purchase Order Number

Repairs estimated to be $250 or under are pre-approved. For repairs over $250 you MUST obtain PO# by calling 305-681-8800

and ask for Purchasing

Complete SHIP - TO Name and Address of Location Making the Purchase

VIN Number

Last 4 digits

Odometer Reading

7968 THOMAS CONCRETE OF CAROLINA, INC. ~ 2500 Cumberland Pkwy PO Box 725569, Atlanta, Georgia 31139

Purchase Order Number

Call 770-431-3300 and ask for Purchasing

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Signed By

8020 THOMAS TRANSPORT DELIVERY INC ~ 9055 Freeway Dr, Macedonia, Ohio 44056

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Purchase Order Number

A purchase order number is required by calling toll free 800.850.1918.ext34

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Wheel Location

Odometer Reading

8077 THOMPSON INDUSTRIAL SERVICES LLC ~ 104 North Main St, Sumter, South Carolina 29150

NOTE: EFFECTIVE IMMEDIATE ONLY THE FOLLOWING APPROVED TIRES ARE AUTHORIZED FOR DELIVERY.

NO RETREADS unless approved by corporate office

SERVICE TRUCKS: G949, G947, G933

PICKUPS: Wrangler SR-A (first choice), Dunlop Grandtrek AT20

MEDIUM RADIAL TRUCK: G395, G164, G182, G372A, G316

Purchase Order Number

Unit Number

A 5 numeric digit unit number MUST be obtained

License Number and State Issuing

Odometer Reading

8036 THRIFTY RENT-A-CAR SYSTEMS, INC ~ Licensee Division 5330 E 31st St - Suite 901, Tulsa, Oklahoma 74135-0985

NOTE: THIS PROGRAM MAY BE USED ONLY FOR THE APPROVED LICENSEES LISTED BELOW:

Bill Marsh Motors Inc

Buck Enterprises Inc

Centrac, Inc

D2K Inc

Thomas W Dunnam, Inc

Execu-Ride Inc

Express Rent A Car LLC

Floyd and Sons Inc

G Michael Properties Inc

Galeana Rent-A-Car Inc

Great Lakes Rentals

Idaho Car Rental

ILM Transportation Inc

Joni Auto Rentals Inc

LaGrange Aero, Inc

Laser Leasing, Inc

LFT Inc

Eugene Meyer

Middleboro Auto Discount Center, Inc

S & S Express Car Rental Inc

U Ride II, LLC

Westrac Inc

Zeus Rent-A-Car Company Inc

Purchase Order Number

Complete Ship-To Name And Address Of Location Making The Purchase

Location Code (6 Digits)

Odometer Reading

8075 THYGENSON CONSTRUCTION INC ~ 17913 US Highway 59 NE, Thief River Falls, Minnesota 56701

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 218.681.1924. After hours call 218.686.3360 for a PO #.

Vehicle Number

7973 TIGER LINES LLC ~ 927 Black Diamond Way, Lodi, California 95241

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7969 TIMCO TRANSPORTATION INC ~ 2801 Amsterdam Rd, Scotia, New York 12302

Signed By

Telephone Number

8082 TIME WARNER CABLE INC ~ 7800 Crescent Executive Dr, Charlotte, North Carolina 28217

THE FOLLOWING BASIC REQUIREMENTS MUST BE OBTAINED FOR ALL BUSINESS UNITS IN ADDITION TO THE PURCHASE ORDER #

REQUIREMENTS FOR THE CHARLOTTE (CLT-12510) AND NEW ENGLAND (NEG-23510) DIVISIONS LISTED UNDER 'SPECIAL INSTRUCTIONS'

BELOW.

Preventive Maintenance Coupon (Charlotte & New England Divisions ONLY)

See NOTES Below

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Business Unit Number

VIN Number

Last 8 digits

License Number and State Issuing

Year Make and Model of Vehicle

Odometer Reading

CHARLOTTE (CLT-12510) & NEW ENGLAND (NEG-23510) BUSINESS UNITS ONLY

Charlotte and New England Time Warner vehicles have a Vehicle Maintenance Guide that contains authorization #'s for

SCHEDULED MAINTENANCE and a DRIVER AUTHORIZATION # for:

CHARLOTTE - UP TO $100.00 ABOVE THE SCHEDULED MAINTENANCE.

NEW ENGLAND - UP TO $75.00 ABOVE THE SCHEDULED MAINTENANCE.

NO Vehicle Maintenance Guide is to be accepted for a vehicle other than that listed on the Guide.

CHARLOTTE (CLT-12510) & NEW ENGLAND (NEG-23510 BUSINESS UNITS ONLY

PREVENTIVE MAINTENANCE WORK (SCHEDULED MAINTENANCE)

Refer to the Vehicle Maintenance Schedule inside the Guide. The Guide specifies the mileage interval and the services to be

performed along with the AUTHORIZATION #.

CHARLOTTE CLT-12510) & NEW ENGLAND (NEG-23510) BUSINESS UNITS ONLY

SCHEDULED REPAIRS

Driver is authorized to approve repairs up to the limit that is on the Vehicle Maintenance Guide.

Charlotte - $100

New England - $75

The authorization # and approval dollar limit is listed on the Vehicle Maintenance Guide.

CHARLOTTE (CLT-12510) & NEW ENGLAND (NEG-23510) BUSINESS UNITS ONLY

REPAIRS NOT APPROVED ON THE VEHICLE MAINTENANCE SCHEDULE OR ABOVE THE DRIVER'S APPROVAL LIMIT OF

$100.00 CHARLOTTE AND $75.00 NEW ENGLAND.

Contact LeasePlan at 800.323.6644 for approval

Business Units & Numbers:

Albany ALB-10010

Austin AUS-11010

Cincinnati CIN-13010

Charlotte CLT-12510

Columbus COL-13510

Eastern Carolina ECA-25910

Greensboro GRN-16010

Hawaii HAW-16510

Kansas City KNS-18510

Los Angeles LAX-19510

Lincoln LCN-22010

Milwaukee MWK-20510

National NAT-21510

New England NEG-23510

New York City NYC-22510

Northeast Ohio NOH-23010

Raleigh Durham RAL-24010

Rochester ROC-24510

San Antonio SAN-25010

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8072 TIPTON TRUCKING CO INC ~ 397 Waterway Rd, Oxford, Pennsylvania 19363

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/444-7178.

Vehicle Number

License Number And State Issuing

Odometer Reading

8081 TITAN AMERICA LLC ~ dba Tarmac America Inc PO Box 2016 , Norfolk, Virginia 23501

NOTE: Consumer tires delivered MUST equal original equipment. Anything better than original equipment requires approval by fleet manager

assigned to driver's area

Check ID Card

For purchase of auto & light truck tires. Verify company employee.

Purchase Order Number

A Purchase Order # is required for all purchases. Call Titan Maintenance Managed assigned to driver's area.

Requisition Or Authorization Number

Required for any auto service exceeding $500. Use base price to estimate tires. Contact the Maintenance Manager assigned to

driver's area. Driver will have the telephone number.

Complete SHIP-TO Name and Address of Location Making the Purchase

Location Code

Required for all deliveries in the State of Florida ONLY

Vehicle Number

Only applies to pick-ups and automobiles

Odometer Reading

Only applies to pick-ups and automobiles.

8087 TITAN TRANSFER INC ~ 1200 Stanley Blvd, Shelbyville, Tennessee 37160

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 931.684.5032

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

NOT Hubdometer

7939 TMC TRANSPORTATION INC ~ 6115 SW Leland Ave, Des Moines, Iowa 50321

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.654.0514.

Vehicle Number OR Truck Unit Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Wheel Location

Reason for Replacement

Odometer Reading

7995 TOPCO ASSOCIATES LLC ~ 350 Granite St, Braintree, Massachusetts 02184

NOTE: LAUREL GROCERY - PRIOR approval MUST be obtained by one of the following people prior to any work being performed or tires

delivered.

Lynn Creech - 606-682-8680

Shaw Castle - 606-309-4942

San Diego SDG-25510

Southwest SOW-27010

Syracuse SYR-27510

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Dan Thompson - 606-309-9400

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Membership Number

Odometer Reading

7983 TOWING AND RECOVERY PROFESSIONALS OF COLORADO INC ~ PO Box 740606 , Arvada , Colorado 80006

Telephone Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Vehicle Type

Odometer Reading

CC Token

Credit Card MUST be tokenized

CC Type

AX, MC, VS

CC Holders Name

Name as printed on Credit Card

CC Exp Date (MM/YYYY)

8094 TOWNE AIR FREIGHT LLC ~ 24805 W US 20, South Bend, Indiana

Purchase Order Number

Purchase Order Number MUST be obtained by calling 574.233.3183 EXT 2303 or 2285

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Wheel Location

Reason for Replacement

Location Code

Odometer Reading

8104 TRAILER X-PRESS INC ~ 1701 Steele St SW, Grand Rapids, Michigan 49507

Purchase Order Number

A Purchase Order Number MUST be obtained by calling Toll Free 800/320-5972

Vehicle Number

VIN Number(Last 6 digits)

Wheel Location

Hubdometer Reading

Authorized By

Reason for Replacement

Disposition Of Old Tires

Driver MUST take tires

7971 TRAILINER CORP ~ 2169 E Blaine St, Springfield, Missouri 65801

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800.445.8828.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Truck Number required

Trailer Number

Driver's Trip #

Wheel Location

Odometer Reading

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7976 TRANS-SYSTEM INC ~ 7405 S Hayford Rd, Cheney, Washington 99004

NOTE: A copy of Delivery Ticket MUST be faxed to 509-625-3997.

Purchase Order Number

A purchase order number MUST be obtained by calling Toll Free 800-346-3732. A copy of the delivery ticket MUST be faxed to

509-625-3997 in order to close the transaction.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

License Number and State Issuing

Serial Number of Old Tire

Serial Number of New Tire

Reason for Replacement

Disposition of Old Tire

Driver to take tire

Odometer Reading

8109 TRANS ADVANTAGE INC ~ One Premier Dr, St Louis, Missouri 63026

NOTE: ALL SERVICES MUST BE BILLED WITHIN 30 DAYS OF THE DATE OF SERVICE

Purchase Order Number

A Purchase Order Number for AGENTS of United Van Lines, Mayflower Transit and Wells Fargo (will have a different company

name) MUST BE OBTAINED PRIOR TO SERVICE BEING PERFORMED by calling TOLL FREE 800/325-3863, Ext 6908

Work authorizations and purchase orders for Emergency Road Service may be obtained by calling the Trans Advantage

EMERGENCY ROAD SERVICE hotline at 888-281-7364.

It is NOT acceptable to call for a Purchase Order number AFTER service is performed OR to request a PO by faxing a copy of a

delivery ticket.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Complete Ship-To Name And Address Of Location Making The Purchase

Tractor Or Trailer Number

All Tractor or Trailer Unit numbers will be 4 to 7 digits.

Wheel Position Of New Tire

Year, Make And Model

Driver's Id Number

License Number And State Issuing

Odometer/Hubdometer Reading

Driver's License Number And State Issuing

Agency Name

Agency Number

8113 TRANS PHOS INC ~ P O Box 2026, Bartow, Florida 33831-2026

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/940-1575.

Vehicle Number

Odometer Reading

8124 TRANSCO LEASING INC ~ P O Box 1400, Russellville, Arkansas 72801

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/446-5559.

Vehicle Number

Wheel Position Of Tire Removed

Odometer Reading

8135 TRANSPORT CORPORATION OF AMERICA, INC ~ 1715 Yankee Doodle Rd, Eagan, Minnesota 55121-1618

NOTE: TIRE DELIVERY RESTRICTED TO THE FOLLOWING:

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If these tires are not available you MUST call Transport America.

STEER AXLE

First Choice - Goodyear G-399LHS

Second Choice - Dunlop SP-384 FM

DRIVE

First Choice - G316 Gold Medallion Retread

Second Choice - G-316 LHT Fuel Max

Third Choice - Dunlop SP-193 FM

TRAIL

First Choice - G-316 Gold Medallion Retread

Second Choice - G-316 LHT Fuel Max

Third Choice - Dunlop SP193 FM

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 651/686-2542.

Tractor Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Trailer Number

Serial Number Of Old Tire

Serial Number of New Tire

Reason for Replacement

Wheel Location

Hubdometer/Odometer Reading

9019 TRANSPORT DESIGNS INC ~ 3451 W Burnsville Pkwy, Ste 130, Burnsville, Minnesota 55337

Purchase Order Number

Driver will call for a Purchase Order #

Wheel Location

Vehicle Number

Tractor or Trailer #

Odometer Reading

8156 TRANSPORT DISTRIBUTION COMPANY ~ P O Box 306, Joplin, Missouri 64802

Purchase Order Number

A Purchase Order Number MUST be obtained within 24 hours of service by calling TOLL FREE 800/866-7709.

Vehicle Number

Wheel Location

Reason for Replacement

Tread Depth

Odometer Reading

7987 TRANSWAY INC ~ 931 Interchange Drive, Holland, Michigan 49423

TIRE PREFERENCES ARE AS FOLLOWS:

TRAILER:

1st - Goodyear G316 recap (Unicircle preferred but Precure is OK)

2nd - Goodyear G314 recap (Unicircle preferred but Precure is OK)

3rd - Dunlop SP384 (new steer, be sure to route back to shop ASAP)

4th - Goodyear G399 (new steer, be sure to route back to shop ASAP)

TRACTOR STEER:

1st- Dunlop SP384 (new only)

2nd - Goodyear G399 LHS (new only)

TRACTOR DRIVES:

1st - Goodyear G305 recap (Unicircle preferred but Precure is OK)

1st - Goodyear G167 recap (Unicircle preferred but Precure is OK)

On the above two tires, we need to match the current tread pattern on the truck to the recap.

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The G305 is a Fuel Max tire and the G167 is an aggressive non-Fuel max tire.

2nd - Goodyear G305AT LHD (new)

3rd - Goodyear G572 LHD (new)

Vehicle Number

Truck Number

Trailer Number

Wheel Location

Driver's Name

8190 TRI-MOR CORP ~ 8530 N Boyle Parkway, Twinsburg, Ohio 44087

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 330.405.4143

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

7984 TRI-NATIONAL INC ~ 13397 Lakefront Dr, Ste 200, Earth City, Missouri 63045

Purchase Order Number

A Purchase Order MUST be obtained by calling TOLL FREE 800.870.0560

Authorized By

Name of person issuing the purchase order

Complete SHIP-TO Name and Address of Location Making the Purchase

Location Code

Vehicle Number

Tractor or Trailer #

Reason for Replacement

Odometer Reading

8194 TRI-STATE MOTOR TRANSIT ~ dba Bed Rock Inc 8141 E 7th St, Joplin, Missouri 64801

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/568-1880.

Unit Number

Wheel Location

Disposition Of Old Tires

Return old tires with driver

Vehicle License Number

Odometer Reading

8191 TRIAD TRANSPORT, INC ~ P O Box 965, McAlester, Oklahoma 74502

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/324-1139.

Vehicle Number

Odometer Reading

9002 TRICAN WELL SERVICE L. P. ~ 5825 N Sam Houston Parkway West, Ste 600, Houston, Texas 77086

Purchase Order Number

A Purchase Order # will be provided by the maintenance department

Location Code

Vehicle Number

Odometer Reading

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8214 TRIMAC TRANSPORTATION SERVICES LIMITED PARTNERSHIP ~ FOR USA LICENSED VEHICLES ONLY

For deliveries to the following Subsidiaries:

DSI Transport Inc,

Liquid Transporters Inc

Quality Service Tank Lines, Inc,

Trimac Bulk Transportation, Inc,

Trimac Industrial Gas,

Universal Transport Inc.

Purchase Order Number

Unit Number

License Number And State Issuing

Complete Ship-To Name And Address Of Location That The Tractor Or Trailer Belongs To

Obtain from the DISPATCHER when calling for the P O Number. The driver may not know.

Location Code

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Odometer Reading

8215 TRINITY INDUSTRIES INC ~ 2525 Stemmons Freeway , Dallas, Texas 75356-8887

Purchase Order Number

Phone local Subsidiary - Driver will have the number

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8216 TRIPLE C EXPRESS INC ~ 2470 Idylwild Rd, Wrightsville, Georgia 31096

No retreads. If possible, ask customer for tread design.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8219 TRIPLE C TRANSPORT LLC ~ 201 North 1st St, Doniphan, Nebraska 68832

ALSO represents themselves as White Farms.

Purchase Order Number

Purchase Order Number MUST be obtained by calling 402.845.6649 Ext 226 during regular office hours 8:00AM to 5:00PM central

time.After hours a Purchase Order Number MUST be obtained by calling 308.379.7418.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Wheel Location

Odometer Reading

8217 TRIPLE CROWN SERVICES INC ~ 2720 Dupont Commerce Ct, Fort Wayne, Indiana 46825-2363

NOTE: Delivery Tickets MUST be faxed to Lynette Eisenhauer at 260.416.3771

Purchase Order Number

Obtain a Purchase Order Number after work has been completed.

Yard Service Calls - Each location has been assigned a Blanket Purchase Order # which consists of 6 numeric and 4 alpha.

Road Service Calls - A Purchase Order # MUST be obtained by calling 260/416-3708. Driver does not have to be present. When

calling for a purchase order number you MUST be ready to provide the Delivery Ticket Number and the total labor charge. Upon

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completion of work Deliver Ticket MUST be faxed to Lynette Eisenhauer at 260.416.3771. Failure to fax a DR will prevent an

invoice from being paid and will be chargeback to point of sale

Vehicle Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

9020 TRIUS TRUCKING INC ~ 46923 Lincoln Ave, Fowler , California 93625

Vehicle Number

Trailer Number

Driver's Id Code

8227 TRUCKERS B2B GOLD/PDCA ~ 9503 East 33rd St, Indianapolis, Indiana 46235

Purchase order must be obtained prior to work being done by calling TOLL FREE 866-354-7323.

Name of person authorizing work must be obtained prior to work being performed and must be on the invoice.

Unauthorized tires or service will be charged back.

Purchase Order Number

A Purchase Order number MUST be obtained prior to work being done by calling TOLL FREE 866-354-7323.

Complete SHIP - TO Name and Address of Location Making the Purchase

Authorized By

MUST be on the invoice

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey only.

Your Y/N answer will faciliate correct sales tax application so you MUST ask the customer for correct information

8242 TRUSERV CORPORATION ~ 308 South Division Street P O Box 670, Harvard, Illinois 60033

Purchase Order Number

A Purchase Order Number MUST be obtained by calling driver's office COLLECT.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

Location Code

License Number And State Issuing

Odometer Reading

7977 TRY-US TRANSPORTATION INC ~ 3818 Moffett Rd, Ceres, California 95307

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 209.556.1048

Vehicle Number

Odometer Reading

7941 TSWS WELL SERVICE ~ DIV OF TEXAS CES INC P O Box 1299, Gainesville, Texas 76420

Purchase Order Number

Driver will have the phone number to call to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8255 TURNER ENERGY SERVICES, LLC ~ Div CES Mid-Continent Hamm, LLC 205 West Maple Suite 600 PO Box 3907, Enid, Oklahoma 75702

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Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Yard #

Odometer Reading

Signed By

Get signature and full name

9022 TUTLE & TUTLE TRUCKING INC ~ 3672 Highway 67 West, Cleburne, Texas 76033

Purchase Order Number

A Purchase Order number MUST be obtained. Driver will call dispatch for number.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Terminal #

Wheel Location

Reason for Replacement

Disposition of Tire

Return tire with driver

VIN Number

Odometer Reading

9021 TWISS TRANSPORT INC ~ 1501 Lake Ave SE, Largo, Florida 33771

Vehicle Number

Truck # or Stock

VIN Number

Last 8 digits

Odometer Reading

8264 TYSON FOODS, INC ~ (Various Locations)

Purchase Order Number

A Purchase Order Number is required for Stock Purchases of Commercial Tires at the 12 Truck Terminals.

Complete Ship-To Name And Address Of Location Making The Purchase

The address entered in this field is where the bill will be sent. Ask driver for the invoice address. Do NOT use driver's home

address.

Tractor Number And/Or

Trailer Number

License Number And State Issuing

Odometer Reading

Dispostion Of Old Tires

Return old tires to the driver

Employee Number

8266 TYSON FRESH MEATS INC ~ PO Box 8001 , Sioux City, Iowa 51102-8001

DO NOT CONFUSE WITH TYSON FOODS INC NA-8264

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8285 U-HAUL INTERNATIONAL, INC ~ 11298 South Priest Dr, Tempe, Arizona 85284

NOTE: EFFECTIVE IMMEDIATELY:

BEFORE COMPLETING YOUR DELIVERIES YOU *MUST* CONFIRM THAT THE PO YOU ARE USING IS CORRECT BY ACCESSING THE WEBSITE

NOTED ON TIRE-HQ. IF THE PO YOU WERE SUPPLIED IS NOT CONFIRMED PLEASE CONTACT THE ISSUING U-HAUL LOCATION TO RESOLVE.

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ALL SERVICE WORK SHOULD BE BILLED USING THE APPROPRIATE SERVICE PRODUCT CODE. NO MISCELLANEOUS CODES WILL BE

AUTHORIZED BY THIS ACCOUNT. IF THE NEED FOR A MISCELLANEOUS CODE ARISES YOU MUST HANDLE IT ON YOUR LOCAL BOOKS.

UNAUTHORIZED PRODUCT LINES ARE: FARM, INDUSTRIAL, RETREADS AND CASINGS.

Goodyear supply points should stock the following sizes and types of tires due to standardization efforts by U-Haul:

***** When replacing a tire for emergency road service the DOT # of the NEW tire MUST be noted on the DR. BIAS TRAILER TIRES:

105-203-339 650x13 C4 STLR UH BL NYTL

STAMPED "PROPERTY OF UHAUL - NOT FOR RESALE"

120-026-010 ST205/75D14 HMG 2020 LRD

STAMPED "PROPERTY OF UHAUL - NOT FOR RESALE"

140-040-342 670x15 TRAC HM LRC

ALL TRAILER TIRES ARE BIAS PLY. DO NOT SELL MARATHONS OR ANY OTHER RADIAL PLY TIRES FOR TRAILER APPLICATION. DO NOT MIX

BIAS AND RADIAL PLY TIRES ON THE SAME AXLE

RADIAL TRUCK TIRES:

744-821-900 LT215/85R165E WRL HT LRE

744-830-900 LT22575R16 WRL HT OL LRE

DO NOT MIX UNISTEEL AND FABRIC RADIAL PLY TIRES ON THE SAME AXLE

UNISTEEL LIGHT TRUCK:

139-699-080 8R19.5 G647RSS LRF

139-418-053 225/70R19.5 F G647 RSS BL

139-177-907 245/70R19.5 G149RSA LRG

DO NOT MIX UNISTEEL AND FABRIC RADIAL PLY TIRES ON THE SAME AXLE

**NO LONGER AUTHORIZED 139-177-080 245/70R19.5 G647RSS LRG**

UNDER NO CIRCUMSTANCE WILL U-HAUL ACCEPT A LOAD RANGE F (12 PLY) IN SIZE 245/70R19.5

SPECIAL SERVICE AGREEMENT: NO CHARGE is to be assessed to U-Haul for any Goodyear tire mounted on loose tire & wheel assemblies at the

supply point where the tires were sold. All other performed services will be at standard National Account rates including balance, valves and

scrap.

MOUNT & DISMOUNT ON A U-HAUL VEHICLE USE APPROPRIATE CODE IN NATIONAL ACCOUNT SERVICE PRICE BOOK IN EFFECT AT THE TIME

OF DELIVERY.

Purchase Order Number

ALL PO'S MUST BE CONFIRMED USING THE WEBSITE POSTED ON TIRE-HQ.

NOTE: PURCHASES WILL BE INITIATED BY EITHER THE U-HAUL REGIONAL DISTRIBUTION CENTER OR THE LOCAL

MARKETING COMPANY.

For assistance contact U-Haul Customer Service at 480/893-1736

Complete Ship-To Name And Address Of Regional Distribution Center or Marketing Company Issuing the Purchase

Order

Emergency Deliveries To Persons Renting U-Haul Vehicles

U-Haul Equipment Number

Located on the vehicle.

Odometer Reading(When Available)

TO GAS STATIONS OR BUSINESSES ACTING AS RENTAL AGENTS FOR U-Haul(ON THE LOT REPLACEMENT):

Rental Equipment Number

Rental Contract Number (acts as temporary authorization)

The customer's copy of the U-Haul rental contract will serve as delivery authorization. If unable to obtain a P O Number at the

time the service is required record the customer's U-Haul Rental Contract Number and Rental Equipment Number on the Delivery

Receipt. The next business day contact the U-Haul Marketing Co office and obtain a P O Number.

Printed Name of Person or Firm Renting Vehicle

Serial Number of New Tire

PACS NON SIG # 205654

7978 UIL HOLDINGS CORPORATION ~ 157 Church Street PO Box 1402, New Haven, Connecticut 06505-0902

Use the appropriate blanket PO# for the company being serviced, as indicated below:

Connecticut Natural Gas Corp - PO# 4500402338

Southern Connecticut Gas Co - PO# 4700148200

United Illuminating Company - PO# 0000053973

Purchase Order Number

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Use the appropriate blanket PO# for the company being serviced, as indicated below:

Connecticut Natural Gas Corp - PO# 4500402338

Southern Connecticut Gas Co - PO# 4700148200

United Illuminating Company - PO# 0000053973

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Authorized By

7980 UMPQUA DAIRY PRODUCTS COMPANY ~ 333 SE Sykes Avenue, Roseburg, Oregon 97470

Purchase Order Number

Use UNIT# for PO#

Complete SHIP - TO Name and Address of Location Making the Purchase

Wheel Location

Odometer Reading

7990 UNIFIRST CORPORATION ~ 68 Jonspin Road, Wilmington, Massachusetts 01887

Location Code

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

CC Token

Refer to instructions on Tire-HQ for tokenizing credit card information

CC Type

AX, MC, VS

CC Holders Name

CC Exp Date (MM/YYYY)

8320 UNION LEASING INC ~ 425 N Martingale Road Suite 1250, Schaumburg, Illinois 60173

Union Leasing provides their drivers with a fleet card with a pre-determined authorized service amount printed on it. The repairing store can do

repairs up to that dollar amount. In the event services in addition to preventative maintenance are needed or the repairs exceed the fleet card

authorization amount the repairing store should call the phone number listed on the fleet card for additional authorization. Driver will have PM

schedule. Use this schedule to do the maintenance closest to the mileage on vehicle's odometer (+/- 500 miles). If mileage falls out of range

you MUST call for authorization. FAILURE TO CALL FOR AUTHORIZATION PRIOR TO DOING WORK COULD RESULT IN DENIAL OF REPAIR

AUTHORIZATION.

MOST OF THE FOLLOWING REQUIREMENTS WILL BE ON THE FLEET CARD PROVIDED.

Purchase Order/SC/ID#

This is the 10 to 14 digit card number.

Complete SHIP - TO Name and Address of Location Making the Purchase

Service Limit

Additional Authorization#

If repairs exceed Service $ Limit printed on card you MUST obtain additional authorization by calling the phone number on the

card or 800-694-7894. If under limit you must enter UNDER.

Vehicle Number

VIN Number

Last 6 digits

Vehicle Type

Year, make and model

License Number and State Issuing

Odometer Reading

8332 UNION PACIFIC RAILROAD CO ~ 1490 Douglas St, Omaha, Nebraska 68179

Service Card Number OR Purchase Order Number

UNDER $100 you MUST obtain the driver's SERVICE CARD NUMBER.

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OVER $100 YOU MUST obtain a VERBAL PURCHASE ORDER NUMBER PRIOR to any work being done by calling TOLL FREE

866/946-8777.

Complete SHIP - TO Name and Address of Location Making the Purchase

Lessee / Client #

Client #s 5Z25 or 0J88 ONLY

Vehicle Number

Year Make & Mode of Vehicle

VIN Number

Odometer Reading

8335 UNIQUE LEASING, INC ~ 8755 Hwy 87 E, San Antonio, Texas 78263

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/328-0360.

Vehicle Number

Odometer Reading

8367 UNITED AGRI PRODUCTS, INC ~ (Various Locations)

Complete Ship-To Name And Address Of Location Making The Purchase

The address entered in this field is where the bill will be sent. Ask driver for the invoice address. Do NOT use driver's home

address.

Vehicle Number

Odometer Reading

8438 UNITED ROAD SERVICES INC ~ 10701 Middlebelt Road, Romulus, Michigan 48174-2714

Purchase Order Number

Vehicle Number

License Number And State Issuing

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Complete SHIP-TO Name and Address of Location Making the Purchase

URSI Account Number

8989 UNITED SUBCONTRATORS, INC. ~ 5201 Eden Avenue, Edina, Minnesota 55436

VIN Number

Last 8 digits

Complete SHIP - TO Name and Address of Location Making the Purchase

Driver's Name

Odometer Reading

8503 UNIVERSAL TRUCKLOAD SERVICES INC ~ 12755 East Nine Mile Road, Warren, Michigan 48089

NOTE: You MUST obtain preauthorization for purchases of 4 tires or more for an individual vehicle by calling one of the following numbers based

on the business unit you are servicing (ONLY stock purchases by USCC do not need preauthorization):

Universal Am-Can Ltd: Dave Hummel 800-854-3632

Mason Dixon Lines: Doug Hoffman 800-251-0261

Mason Dixon Intermodal: Tom Drongowski 586-920-0100 ext 2390

Louisiana Transportation: James Glass 713-410-4139

Great American Lines: John Feltes 800-827-4927

Economy Transport: Ed Solomon 800-237-2973

NOTE: Casing should be credited on same invoice as replacement.

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Purchase Order Number

A PO# MUST be obtained from the operating company being serviced.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Trailer Number

Authorized By

Wheel Position

Serial Number of New Tire

DOT#

Brand Number

Of replaced tire

8505 UNIVERSAL WELL SERVICES ~ 13549 South Mosiertown Road, Meadville, Pennsylvania 16355

Location Code

Also known as CAMP#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8433 UPS, INC ~ aka United Parcel Service, Inc 55 Glenlake Parkway NE, Atlanta, Georgia 30328

NOTE: For UPS CARTAGE purchases, please fax SIGNED delivery receipt to 317-481-9327.

Purchase Order Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

These states' laws allow ICC Haulers to be exempt ONLY if the vehicle involved has a registered gross vehicle weight exceeding

26,000 lbs. Your Y/N answer will either exempt or charge sales tax so you MUST ask the customer for correct information.

Complete Ship-To Name And Address Of Location Making The Purchase

Region/District Number

Location Code

Also known as SLIC#

Odometer Reading

7993 US CONCRETE, INC. ~ 2925 Briarpark Suite 1050, Houston, Texas 77042-3732

*NOTE: Cannot charge for mileage under 20 miles, incl Fuel Sur, P to P - Goodyear P/C 047526000, account is exempt from this charge.

Purchase Order Number

A PO# must be obtained from the location making the purchase

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Plant #

8288 US SPECIAL DELIVERY, INC. ~ PO Box 207, Iron Mountain, Michigan 49801

Purchase Order Number

You MUST obtain PO# by calling 906-774-1931 ext 138 or ext 124

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8475 US XPRESS LEASING INC ~ 4080 Jenkins Road, Chattanooga, Tennessee 37421

NOTE: You must get pre-authorization# prior to performing service by calling 800-447-3152.. Once service is completed you must call and

provide Authorization# in order to get PO#.

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Purchase Order Number

You must call 800-447-3152 for pre-authorization number prior to performing service. You must call back and provide pre-

authorization number in order to obtain PO#.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Driver's Name

7981 USA DRY VAN LOGISTICS LLC ~ 3101 West Military Highway, McAllen, Texas 78503

NOTE: PLEASE PROCESS TRANSACTIONS FOR THIS ACCOUNT PROMPTLY.

NOTE: Please adhere to the following tire preferences for over the road replacement:

Steer tires: 1st - G399 LHS Fuel Max (New), load rating G, tread depth 18

2nd - Dunlop SP384 SP (New), load rating G, tread depth 18

Drive tires - Dual (Always request Gold Medallion Retreads as first choice from Fleet-HQ):

1st - Goodyear Pre-cure 305 Fuel Max (retread)

2nd - Goodyear G362 (retread)

3rd - Goodyear G372 LHD (retread)

4th - Goodyear G572 LHD Fuel Max load G (New)

Drive tires - Wide based:

1st - Goodyear G392 SSD (New) load range G, tread depth 26

2nd - Goodyear G392 SSD Dura Fuel Max (New) load range G, tread depth 26

Trailer tires - (Always request Gold Medallion retreads as first choice from Fleet-HQ):

1st - Goodyear G316 Fuel Max (retread), tread depth 12

2nd - Goodyear G314 LHT (retread), tread depth 12

3rd - Dunlop SP193 (New) load range G, tread depth 12

4th - Goodyear G316 LHT (New), load range G, tread depth 12

Please inflate all trailer tires to 100 psi when this fleet comes in for any type of service or has emergency road service.

NOTE:

1. It is mandatory for the driver to take the tire or tires that were replaced back to the maintenance facility in McAllen, Tx.

2. Original tread tire DOT, tread design and tire mfg. needs to be recorded on DR.

3. Latest Retread DOT and number of times retreaded needs to be recorded on the DR.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8276 USA TRUCK, INC ~ 3108 Industrial Park Rd, Van Buren, Arkansas 72956

NOTE: E-mail dispatcher for approval prior to dispatching service if closest available servicing dealer is farther than 40 miles.

NOTE: Medium Commerical Tires are restricted to Low Profile Tires and 11R22.5 ONLY

NOTE: Gold Medallion retreads are first choice, whenever possible on the road

NOTE: This account does not purchase Super Singles. Super Single mount/dismount is unauthorized.

NOTE: You must get additional authorization before adding any services on the PO#.

NOTE: Product codes must have specific description, 'MISCELLANEOUS' DESCRIPTION IS NOT VALID.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/474-0044 or 800/237-4648. Only one PO# may be used

per transaction. Do NOT submit more than one transaction with the same PO#, even if you are correcting a previous transaction.

You MUST obtain a new PO# for each transaction.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Vehicle Number

Odometer Reading

Disposition Of Old Tires

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8293 USF HOLLAND, INC ~ 750 East 40th Street, Holland, Michigan 49423

DO NOT CONFUSE WITH USF GLEN MOORE NA 8292 OR USF REDDAWAY NA 8294.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 888-865-6045.FOR USF HOLLAND INC COMPANY CARS ONLY:

A Purchase Order Number or approval MUST be obtained for all merchandise or service exceeding $50 by contacting the call

center at 888-865-6045. Purchases under $50 must be paid for by the driver.

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Name of Person Authorizing Purchase

Vehicle Number

License Number and State Issuing

Year Make & Model

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Emergency Road Service (Y/N)?

8294 USF REDDAWAY, INC ~ PO BOX 1035, Clackamas, Oregon 97015

DO NOT CONFUSE WITH USF HOLLAND NA 8293

NOTE: INSTALL NEW TIRE ON EMERGENCY ROAD SERVICE, WHEN POSSIBLE.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 503/557-6212. After hours call next day.

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Vehicle Number

License Number and State Issuing

Year Make & Model

Odometer Reading

Emergency Road Service (Y/N)?

8540 VALLEY EXPRESS INC ~ 3911 37th Avenue SW, Fargo, North Dakota 58104

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Signed By

8541 VALLEY POWER SYSTEMS, INC. ~ 425 South Hacienda Boulevard, City of Industry, California 91745

Purchase Order Number

PO # should be provided by the driver. If not, call Diane Nelson in Valley’s Purchasing Department at 626-934-6156 during

business hours for a PO number.

Complete SHIP - TO Name and Address of Location Making the Purchase

VIN Number (Last 6 digits)

Odometer Reading

8538 VALLEYCREST LANDSCAPE MAINTENANCE ~ 24121 Ventura Blvd, Calabasas, California 91302

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

3 Digits

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8548 VAN WYK, INC ~ P O Box 389, Sheldon, Iowa 51201

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/245-8775 and ask for Andy Marshall, Kevin Vanderbrink

or Doug Dehaan. You MUST provide tire position, serial number of replacement and new tire and delivery receipt number when

calling for PO#.

Vehicle Number

Odometer Reading

Wheel Location

8552 VENTURE EXPRESS INC ~ 131 Industrial Blvd, Lavergne, Tennessee 37086

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/444-5509

Vehicle Number

Wheel Position

Odometer Reading

Disposition Of Old Tires

Return old tires to driver

8556 VENTURE LOGISTICS, INC. ~ 1101 Harding Court, Indianapolis, Indiana 46217

Purchase Order Number

You MUST obtain PO# by calling 888-561-4449 option 5.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

8554 VEOLIA ENVIRONMENTAL SERVICES ~ 125 S 84TH Street, Suite 175, Milwaukee, Wisconsin 53214

NOTE: Veolia is exempt from fuel surcharge.

Veolia can be charged on service calls $1.05/mile after 20 miles P to P using 046-910-000.

Veolia will use Multi Seal Tire sealer on all tires that are not Duraseal at $25 per tire installed using 046-303-000.

Sealant removal fee is $6.00 each tire, use 046-127-000.

Aluminum wheels use ORANGE high temp silicone or Epdm valve stem grommets, steel wheels use AS100 valve stems Myers #24192 at $5.60

ea., use 041-271-000.

Location Code

Also known as Operating Unit#

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

CC Token

CC Exp Date (MM/YYYY)

CC Type

CC Holders Name

8565 VERIZON COMMUNICATIONS INC ~ 5 Campus Circle Suite 300 PO Box 152134, Irving, Texas 75015-2134

YOU MUST OBTAIN A WORKORDER FOR INITIAL AUTHORIZATION. ONCE SERVICE IS COMPLETE YOU MUST OBTAIN PO#.

FOR ROAD SERVICE ONLY: PLEASE PROVIDE THE REASON FOR TIRE REMOVAL

Purchase Order Number

THIS IS NOT THE WORKORDER#. YOU MUST OBTAIN PO# ONCE SERVICE IS COMPLETE. NEW PO#'S ARE NOW BEING USED

THAT ARE SHORTER THAN 10 DIGITS AND BEGIN WITH THE LETTERS 'PO'.

Vehicle Number (Or Indicate Stock)

If stock purchase enter the word 'STOCK'

Facility Number

Complete SHIP-TO Name and Address of Location Making the Purchase

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The correct AND complete subsidiary name MUST be indicated in the SHIP-TO field.

Do NOT use driver's home address.

Odometer Reading

Reason for Replacement

If tire cannot be repaired give reason. (Ex. Driver drove on flat, etc.)

7982 VIDA CORPORATION ~ 14774 Jurupa Avenue, Fontana, California 92337

Purchase Order Number

Provided at time of request or by calling 909-632-6542 or 909-963-6170

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

6387 VITRAN EXPRESS INC ~ P O Box 1290, Gibsonia, Pennsylvania 15044

Formerly PJAX Inc

No Gold Medallion Retreads Allowed.

Please fax a copy or E-Mail a scanned copy of signed Delivery Receipt or Service Work Order with Driver's name and signature to:

[email protected]

or

Fax# 724-449-0179

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey ONLY. Your Y/N answer will facilitate correct sales tax application

8575 VOLVO CONSTRUCTION EQUIP CO ~ One Volvo Drive, Asheville, North Carolina 28803-3447

ONLY AUTHORIZED VOLVO DEALERS BELOW ARE AUTHORIZED TO PURCHASE ON THIS PROGRAM:

ARING EQUIPMENT COMPANY INC

RUDD EQUIPMENT COMPANY

SIERRA MACHINERY INC

SHEEHAN MACK SALES AND EQUIPMENT, INC.

Purchase Order Number

PO# provided by purchasing Volvo dealer

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

This is the Volvo dealer's PARMA number

Name of requestor of service

8579 VOYAGER FLEET SYSTEMS INC ~ 738 Highway 6 South, Suite 600, Houston, Texas 77079

NOTE: TIRES FOR FEDERAL OR STATE/LOCAL GOVERNMENT AGENCIES CAN NOT BE BILLED OR PROCESSED THROUGH THE VOYAGER CARD.

ALL TIRE PURCHASES MUST BE PROCESSED THROUGH REGULAR GOVERNMENT BILLING PROCEDURES. REFER TO YOUR GOVERNMENT SALES

MANUAL OR CALL INFOLINK AT 800/755-2772 FOR MORE INFORMATION.

NOTE: WHEN PROVIDING ESTIMATE FOR AUTHORIZATION PURPOSES USE GOODYEAR B300 PRICING.

Service Card Number(15 digit card number)

Copy the embossed 15 digit card number exactly as it appears on the service card

Complete SHIP - TO Name and Address of Client's Firm making the Purchase

Authorization Number

You MUST obtain an Authorization Number by calling the Voyager authorization line TOLL FREE 800/987-6589

Year Make and Model of Vehicle

Driver's ID (Pin #)

Driver MUST provide

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Authorized Service $ Dollars

VIN Number

Vehicle Number(optional)

Odometer Reading

8530 VPSI, INC ~ 1220 Rankin, Troy, Michigan 48083

NOTE: All Dodge B350 Vans are 3/4 ton rated. All Light Truck tire replacement deliveries MUST be"E" ply rated. "C" or "D" ply rated tires are

NOT acceptable and are subject to chargeback.

NOTE: The following service codes MUST be used when servicing Dodge B350 Vans for VPSI, Inc:

047-118 Distributor Cap

047-181 Distributor Rotor

047-697 Air Filter

057-201 Adjust/Replace Belts

077-209 Electronic Step Lube

NOTE: Fuel Filters are not eligible for delivery even though they are listed on the coupon. The 30 minute Lube, Oil and Filter special may not be

sold to this account.

Purchase Order Number Or Preventive Maintenance Coupon

See Coupon Program Below

Additional Authorization Number

Required IN ADDITION TO a P O Number or Coupon Number when services not on the original authorization are needed.

Complete Ship-To Name And Address Of Location Making The Purchase

Vehicle Number

License Number And State Issuing

Odometer Reading

Year, Make And Model Of Vehicle

Vin Number (Last 8 Digits)

Preventive Maintenance Program

Coupon books will contain 18 Mileage Interval Coupons and 12 special coupons denoting the service period and/or specific

services to be Performed for that period. A coupon will be used in lieu of any other authorization for ONLY those services listed on

the coupon. Any additional services or repairs require a separate authorization from VPSI by calling TOLL FREE 800/223-VPSI

before repairs are started. No coupon is to be accepted for a vehicle other than that specified on the front cover of the coupon

book. Dealers and Stores must adhere to the following:

No Coupon is to be accepted if it has already been detached from the book.

Check individual item box to show what work has been done.

VPSI Vehicle Number and Odometer Reading must be inserted on both the coupon and delivery receipt.

Operator of vehicle must sign the Coupon. Coupons are to be attached to the supply point copy of the delivery receipt for possible

future reference.

8577 VULCAN MATERIALS CO ~ Group Disbursements & Problem Resolution Center, P O Box 380607, Birmingham, Alabama 35238-0607

Purchase Order Number

Call the Division Purchasing Director of the Division making the purchase for a P O Number. This will be confirmed.

Complete Ship-To Name And Address Of Location Making The Purchase

Odometer Reading

Location Code

Division Number

3-digit alpha code

8587 W-H TRANSPORTATION CO INC ~ P O Box 1222, Wausau, Wisconsin 54401

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/347-0016.

Vehicle Number

Odometer Reading

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0924 W S BADCOCK CORPORATION ~ P O Box 497, Mulberry, Florida 33860

Check Id Card

Required for all deliveries except to the parent location in Mulberry FL UNLESS mounted on a W S Badcock Corp vehicle.

Purchase Order Number

A Purchase Order Number is required for deliveries to Mulberry FL only.

Vehicle Number

Odometer Reading

8585 WABASH NATIONAL TRAILERS CTRS ~ 17301 N W 2nd Ave, Miami, Florida 33169

Purchase Order Number

Will be faxed to supply point by account when calling in for service

Complete SHIP - TO Name and Address of Location Making the Purchase

8592 WACHTER MANAGEMENT CO ~ DBA WACHTER CORP 16001 99th St , Lenexa, Kansas 66219

NOTE: A PO Number is required for anything other than the following items:

Oil Change

Air Filter

Tire Rotation

Wiper Blades

Light Bulb Replacements

Fuel filters allowed on diesels ONLY

Please call 913-219-6060 for any other fleet services.

Purchase Order Number

For services other than those listed above, call 913/541-2500 EXT 285 OR EXT 314 during regular business hours, 8-5 Central.

After hours call 913-219-6060.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Vehicle serial number

Last eight digits

7992 WADDELL-WOJCIK TRUCKING, INC. ~ N2762 County Road C PO Box 310, Darien, Wisconsin 53114

Driver's Name

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8593 WAGGONERS TRUCKING, INC ~ P O Box 31357, Billings, Montana 59107

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/221-2976.

License Number And State Issuing

Odometer Reading

8600 WALBON & COMPANY INC ~ 4230 Pine Bend Trail, Rosemount , Minnesota 55068

Purchase Order Number

Phone TOLL FREE 1-800-328-2499 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

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Wheel Location

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

8613 WALPOLE INC ~ P O Box 1177, Okeechobee, Florida 34973

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/741-6500.

Vehicle Number

Wheel position of replacement tire

Location Code

8623 WALSH TRUCKING CO LTD ~ 1650 NW Sundial Rd, Troutdale, Oregon 97060

Purchase Order Number

Driver will provide

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Reason for Replacement

Wheel Location

Disp Of Old Tires

8624 WALTER ENERGY, INC ~ 4211 W Boyscout Blvd, Tampa, Florida 33607

NOTE: The following product codes ONLY are eligible for delivery:

100-398-200, 112-057-440, 137-407-568, 138-376-848, 183-783-418, 187-009-016, 187-016-016, 356-058-723, 356-153-722, 356-161-722,

356-346-724, 356-769-268, 356-930-146, 356-976-146, 357-431-207, 402-013-477, 402-034-073, 402-117-436, 402-314-073, 402-431-047,

706-023-034, 706-094-492, 706-536-492, 736-093-285, 755-422-103, 796-045-078.

Any exceptions MUST BE APPROVED by calling Steve Rabel at 813/871-4156.

Purchase Order Number

Consists of one or two alpha characters plus three, four or five numeric digits.

Odometer Reading

Name Of Person Approving Any Exception

Vehicle Number

8607 WAL*MART TRANSPORTATION LLC ~ 133 N Walton Blvd, Bentonville, Arkansas 72716-6888

NOTE:THIS ACCOUNT IS AUTHORIZED FOR GOODYEAR TIER 1 PRODUCT ONLY.

NOTE: DUNLOP TIRES ARE NOT AUTHORIZED FOR PURCHASE THRU THIS PROGRAM

NOTE: ONLY Light Truck and Medium Commercial Tires may be delivered through this program.

NOTE: ONLY Light Truck and Medium Tire related service may be billed

NOTE: ONLY Light Truck and Medium Commercial Retreads are eligible.

ALL OTHER merchandise and service is to be billed through NA-5035 Lease Plan USA upon presentation of proper authorization.

Tires for forklifts such as Industrial Tires and Tubes are to be billed directly to the Wal*Mart location making the purchase.

Purchase Order Number

The driver will have the telephone number to call for a Purchase Order Number.

Complete Ship-To Name And Address Of Location Making The Purchase

Tractor And Trailer Number

Odometer Reading

Disposition Of Old Tires

Return old tires to driver

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8636 WARD MANAGEMENT GROUP INC ~ DBA FLEET ADVISORS 1107 Hazeltine Blvd, M. D. 68 , Chaska, Minnesota 55318

Purchase Order Number

Phone 800/337-4757 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

VIN Number

Last 6 digits

Odometer Reading

8643 WARD TRUCKING CORPORATION ~ P O Box 1553, Altoona, Pennsylvania 16603-1553

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/458-3625.

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

9003 WARREN PINE STRAW CO INC ~ 24273 CR 49, O'Brien, Florida 32071

Purchase Order Number

A Purchase Order number MUST be obtained by calling one of the following people:

Vehicle Number

Odometer Reading

8666 WARREN TRANSPORT INC ~ 210 Beck St, P O Box 420, Waterloo, Iowa 50704-0420

NOTE: DO NOT CONFUSE WITH:

WERNER ENTERPRISES INC - NA-8694

Purchase Order Number

A P O Number MUST be obtained by calling TOLL FREE 800/553-2481.

Unit Number

License Number And State Issuing

Wheel Position Of New Tire

Odometer Reading

8648 WASTE CONNECTION INC ~ 2295 Iron Point Road Suite 200, Folsom, California 95630-8767

DO NOT BILL TO THE PARENT COMPANY ADDRESS IN FOLSOM CALIFORNIA!!!! MAKE SURE TO PROVIDE THE CORRECT CUSTOMER SHIP TO

ADDRESS FOR BILLING PURPOSES. THE SHIP TO ADDRESS IS WHERE THE BILL WILL BE MAILED.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

District Number

Odometer Reading

8675 WASTE INDUSTRIES INC ~ 3301 Benson Dr Suite 601, Raleigh, North Carolina 27609

Purchase Order Number

Complete Ship - To Name And Address Of Location Making The Purchase

Kim 386.590.0104

Robin 386.590.1713

Tyrone 386.590.1258 OR 386.935.3228

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The address entered in this field is where the bill will be sent. Ask the driver for the invoice address. Do not use drivers home

address.

Odometer Reading

Location Code

8672 WASTE MANAGEMENT INC ~ WW TIRE 226 N Sherman - Ste D, Corona, California 92882

SUPPLY POINT MUST FAX A COPY OF THE DELIVERY RECEIPT TO WW TIRE AS SOON AS THE WASTE MANAGEMENT LOCATION SIGNS FOR

MERCHANDISE AND THE DELIVERY RECEIPT IS PROCESSED.

FAX TO TOLL FREE 866/824-5568

***IMPORTANT NOTE***When delivering or installing a new 315/80R22.5 size tire to Waste Management, their preferred tire is the G289 WHA

(756-141-613) or G289 WHA DuraSeal (756-141-614). Any other Goodyear tire in this size will need to get formal authorization from WM local

management prior to delivery or installation.

Purchase Order Number

Site will provide

Complete Ship-To Name And Address Of Location Making The Purchase

NOTE: Not all companies affiliated with Waste Management may buy thru this program. ONLY SUBSIDIARIES may buy.

PARTNERS may NOT. Ask the location if they are a subsidiary or partner of Waste Management.

District Number

8680 WATKINS ASSOCIATED INDUSTRIES ~ P O Box 8950, Lakeland, Florida 33806-8950

Purchase Order Number

Peace Valley Groves Inc will issue a purchase order at the time of order

Complete SHIP - TO Name and Address of Location Making the Purchase

Location Code

Odometer Reading

9004 WATSONTOWN TRUCKING COMPANY ~ 60 BELFORD BLVD, MILTON, PENNSYLVANIA 17847

Supply Point must call shop for PO # @ 570-522-1258

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application so you MUST

ask the customer for correct information.

9014 WATT AND STEWART TRUCKING, INC ~ 3645 N Highway 67, San Angelo, Texas 76905

Vehicle Number

Trailer Number

If Applicable

Odometer Reading

8586 WCA WASTE CORP ~ One Riverway Ste 1400, Houston, Texas 77056

Purchase Order Number

Provided by the location making the purchases

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

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8588 WDC EXPLORATION & WELLS ~ 500 Main St, Woodland, California 95695

Purchase Order Number

Driver will supply

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Equipment number

Odometer Reading

District Number

Reason for Replacement

VIN Number

8649 WEL COMPANIES INC ~ 1625 S Broadway, Depere, Wisconsin 54115

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/333-4415.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8695 WERNER CONSTRUCTION INC ~ 129 E 2nd St, Hastings, Nebraska 68901-2003

DO NOT CONFUSE WITH NA 8694 WERNER ENTERPRISES INC

Purchase Order Number

Driver or equipment manager will provide

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

8694 WERNER ENTERPRISES, INC ~ Hwy 50 & I 80 - P O Box 45308, Omaha, Nebraska 68145-0308

NOTE: DO NOT CONFUSE WITH:

WERNER CONSTRUCTION INC NA 8695

NOTE: Wheel Balancing and Retreads are NOT authorized unless the Enroute Maintenance Agent approves.

NOTE: All Tires MUST be 295/75R22.5 load range "G" - with no exception.

Purchase Order Number

The DRIVER is to call HIS BREAKDOWN telephone number FIRST to report the problem whether from the road or from your

facility. A Werner Maintenance Operator will then call your facility back prior to any purchase or repairs made to their equipment.

They will inform you of the specific repairs to be performed. At this time they will give you a 4 digit Breakdown or Authorization

Number. THIS IS NOT A PO NUMBER AND DOES NOT AUTHORIZE THE PURCHASE. Do NOT show this number on the Delivery

Receipt. AFTER THE COMPLETION OF REPAIRS CALL TOLL FREE 800/362-3080 OR COLLECT 402/895-4006 FOR A 7 DIGIT

PURCHASE ORDER NUMBER. PO Numbers issued for the Owner-Operator program will have an additional 2 digit alpha prefix.

NOTE that the driver does not have the authority to approve ANY work. The above procedure MUST be followed. If there is a

problem or any question call the Enroute Maintenance Dept at the numbers given above PRIOR to any work being done.

Name Of Person Authorizing Purchase

Tractor Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Trailer Number

Serial Number Of Old Tires

Serial Number Of New Tires

Odometer Readings

Disposition Of Old Tires

It is up to driver whether or not to take old tires. Note on D/R YES or NO. IF CASING IS GOOD IT IS TO BE PURCHASED AND

SHOWN ON INVOICE AS CREDIT.

9005 WEST TEXAS GAS INC ~ 211 N Colorado St., Midland, Texas 79701

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Signed By

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

License Number and State Issuing

8758 WESTAR ENERGY INC ~ 1900 East Central, P O Box 208, Wichita, Kansas 67201

Check Photo Id Card

Repair Order Number

A Repair Order Number MUST be obtained by calling COLLECT within Topeka 913/575-8284. From all other states call TOLL FREE

800/582-6154.

Complete Ship-To Name And Address Of Location Making The Purchase

Equipment Number

Employee Number (4 Numeric Digits)

Obtain from ID Card

Odometer Reading

Reason for Replacement

8725 WESTERN BENTONITE ~ DIV OF TEXAS CES INC P O Box 1299, Gainesville, Texas 76420

Purchase Order Number

Driver will have number to phone to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

8728 WESTERN CO-OP TRANSPORT ASSN ~ 4501 72nd Street SW PO Box 327, Montevideo, Minnesota 56265-0327

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Trailer Number

When applicable

Odometer Reading

Signed By

8727 WESTERN CONSTRUCTION INC ~ 10139 S Federal Way, Boise, Idaho 83716

Purchase Order Number

Phone TOLL FREE 800-582-5281 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Job Number

8729 WESTERN DAIRY TRANSPORT LP ~ 950 Shelton Dr. PO Box 889, Cabool, Missouri 65689

Formerly known as Milk Transport Services LP NA 5578.

Purchase Order Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

8730 WESTERN EXPRESS INC ~ 7135 Centennial Place, Nashville, Tennessee 37209

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Smithway Motor Express Inc now purchases thru this program

Purchase Order Number

Phone TOLL FREE 866/889-5580. (24 hrs 7 days a week)

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Disposition Of Old Tires

ALWAYS Return old tires to driver. Will not pay disposal charge.

Serial Number of New Tire

Serial Number of Old Tire

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

8822 WEYERHAEUSER COMPANY ~ (Various Locations)

Purchase Order Number Or Blanket Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT the Division involved.

Complete Bill-To Name And Address Must Be Obtained From The Representative Receiving The Merchandise And

Indicate In The Bill-To Blank.

Complete Ship-To Name And Address Of Location Making The Purchase

9006 WHITE OAK TRANSPORTATION INC ~ 2205 Hwy 20 West, Decatur, Alabama 35601

Purchase Order Number

Purchase Order number MUST be obtained for all purchases. Call Walter Cornell or Paul Wicklund at 877.948.3625 to obtain.

After hourse call 877.948.3625 Ext 206.

Vehicle Number

Odometer Reading

Wheel Location

License Number and State Issuing

8875 WHITELINE EXPRESS LTD ~ 41605 Ann Arbor Rd, Plymouth, Michigan 48170

Goodyear G316 or G314 retreads are the preferred choice for trailer tires. *All drive tires are to be new G305AT or substiture another new drive

tire.*

All steer tires are to be G399 Fuel Max.

MAKE SURE TO FAX THE DELIVERY RECEIPT TO THE CORRECT NUMBER ACCORDING TO LOCATION CODE. FAX A COPY OF THE DELIVERY

RECEIPT ALONG WITH YOUR CALL BACK AND FAX NUMBER TO THE APPROPRIATE NUMBER BELOW AND YOU WILL GET A CALL BACK WITH A

PURCHASE ORDER NUMBER.

LOC CODE CITY/STATE FAX NUMBER PHONE NUMBER

ME Medina, OH 217-355-0114 888-355-0142

PC Plant City FL 217-355-0114 888-355-0142

CH Champaign, IL 217-355-0114 888-355-0142

PL Plymouth, MI 734-416-9663 734-454-1265

JC Jackson Center, OH 937-596-5266 800-544-4796

GA Garland, TX 972-271- 2304 972-276-8660

HI Highlands, TX 281-452-6016 281-452-7790

ME Medina, OH 937-596-5266 800-544-4796

PC Plant City, FL 863-583-0417 813-759-2503 EXT 214

EL E. Longmeadow, MA 413-526-9789 413-526-9954 EXT 123

MO Modesto, CA 217-355-0114 888-355-0142

WOA Illinois and Missouri 217-355-0114 888-355-0142

ABS Plymouth, MI 734-416-9663 734-454-1265

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Purchase Order Number

Will be supplied when delivery receipt is faxed to the appropriate location above. Must have both Tractor and Trailer number to

request PO#. Also, need the tire product code, the charge(dollar amount) for any valves, casings, and casing disposal fees that

will be charged.

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Vehicle Number

MUST have both Tractor and Trailer number to get PO#. If work is performed on trailer only, you MUST get the vehicle number of

tractor attached to the trailer.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Location Code

Wheel Location

Trailer Number

Must have both Tractor and Trailer number to get PO#. If work is performed on trailer only, you MUST get the vehicle number

attached to the trailer.

7999 WHITEWOOD TRANSPORT INC ~ 2185 Goodman Rd, Billings, Montana 59101

Purchase Order Number

Will be phoned in by authorizing agent

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

9010 WILD WEST EXPRESS, INC. ~ 850 Squirrel Rd, Las Cruces, New Mexico 88007

Purchase Order Number

Vehicle Number

Trailer Number

If Applicable

Odometer Reading

Wheel Location

Disp Of Old Tires

7350 WILEY SANDERS TRUCK LINES INC ~ 100 Sanders Road PO Drawer 707, Troy, Alabama 36081

NEW COMMERCIAL TIRES ARE RESTRICTED TO THE FOLLOWING SIZES: 11R22.5 AND 285.75.R24.5 ONLY. FAILURE TO COMPLY MAY RESULT

IN CHARGEBACK.

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/633-8740.

Vehicle Number

Odometer Reading

8945 WILLIAMS BROTHERS TRUCKING INC ~ 452 Baxley Hwy, Hazlehurst, Georgia 31539

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 912-375-7777

Wheel Location

Vehicle Number

License Number and State Issuing

Disposition of Old Tire

Return old tire to driver whenever possible

Odometer Reading

8943 WILLIAMS COMPANIES INC ~ One Williams Center, Tulsa, Oklahoma 74712

Complete Ship-To Name And Address Of Location Making The Purchase

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Driver's License Number And State Issuing

Required for Williams Gas Pipeline-TX Gas ONLY

Employee Number

Required for Williams Gas Pipeline-TX Gas and Central Inc ONLY

Vehicle Number

Odometer Reading (Autos And Truck Only)

8952 WILLS TRUCKING CO ~ 3185 Columbia Rd, Richfield, Ohio 44286

Wingfoot is the preferred servicer/supplier for road service when within a 20 mile radius of downed vehicle. Over 20 miles please find the closest

supplier, whether Wingfoot or not.

The only people authorized to make purchases or approve road service for this account are:

Dave Kucinic

Glenn Miller

Rich Smith

Craig Stacy

Purchase Order Number

Contact Dave Kucinic at 216-244-5262 ([email protected]) PRIOR to work being performed. When after hours service is

performed, the next morning phone Dave Kucinic at 216-244-5262 ([email protected]) to obtain authorization.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Location Code

Reason for Replacement

Disp Of Old Tires

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application, so you MUST

ask the customer for correct information.

8962 WILSON TRUCKING CORP ~ P O Box 200, Fishersville, Virginia 22939-0200

Purchase Order Number

A Purchase Order Number MUST be obtained by calling COLLECT 540/949-3236.

Vehicle Number

Odometer Reading

9009 WILSONART INTERNATIONAL INC ~ 10535 NW H.K. Dodgen Loop, PO Box 6110, Temple, Texas 76503-6110

Purchase Order Number

To Obtain contact Cody Mask @ 254-207-6614

Vehicle Number

Odometer Reading

8653 WINCO FOODS LLC ~ P O Box 400, Woodburn, Oregon 97071

Purchase Order Number

A Purchase Order Number MUST be obtained by calling 503/982-4900; Ext 6976.

Vehicle Number

Odometer Reading

9018 WISEWAY MOTOR FREIGHT INC ~ DBA WISEWAY TRANSPORTATION 1450 Swasey St., Hudson, Wisconsin 54016

**NOTE: Only 295/75 R22.5 size tires are authorized. MUST call 800-359-9532 Ext. 157 for approval to use any other tires.

Purchase Order Number

Required for STOCK purchases only.

Vehicle Number

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Disp Of Old Tires

Tires to be returned to driver.

Odometer Reading

8591 WLX LLC ~ P O Box 681127, Riverside, Missouri 64168-0127

Purchase Order Number

Phone 785-235-0597 to obtain

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Wheel Location

Reason for Replacement

9001 WOODY BOGLER TRUCKING CO ~ 6048 Hwy 50, Gerald, Missouri 63037

Tire preference:

Steer 11r22.5 gdyr 662 fuel max 2nd choice G395 fuel max 3rd dun sp384

Steer 29575r22.5 gdyr G395 fuel max 2nd choice dun sp384

Drive 11r22.5 gdyr g662 fuel max 2nd choice G395 fuel max 3rd dun sp384

Drive 29575225 gdyr G395 fuel max 2nd choice dun sp384

Trailer 11r22.5 gdyr g662 fuel max 2nd choice G395 fuel max 3rd dun sp384

Trailer 29575225 gdyr gdyr G316 fuel max 2nd choice dun sp193 3rd gdyr g316 duraseal

Authorized By

Last name of person authorizing

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

P.O. Number

Phone 573-764-3700 ext 121 to obtain

9000 WOOSTER MOTOR WAYS INC ~ P O Box 19, Wooster , Ohio 44691

Purchase Order Number

To obtain phone TOLL FREE 800-683-0564

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

9007 WRIGHT EXPRESS ~ 225 Gorham Road, South Portland, Maine 04106

NOTE: TIRES FOR FEDERAL OR STATE/LOCAL GOVERNMENT AGENCIES CAN NOT BE BILLED OR PROCESSED THROUGH THE WRIGHT EXPRESS

CARD. ALL WRIGHT EXPRESS TRANSACTIONS REQUIRE AN AUTHORIZATION. PLEASE WAIT FOR A FINAL DOLLAR TOTAL BEFORE CALLING FOR

AUTHORIZATION.

NOTE: There are ONLY a few co-brand cards that are authorized to process through the WEX program. If you are presented with a co-brandcard

and it will not process through the WEX program, then it must be processed through the appropriate fleet maintenance program and not WEX.

1. Determine the work that is needed and obtain verbal approval from the LOCAL Fleet Manager OR Driver.

2. Call Wright Express for payment approval as outlined below under Authorization Number requirement.

3.WHEN PROVIDING ESTIMATE FOR AUTHORIZATION PURPOSES FOR GOODYEAR AND DUNLOP TIRES USE GOODYEAR MSRP PRICING.

4.WHEN PROVIDING ESTIMATE FOR AUTHORIZATION PURPOSES FOR KELLY AND REPUBLIC TIRES USE DEALER'S FULL RETAIL PRICE.

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Service Card Number(13 digit card number)

Copy the embossed 13 digit card number exactly as it appears on the service card

Card Expiration Date (MM/YYYY)

Complete SHIP-TO Name and Address of Location Making the Purchase

Vehicle Number

Authorization Number

You MUST obtain an Authorization Number on every transaction, regardless of price, by calling the WEX authorization line TOLL

FREE 888/207-1008.

Vehicle Type

Year, Make and Model of Vehicle

Driver's Id Code(Pin #)

Driver MUST provide

Authorized Service Dollar Amount

VIN Number

Authorized By

Odometer Reading

9008 WRIGHT TRANSPORTATION INC ~ 2333 Dauphin Island Pkwy, Mobile, Alabama 36605

For steer, drive and trailer positions customer would like to use G316 (1st choice) or SP193 (2nd choice).

KTSA (3rd choice.) - TRUCKSTOP LOCATIONS ONLY

Authorized By

Dispatcher's name

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

9012 WSWA - WINE & SPIRITS ~ DBA WHOLESALERS OF AMERICA 805 15th St NW Suite 430 , Washington, DC 20005

DISTRIBUTOR NUMBER MUST BE PROVIDED

Distributor number

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Wheel Location

Odometer Reading

9051 XTL, INC. ~ 3200 South 70th Street, Philadelphia, Pennsylvania 19153

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Odometer Reading

Driver's Name

9057 XTRA LEASE ~ 1801 Park 270 West, Suite 400, St Louis, Missouri 63146

NOTE: THIS ACCOUNT IS AUTHORIZED FOR GOODYEAR TIER 1 PRODUCT ONLY

NOTE: YOU MUST OBTAIN A UNIQUE PO# FOR EACH TRANSACTION, INCLUDING CORRECTIONS. IF YOU NEED TO CORRECT OR MAKE AN

ADDITION TO A DELIVERY THAT HAS ALREADY BEEN SUBMITTED YOU MUST OBTAIN A SEPARATE PO#. DUPLICATE PO#'S WILL BE CHARGED

BACK.

NOTE: DELIVERY RECEIPTS FOR THE ACCOUNT MUST BE SUBMITTED WITHIN 60 DAYS TO THE WHOLESALE OPERATIONS CENTER OR THE

ACCOUNT MAY REFUSE PAYMENT.

NOTE: FOLLOWING ARE THE ONLY THREE VALVE CODES AUTHORIZED FOR THIS ACCOUNT:

041-210-000 TUBELESS ALUMINUM VALVE STEM $4.17

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041-271-000 TUBELESS STEEL VALVE STEMS $4.17

041-273-000 VALVE STEM - BRASS $4.17

Purchase Order Number (9 Digits)

A Purchase Order Number MUST be obtained by calling the Road Service Dept TOLL FREE 800/325-1453 Ext 800.

Name Of Person Authorizing The Purchase

Complete Ship-To Name And Address Of Company Making The Purchase.

Truck Number

Trailer Number (6 Digits)

Serial Number Of Old Tire

Hubdometer Reading

Wheel Position Of New Tire

Tread Depth Of Tire Removed

Time Service Completed

Printed Name Of Driver

Use caller's name if an On-Site delivery and there is no driver.

Disposition Of Old Tires

Return tires to driver if casing can be salvaged.

Location Code

9098 YOURGA TRUCKING INC ~ 145 Yourga Place, P O Box 607, Wheatland, Pennsylvania 16161

Purchase Order Number

A Purchase Order Number MUST be obtained by calling TOLL FREE 800/245-1722.

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY. Your Y/N answer will facilitate correct sales tax application.

Vehicle Number

Odometer Reading

9066 YRC, INC ~ P O Box 7270, Overland Park, Kansas 66207

DO NOT CONFUSE WITH YRC GLEN MOORE (NA 8292)NOTE: MAKE SURE YOU HAVE THE PROPER TERMINAL CODE AND CREDIT CARD NUMBER

TO BE CHARGED FOR THE SERVICE

NOTE: YOU SHOULD ALWAYS GET A CREDIT CARD AND TOKENIZE FOR EACH TRANSACTION PRIOR TO PERFORMING SERVICE

NOTE: EMERGENCY ROAD SVC PREFERENCE FOR TIRES/RETREADS IS AS FOLLOWS:

1. YRC Inc. company-owned tire.2. New Tire - G316 Fuel Max for trailing; G395 Fuel Max for steer; G305 Fuel Max for drive. 3. Gold Medallion

G316 Fuel Max stock recap (trailing) and G305 Fuel Max stock cap for drive.4. Purchase new Goodyear, Dunlop or Kelly branded tires, other

than listed above.

* Special instruction for Travel Centers of America (TA) - Please supply Dunlop SP193 for trail.

NOTE: The practice of changing an outside position tire without removing the wheel, commonly referred to as “pop & peel” or “skinning”, is not

an approved practice when servicing YRCW equipment. The wheel is to be removed when changing a tire.

All tire changes, regardless of wheel position or service location , yard or road side, are to be performed using YRCW approved process as

detailed in the YRCW Enterprise Process Manual dated February 1, 2010. Refer to complete Technical bulletin on Tire-Hq

NOTE: When tires cannot be retreaded they are to be returned as received (RAR) to YRC. The number of units returned must be entered on the

delivery receipt using service product code 046-162.

NOTE: Sales of automobile tires and service for YRC's company cars are NOT to be processed thru this program. They use NA-3278 GE Capital

Fleet Services and should present a GE Capital authorization.

NOTE: A removed tire should be scrapped and billed when doing a road service call for YRC, Inc.

NOTE: When wheels have been removed, perform the following standard work procedures before installing the wheels:

· Check for corroded studs

· Check for cross-threaded studs and nuts

· Replace bad studs & lug nuts

· Remove dirt buildup on studs

· Remove scale buildup on wheels

· Apply 2 drops of oil to each stud (hub-piloted wheels only)

· Apply 2 drops of oil between the nut flange and body (hub-piloted wheels only)

· Using a 1” impact wrench, snug nuts using a crisscross pattern

· Rotate wheel and check run-out against a fixed object

· If run-out OK, tighten all lug nuts

· Using a hand torque wrench, check all lug nuts for correct torque:

o 500 ft. lbs. hub-piloted wheels

o 500 ft. lbs. stud-piloted wheels

o 250 ft. lbs. spoke wheels

The above standard work procedures are in addition to, and not in lieu of, all other procedures you may or should have in place to ensure your

work is free from defects in both materials and workmanship.

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Purchase Order Number

PO# should be provided for new tires and caps/casings.

Complete Ship-To Name And Address Of Location Making The Purchase

For vehicles on the road this means the business address of the terminal to which the vehicle is assigned.

Terminal Number

Tractor Number

Gross Vehicle Weight Over 26,000 Lbs?

Pertains to deliveries in New Jersey and New York ONLY.

Your Y/N answer will facilitate correct sales tax application so you MUST ask the customer for correct information.

Odometer Reading

Check ID Card

To confirm you are servicing a YRC employee

CC Token

CC Holders Name

Name as printed on the Credit Card

CC Type

AX, MC, VS

CC Exp Date (MM/YYYY)

Emergency Road Svc (Y/N)?

9135 ZIMMERMAN TRUCK LINES, INC. ~ 190 East Industrial Drive PO Box 130, Mifflintown, Pennsylvania 17059

NOTE: Fax copy of delivery ticket to 717-436-6558.

Purchase Order Number

You MUST obtain PO# by calling 717-436-2522 opt 7 or extension 259.

Complete SHIP - TO Name and Address of Location Making the Purchase

Vehicle Number

Odometer Reading

Authorized By

Wheel Location

9145 ZONE STRIPING, INC. ~ 501 New Jersey Avenue PO Box 568, Glassboro, New Jersey 08028

Vehicle Number

Complete SHIP - TO Name and Address of Location Making the Purchase

Wheel Location

Odometer Reading

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