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XTC 125
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XTC 125
WARTUNGSBESTÄTIGUNG WARTUNGSBESTÄTIGUNG
Bremsüssigkeit und Kühlüssigkeit
Bremsüssigkeit neu
ja nein
Kühlüssigkeit neu
ja nein
km .....................................
Datum ...............................
Stempel, Unterschrift
Bremsüssigkeit neu
ja nein
Kühlüssigkeit neu
ja nein
km .....................................
Datum ...............................
Stempel, Unterschrift
Bremsüssigkeit neu
ja nein
Kühlüssigkeit neu
ja nein
km .....................................
Datum ...............................
Stempel, Unterschrift
Bremsüssigkeit neu
ja nein
Kühlüssigkeit neu
ja nein
km .....................................
Datum ...............................
Stempel, Unterschrift
km ..................................
Datum .............................
km ..................................
Datum .............................
km ..................................
Datum .............................
km ..................................
Datum .............................
km ..................................
Datum .............................
km ..................................
Datum .............................
km ..................................
Datum .............................
nach 66.000 km/66 Monaten
Händlerstempel:
nach 54.000 km/54 Monaten
Händlerstempel:
nach 48.000 km/48 Monaten
Händlerstempel:
nach 86.000 km/86 Monaten
Händlerstempel:
nach 60.000 km/60 Monaten
Händlerstempel:
nach 72.000 km/72 Monaten
Händlerstempel:
nach 80.000 km/80 Monaten
Händlerstempel:
km ..................................
Datum .............................
nach 42.000 km/42 Monaten
Händlerstempel:
34


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