1930s Original Acme Automobile Tire and Battery Repair Form BLANK AC9

See pics for condition.

1930s Original Acme Automobile Tire and Battery Repair Form BLANK AC9

ACME REPAIR REPORT
Date
(DEALER OR STATION NO.)
Report Submitted bu
City
Tire
Battery owned by
Citv
Bond No
Date of
Bond
Tire Serial Number
Battery Code
NOlf: Be sure size and serial are eyactlv the same as shown on Bond
ACME BATTERY REPAIR
Ouan
DESCRIPTION
Amount
Total Credit
Section
LABOR
Container Replaced
One Cell Repaired
Two Cells Repaired
Three Cells Repaired
e of Injury
Rebuild Term. Fost
Reburnerminal
Recharge
Total Labor
Probable Cause
MATERIAL
Conta
Covers
Separators
Pos. Plates
Neg. Plates
State
State
Size
ACME TIRE REPAIR
Size of Injury
Total
Received
Total Material
Total Credit Claimed
Container Information
If Container replaced check below
[ Pinhole
[ Crack
( Broken Handle
Note: Branch Manager will send this report to lire Sales Supervisor
Tire Sales Supervisor will OK and pass to Accounting Department