Citation V6-173 2.8L VIN Z 2-bbl HP (1983)
INSTRUCTIONS
1.
R.O. NUMBER & DATE! The dealership should enter the R.O. Number and Date of the owner's or dealer's paid receipt for invoice.
2.
REQUEST DATE (MONTH, DAY): Date owner or dealer requested reimbursement.
3.
VEHICLE IDENTIFICATION NUMBER: VIN involved.