3
8
Reference Mileage for Service
Actual Mileage
Date
Service Item
Dealer's Stamp
5,000m
_____ (MMM) ___ (DD) _____ (YYYY)
5,500m
_____ (MMM) ___ (DD) _____ (YYYY)
6,000m
_____ (MMM) ___ (DD) _____ (YYYY)
6,500m
_____ (MMM) ___ (DD) _____ (YYYY)
7,000m
_____ (MMM) ___ (DD) _____ (YYYY)
7,500m
_____ (MMM) ___ (DD) _____ (YYYY)
8,000m
_____ (MMM) ___ (DD) _____ (YYYY)
8,500m
_____ (MMM) ___ (DD) _____ (YYYY)
9,000m
_____ (MMM) ___ (DD) _____ (YYYY)
9,500m
_____ (MMM) ___ (DD) _____ (YYYY)
P
ERIODIC MAINTENANCE RECORD
* Copy the periodic maintenance record for further applications, if necessary.