Part Number:
Order Date:

Part came from:	Ford	Western Star
OTYPE:	FDINT	FDPRI	ALDAY	ALEO	ALCO	HOINT	HOPRI
Order#:

Problem is:	Damaged	Defective	Boxed Wrong	Customer cancel	Other

Description of damage or defect:

If part is boxed or tagged wrong, please identify part received, if possible.
Please give description of part, if not possible to identify:

Other notes:

Branch: