<table> <tbody> <tr> <td><strong>Make</strong></td> <td></td> </tr> <tr> <td><strong>Model</strong></td> <td></td> </tr> <tr> <td><strong>Year</strong></td> <td></td> </tr> <tr> <td><strong>Serial No.</strong></td> <td>XX</td> </tr> <tr> <td><strong>Meter reads</strong></td> <td>XX</td> </tr> </tbody> </table> , , XX, TIRE, EX#705