ISU2U Your responsible partner BM, Domingo Motor Sales, Inc. VEHICLE DELIVERY RECEIPT Branch: Km. 40, Cagayan Vall Road, Tabang,Plaride, Butacan 3004 Main: BMD Motors Bldg. Cabanatuen Ci, Nuova Ecia varaet Tm cooaee stones No, 08636 Deliveredto: Province of Sultan Kudarat Date: TIN : Vehicle Checist () With 00 Without NA.) Not Apptcabo | Provincial Capt, Katawag Address . . ae 1. Owner's Manual ( ) f. Handle Extensions ( ) Terns “ (2. War Booklet ( ) 4. Spare Tire ) MODEL / DESCRIPTION — ee : | a tsuzu 5. Wheel Center Ca 2017 Isuzu Crosswind XT Black Series 0 ae i b. Aircon, () 6 Lighter: a) Color Venetian Red Mica Engine No. 4441 62084 bebiatlae fy Pimmortt 7 Serial No, PABTERS4FH2084680 @.Battery —(-) 8. Seat Cover oO Conduction Sticker: DoAZa5 Year Model 017 3, Tool Set () 9 Keys 0 Delivery Authorized By: a Scrow Driver ( ) 10. 0thers O b. Plier O oO Karl fsrnimac | © Open Wrench ( ) oO fg7cn Manacet | 4 tewronch ( ) oO fe. Jack & Handle ( ) O Received the vehicle in good order and condition. Province of Sultan Kudarat Kilometer Reading: “THIS VEHICLE DELIVERY RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP."‘ISUZU B.M. DOMINGO MOTOR SALES, INC. Your Responsible Partner km. 40, Cagayan Valley Road, Tabang, Plaridel, Bulacan 3004 Tel. Nos.: (02) 299-8506; (044) 795-2342; (044) 670-3352 VAT REG. TIN 000-229-279-002 . » Soto * Province Veblgle Sales Invoice Received from Provincial Capitol, Kalawag Hf, [sulan, Sultan Ki ‘udarat udarat Address: tone Bus, Sie: pop.sap-qa0 BWLESMAN - Jost Convan FNM, | seelCenann MONTHLY AMORTIZATION 3 cop MODEUDESCRIPTION 2017 Isuzu Crosswind XT Black Series coun 1.070,000.00 Color Discount : 0 Venetian Red Mio 0.90 Engine No ee ——_20 M62084 Net Price Serial No PABTBRS4FH2004680 D eee see Sticker DOAZ35 lownpayment 0.00 ‘ear Model ee ee ae PARTICULARS Complete set of tools, Warranty Booklet & Ovmers Manual VATable Sales VAT-Exempt Sales Zero-Rated Sales VAT Amount We hereby expressly agree that any legal action arising out of this invoice may be instituted by B.M. Domingo Motor Sales, Inc. in any competent court of Bulacan, Philippines and that 25% of the total amount due is to be added as attorney's fees in case Cf such litigation or a minimum of P2,000. Interest of 24% per annum will be charged on alll overdue accounts. Received the above Articles/Vehicles, in Good Order and Condition. neater Total Sales (VAT\ Inclusive) ‘Amount: Net of VAT Less: SC/PWD Discount ‘Amount Due ‘Add: VAT 995,357.14 114,642.86 Total Amount Due 1.070,000.00 APPROVED B Province of Sultan Kudarat ARB: ingo Buyer DIAN, umes uae Date: OSCA/PWD ID Ne Carholder's Signature. No, 08636 “THIS VEHICLE SALES INVOICE SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.”TRANSACTION 1 110088071020170053 REPUGHIL UF INE PHILIPPINES Department of Transportation East Avenue, Quezon City ACCREDITED M.A.J.: ISUZU PHILS. CORPORATION (M/A) REPORT ENTRY ID :1700001389772 LAND TRANSPORTATION OFFICE CERTIFICATE OF STOCK REPORTED CSR NUMBER : 000710201703EA ADDRESS : 114 TECHNOLOGY AVE. TECHNOPARK, -, BIRAN, LAGUNA, REGION 4 REPORT DATE :07/102017 ACCREDITATION NUMBER : 04-1992-000001451 ITEM TYPE : COMPLETELY BUILT UNI ENGINE NO, suatlM62084 PISTON DISP :2500 FUEL TYPE :DIESEL CP NO.: | Boo087337e00 DATE ISSUED 105312017 CYLINDERS: 4 CHASSIS NO. : PABTBRS4FH2004680 MAKE: ISUZU SERIES :170 XT BLACK SE CP NO.: 800087397920 DATE ISSUED .0519172017 NO. OF FRONT TIRES :2 BODY ID NO. :TERS4ACK 2017111687 YEAR: 2017 GVW: 2180kg, NO. OF REAR TIRES: 2 sIR-CCMV: 2 DATE ISSUED : BODY TYPE :WAGON TAXTYPE:NA TAX AMOUNT:0 COLOR : VENETIAN RED MICA AIRCON TYPE : R124a - OZONE FRIENDLY SUBSTANCE CONDUCTION STICKER NO. : D0A235 COC NO:12-2485 REMARKS . . DATE PREPARED : 07/10/2017 APPROVING OFFICER EVALUATOR NOT VALID FOR REGISTRATION bistRicr OFFICE, {ij a] z ‘Rea Yoana F] ae] all 2 | Rm) 2 =o S) Beasts Pieg| REY & | 2 Sam Es eeca Mls S | Tee iis] & BR Boe oe g/2%] sls eo { S| oes 2228 2. Bali?) Sika S | 2 43] 8 2e5 USBSS a) 3 3 | [fe |g) 2 oe 2hoe.0 a2] aiieq 8 ed ee HEF reasacrons) eS 8] go5 eess fa. si] Sl igBo I.) le Se 25| 2 ACEREDITED M.A 5 ne 3 Ba eo Sg jee] 35 53 3 = 5 es| ies REPORTENTRYI] | BR > ae HS ge Ea)ee] alee 22 RerorToaTe:o| Hf é 22 Bo 86 58] E/@ ba S = ae aS 2 2 al a ag ENGINE NO. 24Jat| [5 s eS 3| 2/S epne CPNO.: BO a 5 3] § @ | i222 E 3 = z Bae CHASSISNO.:PA) [2 3 a \ ; Pate CPNO.: B00 ie 5] ar Bl, e 26ne BODY ID NO. :TBi oe a¢ ‘ 2 ads iR.couv oe ae g i & R323 sooy Tyee :wag | SB ae S 32as COLOR: VENETIA | He : ey g g 2835 ao” : ee na 9 722 a : 2 eg 3 3 g a : j - g Ro V3 : x 3 a 3 aed |S Sg 5 an |S 6 as g 2 i 5 Te ( a7 8