Isuzu B.M. Domingo Motor Sales, Inc. Branch: Km. 40, Cagayan Valley Road, Tabang, Plaridol, Bulacan 3004 ain: BMD Motors Bldg., Cabanatuan Gity, Nueva Ecija . VAT REG. TIN 000-229-279.002 Your responsible partne VEHICLE DELIVERY RECEIPT No. 08635 Province of Sultan Kudarat Delivered to : TIN Address Terms i MODEL / DESCRIPTION 2017 Isuzu Crosswind XT Black Series Color Venetian Red Engine No. 4JA1 M3295 Serial No. PABTBRS4FHZ095854 Conduction Sticker Doss: Year Model 2017 Delivery Authorized By: Received the vehicle in good o{der and condition. Province of Sultan Kudarat Dat Vehicle Checklist (!) With (X) Without (N.A.) Not Applicable 1.Owner's Manual () — f. Handle Extensions ( ) 2. Warranty Booklet ( ) 4. Spi Tire O) a. Isuzu () 5. Wheel Genter Caps ( ) ». Aircon () 6 Lighter O) ©. Stereo (.) 7. Floor Mat QO d. Battery () 8. Seat Cover a) 3. Tool Set () 9 Keys a) a. Screw Driver ( ) 10, Others 0 b, Plior O) () ©.Open Wrench ( ) 0) 4.Tire Wrench ( ) O ©. Jack & Handle ( ) 0 Kilometer Reading: Enea “THIS VEHICLE DELIVERY RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP.”Ssueu 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 Vehicle Sales Invoice eae Sold Te : Province of Sultan Kudarat Provincial Capitol, Kalawag If, fsulan, Sultan Kudarat Address Bus. Style: None TIN + 002-568-789 SALESMAN: Joel Cervania MONTHLY AMORTIZATION FINANCE CO. : cop TERMS cop MODEUDESCRIPTION Unitas 41,070,000.00 2017 Isuzu Crosswind XT Black Series yee. 0.00 Color Venetian Red : Engine No. + ANAT M63295 aS Spo ae Sertal No. . + PABTBRS4FH2095864/ Downpayment 0.00 Conduction Sticker 001937 / ‘ Year Model 2017 Balance : 1.070,000.00 PARTICULARS Complete set of tools, Warranty Booklet & Ovmers Manual Total Sales (VAT Inelusive) + Amount: Net of VAT VATable Sales Less: SC/PWD Discount \VAT-Exempt Sales Amount Due 995,957.14 Zero-Rated Sales ‘Add: VAT eee \VAT Amount Total Amount Due Baliye nl APPROVED BY: 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, = Province of Sultan Kudarat Philippines and that 25% of the total amount Buyer due is to be added as attomey’s fees in case 08635 of such litigation or a minimum of P2,000. D.R. No. Interest of 24% per annum will be Date: charged on all overdue accounts. OSCA/PWD ID No. Received the above Articles/Vehicles in Good Order and Condition. ee. ed ee eee Se eee No.08635 “THIS VEHICLE SALES INVOICE SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATPNPITMIG COPY nerve TRANSACTION ID: 010098101120170055 ACCREDITED M.AL.: ISUZU PHILS. CORPORATION (M/A) REPORT ENTRY ID :1700002070998 REPORT DATE : 10/11/2017 ENGINE NO. :4JA1N63295 CPNO.: — 800087710519 CHASSIS NO. : PABTBRS4FH12095864 cPNO.: 800087710519 BODY ID NO, :TBRS4ACK 113190 BIR-CCMV. BODY TYPE : WAGON COLOR: VENETIAN RED MICA ADDRESS : 114 TECHNOLOGY AVE. TECHNOPARK, -, ACCREDITATION NUMBER : 04-1992-000001451 Department of Transportation . LAND TRANSPORTATION OFFICE East Avenue, Quezon City CERTIFICATE OF STOCK REPORTED BIKAN, LAGUNA, REGION 4 FUEL TYPE :DIESEL DATE ISSUED :08/16/2017 CYLINDERS: 4 MAKE: ISUZU ‘SERIES :170 XT BLACK SE DATE ISSUED :08/16/2017 NO. OF FRONT TIRES :2 YEAR: 2017 GVW: 2180kg. NO.OF REARTIRES : 2 DATE ISSUED: TAX TYPE: NIA TAX AMOUNT: 0 AIRCON TYPE : R134 - OZONE FRIENDLY SUBSTANCE CONDUCTION STICKER NO. : 00937 COC NO:12-2465 CSR NUMBER :001011201703AB ITEM TYPE :COMPLETELY BUILT UNI REMARKS a| 2 13) 2 SHS 2) als 2 g| eb ge a g z 8) 2 Seg sg] giieq & fe ie] | | Bia es #| alll 2 DISTRICT OFFICE, = 3] | | SS s| 3 fs 3 Hie) S| | fan | aif & 2 Bl ds Ae Be] els a 3 28 a. 2] & See JIN “|S ees | Ey Be | z Bas Bg} §i'e ° Vem 3] pS a4 BS} ss m 5 2 g| 2 3 ‘TRANSACTION ID 3 oO] “ = B Se ACCREDITED M.A al S 2 EE 2 2 | 3| 5 ‘ &| a) > ebae REPORTENTRY It 9 8 z = 2S Sin os 3 3 geo ENGINENO. JAI] & De BI. & 29s cPNo.: B00 |} a| aq 3] ~ z §Qte i & oe nm & Poa CHASSIS NO.:PA | Ba aa & ae exe? cpno.: Boot |, S| Sead 2 8 338% BODY IDNO. :TE | BS oy S ee 8 | 5 8 £253 BiRccMY sf ZO | 9 poz BODY TYPE :WAC my = Pf 8 eae | a) & Ba coLOR:VENETY |® i] | co. | a oT id SZ, g mg Ins | SS 5 a7 5 iS : : 3 a8 of S 5 ||| i eo ees | ~ = J A awe , & = * 3 > Oo -t Isuzu Philippines Corporation 114 Technolog} yy Ave., Lagun ‘a Technopark, Phase Il Bifian Laguna. 4024 Philippines so eeaan ba NON? 1 (NAGY A1-NARS