Request Repo Form

DU EK SAM, INC.
Galleria Luisa Branch

DETAILED INFO ON REPO UNIT FOR SALE
Customer's Name : Adorable, Charles

Address : Villaflor, Loboc, Bohol
Purchased Unit : Appliance LED
Model : UA-40J5100
Serial # : 0BEZ3MHG500051
Purchased Date : 6/12/2015
Term : 12 months
Monthly Amortization : 1883.00
Date of Repo : 8/24/2015
Total Overdue :
Condition of Repo Unit : ( indicate lacking parts, indicate general

appearance and other remarks)
unit in good condition
Reconditioning Cost as of
to Date :
Unrecovered Cost : 18,980.64
Suggested LCP :
Prepared by: Reviewed by: Noted by:
Sale, Mary Jane Metucua, Marilyn Ayaay, Lorilee

BM/AM
EXECOM Decision:
LCP : Max Term :

Cash Price : Rebate :
Req. DP :
OPECOM MEMBER
note: send this together with the SL to Opecom when requesting of price
DU EK SAM, INC.
Customer's Name : Vente, Mary Ann L.

Address : Pob.1 Causeway Drive, Tagb. City
Model : UA-24H4003
Serial # : 0A243RAF801215J
Term : 12 months
Total Overdue :

unit is still in good condition
to Date :
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Sabal, Raquel G.

Address : Interior Calceta St., Cogon, Tagbilaran City
Purchased Unit : Appliance Ref
Model : RT22FARBDSA
Serial # : 51784DAF900577
Term : 18 months
Total Overdue :

to Date :
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Bornea, Deborah

Address : 4.P. Del Rosario St., Tagbilaran City
Purchased Unit : Appliance LED TV
Model : UA-32H4100
Serial # : 0BAR3MFG101481W
Term : 12 months
Total Overdue :

to Date :
Suggested LCP :
Bitas, Cheryl B. Metucua, Marilyn Ayaay, Lorilee

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Suico, Jennifer Ann

Address : Texas St., Lindavillle Subdivision, Ph.1, Tagbilaran City
Model : UA-32H4500
Serial # : 0AJW3DBF801076
Term : 18 months
Total Overdue :

to Date :
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Ebueza, Ruel B.

Address : Tabalong, Dauis, Bohol
Purchased Unit : Appliance Ref 1 Door Direct Cooling
Model : RR19H1048SA
Serial # : 033F4PAFC00410A
Term : 12 months
Total Overdue :

to Date :
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Bautista, Claire

Address : P-2 Taloto Dist., Tagbilaran City
Purchased Unit : Appliance W. Machine
Model : WW70H5200EW
Serial # : 0C7G5ADFA00002
Term : 12 months
Total Overdue :

to Date :
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Serinas, Jocelyn

Address : Sitio Lanao, Dao Dist., Tagbilaran City
Purchased Unit : Appliance Ref 1 Door Direct Cooling
Model : RR19H1048SA
Serial # : 033F4PAF900004
Term : 12 months
Total Overdue :

to Date :
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Serinas, Jocelyn

Address : Sitio Lanao, Dao Dist., Tagbilaran City
Model : UA-32H4100
Serial # : 0BAR3MFG101333H
Term : 18 months
Monthly Amortization : P 765.00
Total Overdue : P 4,786.00

to Date :
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Ocno, Mary Jeanne

Address : 39-1 Pamaong Ext., Cogon Dist., Tagbilaran City
Model : WD-0804W8E
Serial # : Y52BSADF900040
Term : 6 months
Monthly Amortization : P 7,056.00
Total Overdue : P23,739.00

to Date :
Unrecovered Cost : P36,226.00
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Ocno, Mary Jeanne

Address : 39-1 Pamaong Ext., Cogon Dist., Tagbilaran City
Model : WD-0804W8E
Serial # : Y52BSADF900040
Term : 6 months
Monthly Amortization : P 7,056.00
Total Overdue : P 47,478

to Date :
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : DES - Galleria

Address : Gallares St., Tagbilaran City
Purchased Unit : Motorcycle
Model : Wave 125
Term : N/A
Book Value : 4,740.35
Date Acquired : 12/24/2013
Condition of Repo Unit :
to Date :
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Iyog, Arlene S.

Address : Ramirez Drive, Benigno Aquino Road, Tagbilaran City
Model : UA-32H4100
Serial # : 0AFP3DBF701833
Purchased Date : 10.31.2014
Term : 18 months
Date of Repo : 03.25.17
Total Overdue : 8,820.00

to Date : 0
Suggested LCP : 6,500.00
Ayaay, Lorilee Metucua, Marilyn Ayaay, Lorilee

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Cano, Elma

Address : Purok I, Babag, Dagohoy, Bohol
Model : UA-48J5200
Serial # : 0A2E3YEH200065
Term : 12 months
Monthly Amortization : 2,450.00

unit in good condition (replaced panel board) with remote and cord (no box).
to Date : 0
Suggested LCP :
Batoy, Bernneth Metucua, Marilyn Ayaay, Lorilee

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
16,696.50
DU EK SAM, INC.
Customer's Name : Perocho, Katherine R.
Address : 271 Totolan, Dauis, Bohol

Appl Mini Component
Purchased Unit :
MX-HS6500
Model :
0BQR14KHC00339L
Serial # :
Term : 18 Months

unit in good conditionRemote and cord (no box).
to Date : 0
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Tero, Erwin G.

Address : 0279 Cogon, Lamdagan St. Tagbilaran City
Purchased Unit : Appl led 32 inches
Model : UA-32J4003
Serial # : 008K3NAJ300472
Term : 12 Months
unit in good conditionRemote, Power cord w/ box.
to Date : 0
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Bolos, Nicholas M.

Address : Purok 7 Biking Dauis, Bohol
Purchased Unit : Appl Component
Model : MX-JS8000
Serial # : OC4V14KHC00034
Term : 18 Months
unit in good condition.
to Date : 0
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Selecio, Denise Ian

Address : Purokn 5 Poblacion,Panglao, Bohol
Purchased Unit : Appl w. machine fully automatic
Model : WA60H4000SG
Serial # : 0BQR5DBJ100347
Term : 12 Months
unit in good condition. Unit w/ complete accessories.
to Date : 0
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Cagatin, Sherly L.

Address : Anoyon, Valencia, Bohol
Purchased Unit : Appl w. machine fully automatic
Model : WA65H4200SW
Serial # : 0BQR5DBJ901243
Term : 18 Months
to Date : 0
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Villapaz, Michael M.

Address : Lincod, Maribojoc, Bohol
Purchased Unit : Appl Chest freezer/chiller
Model : AQF-160
Serial # : 664440HT1X0113703110131
Term : 24 Months
to Date : 0
Suggested LCP :
Opeña, Chris Glen Looc, Mie O. Ayaay, Lorilee

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Villapaz, Michael M.

Address : Lincod, Maribojoc, Bohol
Purchased Unit : Appl Refrigerator
Model : NR-B7413E
Serial # : 732797413
Term : 24 Months
to Date : 0
Suggested LCP :
Batoy, Bernneth Flores, Julie Ann Ayaay, Lorilee

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name :
Address :
Purchased Unit :
Model :
Serial # :
Purchased Date :
Term :
Monthly Amortization :
Date of Repo :
Total Overdue :
to Date : 0
Unrecovered Cost :
Suggested LCP :

BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Villamor, Maria Salome

Address : B-Inting St. Tagbilaran City
Purchased Unit : Appl Refrigerator
Model : CTD310Mni
Serial # : 186509121
Term : 24 Months
to Date : 0
Suggested LCP :
Batoy, Bernneth Looc, Mie O. Ayaay, Lorilee

Receptionist Accounting Clerk BM/AM
EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Arcayena, Romnic

Address : 73 Gallares St. Tagbilaran City
Purchased Unit : Appl Led
Model : UA-24H4003
Serial # : 012T3NHK500239
Term : 12 Months
to Date : 0
Suggested LCP :

EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Arellano, Roland Jr.

Address : Ubujan Dist., Tagbilaran City
Purchased Unit : Appl Aircon manual
Model : CW-SC85JPH
Serial # : 740615696
Term : 18 Months
to Date : 0
Suggested LCP :

EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Pinar, Michelle B.

Address : Upper Calceta St. Tagbilaran City
Purchased Unit : Appl Led
Model : UA-49J5200
Serial # : 03GH3NNJ600859
Term : 24 Months
to Date : 0
Suggested LCP :

EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Acapulco, Estrella Dano

Address : Laya, Baclayon, Bohol
Purchased Unit : Samsung
Model : AR24MVFH
Serial # : 0EQ9PDCK700198 OUT-0EQAPDPK600121
Term : 6 mos
to Date : 0
Suggested LCP :

EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Dano, Daisy M.

Address : Centro 2 Dampas Dist. Tagbilaran City
Purchased Unit : Samsung
Model : AR09MVFH
Serial # : 0EQ5PDCJ600415/00284
Term : 18
to Date : 0
Suggested LCP :

EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER
DU EK SAM, INC.
Customer's Name : Lomarda Elizabeth

Address : Yanangan Loay Bohol
Purchased Unit : Panasonic
Model : NA-S606B
Serial # : 860188353
Term : 12
unit in good condition, faded color
to Date : 0
Suggested LCP :
Opeña, Chris Glen Looc, Mie O. Herald Villar

EXECOM Decision:
LCP : Max Term :

Req. DP :
OPECOM MEMBER

Request Repo Form

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DU EK SAM, INC.

Galleria Luisa Branch

Customer's Name : Adorable, Charles

Condition of Repo Unit : ( indicate lacking parts, indicate general

unit in good condition

Prepared by: Reviewed by: Noted by:

Sale, Mary Jane Metucua, Marilyn Ayaay, Lorilee

LCP : Max Term :

Customer's Name : Vente, Mary Ann L.

Condition of Repo Unit : ( indicate lacking parts, indicate general

unit is still in good condition

Prepared by: Reviewed by: Noted by:

Sale, Mary Jane Metucua, Marilyn Ayaay, Lorilee

LCP : Max Term :

Customer's Name : Sabal, Raquel G.

Condition of Repo Unit : ( indicate lacking parts, indicate general

unit is still in good condition

Prepared by: Reviewed by: Noted by:

Sale, Mary Jane Metucua, Marilyn Ayaay, Lorilee

LCP : Max Term :

Customer's Name : Bornea, Deborah

Condition of Repo Unit : ( indicate lacking parts, indicate general

unit is still in good condition

Prepared by: Reviewed by: Noted by:

Bitas, Cheryl B. Metucua, Marilyn Ayaay, Lorilee

LCP : Max Term :

Customer's Name : Suico, Jennifer Ann

Condition of Repo Unit : ( indicate lacking parts, indicate general

unit is still in good condition

Prepared by: Reviewed by: Noted by:

Bitas, Cheryl B. Metucua, Marilyn Ayaay, Lorilee

LCP : Max Term :

Customer's Name : Ebueza, Ruel B.

Condition of Repo Unit : ( indicate lacking parts, indicate general

unit is still in good condition

Prepared by: Reviewed by: Noted by:

Bitas, Cheryl B. Metucua, Marilyn Ayaay, Lorilee

LCP : Max Term :

Customer's Name : Bautista, Claire

Condition of Repo Unit : ( indicate lacking parts, indicate general

unit is still in good condition

Prepared by: Reviewed by: Noted by:

Bitas, Cheryl B. Metucua, Marilyn Ayaay, Lorilee

LCP : Max Term :

Customer's Name : Serinas, Jocelyn

Condition of Repo Unit : ( indicate lacking parts, indicate general

unit is still in good condition

Prepared by: Reviewed by: Noted by:

Bitas, Cheryl B. Metucua, Marilyn Ayaay, Lorilee

LCP : Max Term :

Customer's Name : Serinas, Jocelyn

Condition of Repo Unit : ( indicate lacking parts, indicate general

unit is still in good condition

Prepared by: Reviewed by: Noted by:

Bitas, Cheryl B. Metucua, Marilyn Ayaay, Lorilee

LCP : Max Term :

Customer's Name : Ocno, Mary Jeanne

Condition of Repo Unit : ( indicate lacking parts, indicate general

unit is still in good condition

Prepared by: Reviewed by: Noted by:

Bitas, Cheryl B. Metucua, Marilyn Ayaay, Lorilee

LCP : Max Term :

Customer's Name : Ocno, Mary Jeanne