ALEGARBES TIRE CENTER

Maharlika Highway, Brgy. Caanawan

San Jose City, Nueva Ecija 3121
Contact No: (044) 803-6719/ 09198740060/ 09275260151
Alegarbes Tire & Service Center

VEHICLE REPAIR ORDER

Customer Information:
Name: _____________________________________________ Contact No.: __________________
Address: ________________________________________________________________________
Vehicle Plate No: _______________ Make: ____________________ Model:___________________

Repair Instruction:
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Current Problems: (Based on Inspection Report)

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Work/Repair Performed:
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Repair Order Disclaimer

I hereby authorize the above repair work be done along with necessary materials. You and your
employees may operate the above vehicle for the purpose of testing, inspection or delivery at my risk.
You will not be held responsible for loss or damage to vehicle to articles left in the vehicle in case of
fire, theft, accident or any other cause beyond control such as .
I have read and understand the above terms.

Authorized by: ________________________________________________

Customer’s Name and Signature