Receipt for Service

Service Location Details

Service Order Number 4423758 City Calderon
Customer Name Manuel Amores State Quito
Site Name ECUADOR-QUITO Zip 11064
Address 1 Avenida Garcia Moreno Bodega San ETA 8/5/2020 9:00:00 AM
Jorge B-2
Address 2 Entrada Llano Grande Phone # +593990499985
Customer Ticket Number Alt. POC Name Bosco Duarte
Alt. POC Phone # +506 70108213

Equipment Details

* Required fields must be filled out

* Any discrepancies to the actual equipment to be serviced must be reported immediately

*Model *Serial No. (REQUIRED)

HCL - DAILY STAFFING L1/ Scheduled full day onsite IT support

Printer/Copier Page Count IP Address Maintenance Life on Printer

** It is the responsibility of the technician to verify that we have correct times onsite by logging into the
Technician Portal upon closing this service ticket.
*Date *Travel Start Time *Time In *Time Out *Break Time

Part Details

Part Number Part Description Outbound Tracking *Return Tracking Returnable? (Yes/No)
** You are responsible for checking tracking and part availability before going to site. If it is not listed here please check
your portal for updated information.
** Please note all return tracking numbers should be updated in the BAM Technician Portal within 72 hours of closing.
** Returnable status can change based on the condition of the parts. All UNUSED or DOA parts are ALWAYS returnable.

I hereby acknowledge the performance of the above service event as being satisfactory and the equipment
has been left in good condition and/or repaired.

Customer Signature:

Customer Name(Print):
Date: