Icon Equipment Solutions Philippines, Inc.

REPAIR ORDER
KM. 14 Greenfield Complex, Merville Access Road, Parañaque
City RO No. :RO004938
Tel. No.: (02) 824-7303
TIN 008-636-103-000

Page 1 of 1
CUSTOMER NO. CUSTOMER NAME AND ADDRESS ADVISOR PLATE NO.
C0000083 PHILIPPINE ARMY PROCUREMENT CENTER JESSA MAE B. CAMATA
DOC. DATE 549EB, 54EBDe, PA, Camp Siongco, Awang DOS YEAR/MAKE/MODEL ENG./TRANS
04/06/2021 682 6X4 350HP - DUMP TRUCK
Mamasapano Maguindanao
STOCK NO. MODEL NO. CARLINE COLOR
TIN: 000000000000 IVECO White
LZFF25R43JD044363 DC260G34 IVECO 682 Chassis Cab
PURCHASE ORDER No. CHASSIS No. KILOMETERS PROD. No. EXP. DATE
LZFF25R43JD044363 1 00/00/0000
CA F/C CH REPRESENTATIVE TERMS SELLING DEALER DELIVERY DATE NXT SVC DATE NXT SVC KM
PHILIPPINE ARMY PROCUREMENT30D
CENTER
C/C WAR INT MOBILE PHONE NO. BUSINESS PHONE NO. HOME PHONE NO. TIME RECEIVED DELIVERY KMS. INSURANCE INFO
09159693297 09363026274 02:31:44 PM
AIR PWR TURBO
VEHICLE ID ENGINE NO. ESTIMATED DATE AND TIME DATE/TIME RELEASED
LZFF25R43JD044363 18H00254346 04/06/2021 05:00:00 PM

J. No Chrg Item Description Quantity Unit Amount

Labor
Replace parts
1 INT- REPLACE AND INSTALL PARTS
Instructions : Repair starter motor solenoid
Remarks Location: Lanao del Sur
note: machine under warranty
pull out date : 2020
Sundries

1 INT- MISCELLANEOUS 1.000 LOT

1 INT- MILEAGE COST 1.000 LOT

Customer's Acknowledgment
I hereby authorize and agree to pay for, the above repair work to be done on my vehicle, including the purchase of all parts and materials necessary to perform the same. In the
event that the total cost of repair is not paid within sixty (60) days from the date of the notice of completion thereof, I hereby authorize and empower Icon Equipment Solutions
Philippines, Inc. to sell my vehicle at a public auction and apply the proceeds or part thereof to the cost of the repair, and the excess, if any, shall be turned over to me.

Prepared by/Date: Approved by/Date: Acknowledged & Received by (Customer)/Date:

jmcamata Signature over Printed Name

PHILIPPINE ARMY PROCUREMENT CENTER
Signature over Printed Name
JESSA MAE B. CAMATA

Date and Time Printed: 4/6/21 14:44

 Time Clock Technician Techinician
Job No. Date Job Description / Work Done
Code Signature
Concern:
IN
Job 11
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OUT Correction:

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Job 21
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Job 31
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Job 41
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Job 51
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Job 61
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Job 71
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No. of Roadtest Test Driver Km. Reading Guard on Duty Date/Time Remarks

RECOMMENDATION

All Job Request Completed

Signature:
Exterior Car Wash / Interior Vacuum
Quality Control Passed:
Released Checklist Done
Date:
Replaced Parts Inside Vehicle