Icon Equipment Solutions Philippines, Inc.

REPAIR ORDER
KM. 14 Greenfield Complex, Merville Access Road, Parañaque
City RO No. :RO007463
Tel. No.: (02) 824-7303
TIN 008-636-103-000

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CUSTOMER NO. CUSTOMER NAME AND ADDRESS ADVISOR PLATE NO.
C0000447 FRASEC MANTA DEVELOPMENT CORPORATIO JESSA MAE B. CAMATA
DOC. DATE Jomara Building, Poblacion Ward III, Minglanilla Cebu YEAR/MAKE/MODEL ENG./TRANS
12/20/2021 JS205LC TRACKED EXCAVATOR
TIN: 482-011-333
STOCK NO. MODEL NO. CARLINE COLOR
SHAJE20BPJ2750203 JS205LC JS205 TX JCB Orange
PURCHASE ORDER No. CHASSIS No. KILOMETERS PROD. No. EXP. DATE
LPE00130 SHAJE20BPJ2750203 839 00/00/0000
CA F/C CH REPRESENTATIVE TERMS SELLING DEALER DELIVERY DATE NXT SVC DATE NXT SVC KM
Mr. Marwin 30D
C/C WAR INT MOBILE PHONE NO. BUSINESS PHONE NO. HOME PHONE NO. TIME RECEIVED DELIVERY KMS. INSURANCE INFO
09190757731 09:31:17 AM
AIR PWR TURBO
VEHICLE ID ENGINE NO. ESTIMATED DATE AND TIME DATE/TIME RELEASED
SHAJE20BPJ2750203 84497605 12/20/2021 05:00:00 PM

J. No Chrg Item Description Quantity Unit Amount

Labor
Perform PMS 750 hours
1 CUST Preventive Maintenance Every 250 Hours
Instructions : Perform change oil and filters.
Remarks Location:3X7X+H5 Banaybanay, Davao Oriental, Philippines
3 of 8 visits
Parts

1 CUST 32/925968 FUEL FILTER 1.000 PC

1 CUST 02/910155A FUEL ELEMENT 1.000 PC
1 CUST 332/Y3163 SEPERATOR FUEL WAT 1.000 PC
1 CUST 111/S001 Engine Oil (Pail) 1.000 PAI
1 CUST 02/910140A OIL FILTER 1.000 PC

Sundries

1 CUST MILEAGE COST 1.000 LOT

1 CUST MISCELLANEOUS 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:

FRASEC MANTA DEVELOPMENT CORPORATIO

JESSA MAE B. CAMATA Signature over Printed Name Signature over Printed Name

Date and Time Printed: 12/20/21 9:33

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