MMA MAGUIRRE TRADING

70 Garcip Compd CupanfCupang Muntinlupa City

Customer Date

Store Number Time of Assessment

Address

Equipment Description/Unit

Model Serial No.

Equipment Control Number Asset No.

Nature of Trouble Reported: Time Reported

Reference #

Trouble Findings:

Action Taken:

Recommendations:

Remarks:

Parts Needed Materials Needed Materials Used

Description Model Qty Unit

Technician Attended/Service Personnel NOTE: PLS. CHECK THE REPLACED ITEMS BEFORE
SIGNING SERVICE REPORT/ REQUISITION SLIP
Signature over printed name
Acknowledge by:
Signature over printed name
Signature over printed name Date
Signature over printed name