Icon Equipment Solutions Philippines, Inc.

REPAIR ORDER
KM. 14 Greenfield Complex, Merville Access Road, Parañaque
City RO No. : RO009716
Tel. No.: (02) 824-7303
TIN 008-636-103-000

Page 1 of 1
CUSTOMER NO. CUSTOMER NAME AND ADDRESS ADVISOR PLATE NO.
C0000001 Bill to:CANIPAAN EARTH RESOURCES INC JOHN EHRIC D. CABUS
DOC. DATE Bataraza, Palawan YEAR/MAKE/MODEL ENG./TRANS
09/03/2022 SINOTRUK 6X4 DUMPER HOWO A7
STOCK NO. MODEL NO. CARLINE COLOR
PALAWAN
LZZ1ELSD1*A839257 6X4 DUMPER HOWO A7 DUMPER TRUCK
Palawan
PURCHASE ORDER No. CHASSIS No. KILOMETERS PROD. No. EXP. DATE
FAO: ICON EQUIPMENT SOLUTIONS PHILIPPINE LZZ1ELSD1*A839257 2 00/00/0000
CA F/C CH REPRESENTATIVE TERMS TIN SELLING DEALER DELIVERY DATE NXT SVC DATE NXT SVC KM
30D
ICON EQUIPMENT SOLUTIONS PHILIPPINE 000000000000 ICON EQUIPMENT SOLUTIONS PHIL. INC.
C/C WAR INT MOBILE PHONE NO. BUSINESS PHONE NO. HOME PHONE NO. TIME RECEIVED DELIVERY KMS. INSURANCE INFO
(+63)9176225148 / (+63)9062226877 (02) 478-4200 08:07:24 AM
AIR PWR TURBO
VEHICLE ID ENGINE NO. ESTIMATED DATE AND TIME DATE/TIME RELEASED
LZZ1ELSD1*A839257 A839257*** 09/03/2022 05:00:00 PM

J. No Chrg Item Description Quantity Unit Unit Price Amount

Labor
SUPPLY WARRANTY PARTS
1 RO-NLC SUPPLY PARTS
Remarks CHT 132 - AC PROBLEM REPORTED ON AUGUST 27, 2022
Parts

1 RO-NLC WG1500139006 AIR CONDITIONING COMPRESSOR 1 PC

1 RO-NLC WG1664820116 CONDENSER 1 PC

Sundries

1 RO-NLC MISCELLANEOUS 1 LOT

1 RO-NLC MILEAGE COST 1 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:

CANIPAAN EARTH RESOURCES INC

JOHN EHRIC D. CABUS Signature over Printed Name Signature over Printed Name
Date and Time Printed: 9/3/22 9:17
 Time Clock Technician Techinician
Job No. Date Job Description / Work Done
Code Signature
Concern:
IN
Job 1 Cause:

OUT Correction:

Concern:
IN
Job 21 Cause:

OUT Correction:

Concern:
IN
Job 31 Cause:

OUT Correction:

Concern:
IN
Job 41 Cause:

OUT Correction:

Concern:
IN
Job 51 Cause:

OUT Correction:

Concern:
IN
Job 61 Cause:

OUT Correction:

Concern:
IN
Job 71 Cause:

OUT Correction:

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