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P.D. Monfort South, Dumangas Iloilo 5006 Email: rbuenafloriii09@yahoo.

com
Smart: 0910-3503198
Globe: 0917-8069046

ENGINEERING DEPARTMENT
Pre-Inspection
SERVICE REPORT Ref. #: ____________________
Date: __________________________
Customer: _______________________________ Arrived Time: __________________________
Address: _______________________________ Time Completed: __________________________
Machine Type: ___________________________ Serial Number: __________________________
Brand : Model:
Preventive
Service Type: Basic Call Installation Maintenance Training Others
Trouble Trouble Found:
Reported:

Work
Performed:

Machine
Status:

Model Qty. Part Number Description Unit Price Total

Cost of Spare Service Charge:


Parts:
Total Amount:
Warranty Chargeable
Comments:

Remarks:
I certify that all services and/or spare parts above Warranty Service Contract
have been satisfactorily completed and/ or
installed. Free of
Charge Chargeable

For
Continuation Job Completed

Customer Name: Service by:


Full Name / Signature / Date Full Name / Signature / Date
We are glad to be of your service

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