LG Electronics Philippines Inc.

Summary of FPS Incentive Claims

Period of claim:_____________ MARCH 2024______________

DEALER IMPERIAL
____________________
BRANCH LUCENA DOS
____________________

DATE OF SALES CUSTOMER'S

MODEL QTY SERIAL # CUSTOMER'S NAME CONTACT #
PURCHASED INVOICE ADDRESS
3/6/2024 GRB369NLRM 1 311TRAR26472 4469 MERCEDITA BENITEZ LUCENA CITY 09212136356
3/6/2024 RVTB101PZ 1 312VNVR0Y687 4518 MARLY QUANZO LUCENA CITY 09269927330
3/6/2024 P1600RT 1 311WSKS1D421 4526 KURT DERILO LUCENA CITY 09519818808
3/7/2024 P1300R 1 311WSGG1C503 4499 MICHAEL ROMOLONO LUCENA CITY 09474400078
3/7/2024 RVTB101PZ 1 312VNHJ0Y689 4512 CYRUS ROSAS LUCENA CITY 09426707565
3/7/2024 GRV204SLBT 1 311INMF4K003 689 MARIA CRISELDA TUPAZ LUCENA CITY 09813338203
3/12/2024 RVTB127PZ 1 312INRC69902 4611 AILEEN ALARVA LUCENA CITY 09271959004
3/17/2024 GRY331SLZB 1 312INDP55058 4674 MARIA CORAZON DULIG LUCENA CITY 09127555530
3/19/2024 T2107VS2W 1 311VWSM2N502 4682 HAROLD RAY AYANGCO LUCENA CITY 09936686419
3/20/2024 GRB202SQBB 1 401INHZ7K641 4713 REGINE LOPEZ LUCENA CITY 09918184536
3/27/2024 RVTB083DG 1 401VNXF1H962 4807 RIZA RAIT LUCENA CITY 09637974786
3/30/2024 GRV204SLBT 1 402INYD6G082 4829 BENJIE TOTOY LUCENA CITY 09516020698
3/30/2024 RVSB200LS 1 401XHBE03221 4823 CHIARA JEOPE LUCENA CITY 0985546335
3/30/2024 RVSD245DG 1 402TRBSD0453 4845 CHERRY ANN EBARLE LUCENA CITY 09153394151
TOTAL 15.00

Payable To:
Name of FPS For LGEPH use only
Promo Title
Duration
NSD CPD
Payment Method:
Check
Thru BPI Account No.:___________________________
*Please provide clear xerox copy of ATM Card or Bank Statement NOTE:
1. Only claims w/ complete supporting documents will be
Noted by: considered valid
2. This month period's claim must be submitted to LGEPH
Branch
Manager on or before the 15th of the following month.