TO : STANDARD INSURANCE CO. INC.

: 28TH FLOOR, PETRON MEGAPLAZA BLDG. SEN. GIL PUYAT AVENUE COR
MAKATI AVENUE, MAKATI CITY, 1200
DATE : DECEMBER 13, 2023

JOB ORDER
CAR MODEL: HONDA CIVIC
YEAR:
PLATE NUMBER:
CHASSIS NUMBER:
INSURANCE POLICY NUMBER: MK PCV 100951175
CUSTOMER NAME: DANTE GOZUM JR. C/O GLORIA MANISCAN
BALDON
ADDRESS: 757 P SEVILLA ST. 12TH AVENUE, BRGY. 67,
CALOOCAN CITY
TELEPHONE/MOBILE NUMBER(S) 09178695861

DESCRIPTION OF LABOR AND REPAIR COST OF LABOR/MATERIALS

NATURE OF WORK: MULTIPLE PANEL COLLISION REPAIR, REPLACEMENT PANEL AND PARTS,
ALIGNMENT, AND REPAINT.

REAR BUMPER DENT REPAIR, ALIGNMENT, AND PHP 27,000

REPAINT. REAR CHASSIS TINSMITH REPAIR,
ALIGNMENT, AND REPAINT. REAR BUMPER CRACK
REPAIR, ALIGNMENT, AND REPAINT. REAR TRUNK
DOOR REPLACEMENT, ALIGNMENT, AND
REPAINT.
TOTAL: PHP 27,000
 B/CR/D/L/S

Legend: B – Bent BB – Buffer Burned BR – Broken C – Cut CR – Cracked D – Dented FF – Faded F – Foreign Fluid L – Loose M – Missing PC – Paint
Chip R – Rubbed RU – Rust S – Scratched SL – Soiled ST – Stained T – Torn RP – Repainted

Notes: 50% downpayment upon start of work and 50% upon turnover. Unit received today, March
24, 2024.
JOB ORDER IS BASED ON ACTUAL INSPECTION AND PREPARED BY AUTO PRECISION
AUTOMOTIVE CARE MANAGEMENT.

Marc Kenneth R. Mendoza

Vehicle Owner’s Authorized Personnel
Signature over Printed Name Signature Over Printed Name