ALEXANDER JEWELRY, CELLPHONE AND WATCH REPAIR SHOP

Poblacion, Libmanan, Camarines Sur - 09303037608

ACKNOWLEDGEMENT RECEIPT

This is to acknowledge the receipt of items from ________________________________________,

with address at _________________________________________________________________, and
contact number _____________________. The item/s and transaction are described as follows:
Item type: ____________________________________________
Brand/Model __________________________________________
Serial Number/IMEI: ____________________________________
Known Defect: ________________________________________
Date of Acceptance: ____________________________________
Date of Return: ________________________________________
Warranty: _________ days after the date of return
IMPORTANT:
Failure to redeem your item/s after 60 days from the expected date of return will forfeit your item/s.

______________________________ ______________________________
SIGNATURE OVER PRINTED NAME OF CUSTOMER SIGNATURE OVER PRINTED NAME OF TECHNICIAN
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ALEXANDER JEWELRY, CELLPHONE AND WATCH REPAIR SHOP

Poblacion, Libmanan, Camarines Sur - 09303037608

ACKNOWLEDGEMENT RECEIPT
This is to acknowledge the receipt of items from ________________________________________,
with address at _________________________________________________________________, and
contact number _____________________. The item/s and transaction are described as follows:
Item type: ____________________________________________
Brand/Model __________________________________________
Serial Number/IMEI: ____________________________________
Known Defect: ________________________________________
Date of Acceptance: ____________________________________
Date of Return: ________________________________________
Warranty: _________ days after the date of return
IMPORTANT:
Failure to redeem your item/s after 60 days from the expected date of return will forfeit your item/s.

______________________________ ______________________________
SIGNATURE OVER PRINTED NAME OF CUSTOMER SIGNATURE OVER PRINTED NAME OF TECHNICIAN