Icon Equipment Solutions Philippines, Inc.

REPAIR ORDER
KM. 14 Greenfield Complex, Merville Access Road, Parañaque
City RO No. :RO007594
Tel. No.: (02) 824-7303
TIN 008-636-103-000

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CUSTOMER NO. CUSTOMER NAME AND ADDRESS ADVISOR PLATE NO.
C0000001 ICON EQUIPMENT SOLUTIONS PHILIPPINE GLYMEL L. NAPURA
DOC. DATE Km.14 Greenfield Compound, Merville Access Road YEAR/MAKE/MODEL ENG./TRANS
01/13/2022 432ZX WHEEL LOADER
Parañaque City National Capital Region
STOCK NO. MODEL NO. CARLINE COLOR
TIN: 008-636-103
PUN432UEJ*2928158 432ZX WL 432ZX
PURCHASE ORDER No. CHASSIS No. KILOMETERS PROD. No. EXP. DATE
PUN432UEJ*2928158 1 00/00/0000
CA F/C CH REPRESENTATIVE TERMS SELLING DEALER DELIVERY DATE NXT SVC DATE NXT SVC KM
90D
ICON EQUIPMENT SOLUTIONS PHILIPPINE
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 09:42:21 AM
AIR PWR TURBO
VEHICLE ID ENGINE NO. ESTIMATED DATE AND TIME DATE/TIME RELEASED
PUN432UEJ*2928158 8*518255 01/13/2022 05:00:00 PM

J. No Chrg Item Description Quantity Unit Amount

Labor
INSTALLATION OF PARTS
1 INT- INSTALLATION OF PARTS
Instructions : PERFORM INSTALLATION OF DIFFERENT PARTS FOR STOCK MACHINE
other parts for installation:
336/E8636
1315/0207Z
Remarks SASA YARD
Parts

1 INT- 332/A3730 DOOR HANDLE - CORPORATE 1.000 PC

1 INT- 123/04791 NYLON WASHER M8 3.000 PC
1 INT- 826/01559 SCREW SOCKET FLANGED 4.000 PC
1 INT- 331/31247 HINGE BODY ASSEMBLY 2.000 PC
1 INT- 335/H2327 ROD CONNECTING 1.000 PC
1 INT- 331/30951 DOOR STRIKER BOLT X300 1.000 PC
1 INT- 826/10481 SCREW SOCKET M8X10 2.000 PC
1 INT- 331/26791 SHIELD DLP 1.000 PC
1 INT- 332/A6693 DOOR SEAL 456+466 Vulcanised ring 45 [ 1.000 PC
1 INT- 1420/0007D WASHER M8 PLAIN (BR3) 6.000 PC
1 INT- 1370/0203D NUT M8 STD SELF LOCK 6.000 PC
1 INT- 1370/9403Z NUT M4 STD SELF LOCK (P545) (Reinstat 1.000 PC
1 INT- 826/00711 WASHER RETAINER (GRIP) M4 1.000 PC
1 INT- 336/F3462 LATCH ABI 1.000 PC
1 INT- 335/C0839 DOOR GLASS TINTED - LHS 1.000 PC
1 INT- 826/10947 NUT PLAIN M12 1.000 PC

Sundries

1 INT- MILEAGE COST 1.000 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:

ICON EQUIPMENT SOLUTIONS PHILIPPINE

GLYMEL L. NAPURA Signature over Printed Name Signature over Printed Name

Date and Time Printed: 1/13/22 13:51

 Time Clock Technician Techinician
Job No. Date Job Description / Work Done
Code Signature
Concern:
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Job 11
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OUT Correction:

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Job 21
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Job 31
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Job 41
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Job 71
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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