Icon Equipment Solutions Philippines, Inc.

REPAIR ORDER
KM. 14 Greenfield Complex, Merville Access Road, Parañaque
City RO No. :RO007677
Tel. No.: (02) 824-7303
TIN 008-636-103-000

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CUSTOMER NO. CUSTOMER NAME AND ADDRESS ADVISOR PLATE NO.
C0000256 A.T. DUMLAO CONSTRUCTION, INC. JESSA MAE B. CAMATA
DOC. DATE 3871 Narciso St. Brgy. Washington, Surigao City YEAR/MAKE/MODEL ENG./TRANS
21/01/2022 JS205LC TRACKED EXCAVATOR
Siargao Surigao Del Norte
STOCK NO. MODEL NO. CARLINE COLOR
TIN: 418-008-214-000 JCB Orange
SHAJE20BVJ2750109 JS205LC JS205 TX
PURCHASE ORDER No. CHASSIS No. KILOMETERS PROD. No. EXP. DATE
LPE00130 SHAJE20BVJ2750109 3,166 21/05/2022
CA F/C CH REPRESENTATIVE TERMS SELLING DEALER DELIVERY DATE NXT SVC DATE NXT SVC KM
Pablo Yves Dumlao 30D ICON EQUIPMENT SOLUTIONS PHIL. INC.
C/C WAR INT MOBILE PHONE NO. BUSINESS PHONE NO. HOME PHONE NO. TIME RECEIVED DELIVERY KMS. INSURANCE INFO
09484154060 826-4078 08:11:19 am
AIR PWR TURBO
VEHICLE ID ENGINE NO. ESTIMATED DATE AND TIME DATE/TIME RELEASED
SHAJE20BVJ2750109 84492266 21/01/2022 05:00:00 pm

J. No Chrg Item Description Quantity Unit Amount

Labor
Replace Engine Oil Temp Sensor
1 WAR SENSOR MISC-REPLACE
Instructions : Replace Engine Oil Temp Sensor
Remarks Location: Unnamed Road, Carmen, Davao del Norte
Parts

1 WAR 701/80327 SWITCH eng.oil pressure 1.000 PC

Sundries

1 WAR MILEAGE COST 1.000 LOT

1 WAR MISCELLANEOUS 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:

A.T. DUMLAO CONSTRUCTION, INC.

JESSA MAE B. CAMATA Signature over Printed Name Signature over Printed Name

Date and Time Printed: 1/21/22 8:17

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

OUT Correction:

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IN
Job 21
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OUT Correction:

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Job 31
Job Cause:

OUT Correction:

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Job 41
Job Cause:

OUT Correction:

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Job 51
Job Cause:

OUT Correction:

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Job 61
Job Cause:

OUT Correction:

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Job 71
Job Cause:

OUT Correction:

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