Icon Equipment Solutions Philippines, Inc.

REPAIR ORDER
KM. 14 Greenfield Complex, Merville Access Road, Parañaque
City RO No. :RO010033
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
10/18/2022 DYNAPAC DRS120D
Parañaque City National Capital Region
STOCK NO. MODEL NO. CARLINE COLOR
TIN: 008-636-103
10300194CNE012272 DRS120 DYNAPAC
PURCHASE ORDER No. CHASSIS No. KILOMETERS PROD. No. EXP. DATE
10300194CNE012272 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 01:53:33 PM
AIR PWR TURBO
VEHICLE ID ENGINE NO. ESTIMATED DATE AND TIME DATE/TIME RELEASED
10300194CNE012272 E012272********** 10/18/2022 05:00:00 PM

J. No Chrg Item Description Quantity Unit Amount

Labor
TAP UP FUEL FOR MACHINE DISPLAY RE-ARRANGEMENT
1 INT- TAP UP FUEL/DIESEL
Instructions : Tap up machine fuel for display re-arrangement
Remarks Location: Sasa Yard
Sundries

1 INT- MISCELLANEOUS 1.000 LOT

1 INT- DIESEL/GAS 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: 10/18/22 13:59

 Time Clock Technician Techinician
Job No. Date Job Description / Work Done
Code Signature
Concern:
IN
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 51
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Job 61
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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