Conceptrade DELIVERY

RECEIPT NO: 001

INDUSTRIES CORPORATION
UG-01 PIONEER POINTE BLDG. PIONEER ST., BRGY HIGHWAY HILLS MANDALUYONG CITY DATE: 6/25/2021
TELS 584-6983 / logistics.info@conceptrade.com.ph CUSTOMER ORDER # 35279

ADVANCE DR REF.#
CUSTOMER DETAILS DELIVERY DETAILS

CUSTOMER NAME: DELIVERY ADDESS:

DESIERTO HVAC AND ELECTRICAL BUILDER DOOR 4 TRDC BUILDING DR. A SANTOS AVENUE, SAN ISIDRO,
PARANAQUE CIY

CUSTOMER PO# CONTACT PERSON:

21-00051
CONTACT NUMBER:

Order Details SERIAL NUMBER

QTY MODEL FCU ACU
1 53CAV036308 3120-0000735 3219-0000600

NOTE :
1 TOTAL QTY
WITH 1PC OF GRILLE

Units installed by unauthorized Concepcion-Carrier Air Conditioning

Company (CCAC) installer are not covered by the standard Warranty.
Should the buyer intend to sell the foregoing unit(s) to a third party, he is
responsible to inform the prospective end-user of this clause.

INSTALLATION WAIVER FORM

This is to certify that I, Mr./Ms. <CUSTOMER NAME> ________________________ was informed by the installer
<INSTALLER NAME> ____________________________ that the installation work for my unit may lead to
inadequate / poor performance or even unit breakdown as a result of the following:
1. Non-compliance of unit to be installed with the installer’s recommended unit type and/or cooling
capacity as per survey quotation
2. Non-compliance of the job site and/or work details to any CCAC EH&S Standards or Installation
Standards (Blue Book) most especially in providing safe access & service area for the unit
I also certify that I am fully aware that any or all of the above-mentioned conditions will lead to a delay in servicing
THE MERCHANDISE DESCRIBED IN THIS RECEIPT REMAIN THE PROPERTY OF CONCEPTRADE PREPARED BY: RECEIVED THE ABOVE GOODS IN GOOD
INDUSTRIES CORPORATION UNTIL THE CUSTOMER HAS PAID THE TOTAL AMOUNT IN FULL IN ORDER AND CONDITION AND
KENNETH ABARIENTOS / GLADDY ONG-PASCUAL
CASE OF DEFAULT IN PAYMENT OF THE TOTAL AMOUNT OR PARY THEREOF THE UNPAID UNDERSTOOD THE ATTACHED WAIVER
AMOUNT SHALL BEAR 24% ANNUAL INTEREST FROM DATE OF DEFAULT,PLUS 20% OF THE TOTAL APPROVED BY: RECEIVED BY
AMOUNT DUE IN CASE TURHED OVER TO AN ATTORNEY. THE COURTS OF MANILA SHALL HAVE
SARAH COBARRUBIAS / JON MARFIL
JURIDICTION IN CASE OF LITIGATION FROM THIS TRANSACTION. CUSTOMER SIGNATURE / AUTHORIZED REP.