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NON VAT Reg TIN:420-482-435-000
P2, BRGY 5(POB), SAN FRANCISCO, AGUSAN DEL SUR
PhilGEPS Organization Number: 357923
CUSTOMER NAME PGO DATE
DELIVERY RECEIPT PLATE
122316 CAR MODEL Mitsubishi Strada NUMBER 150110

DESCRIPTION QTY UOM PARTS/UNIT PARTS TOTAL LABOR TOTAL

Oil filter 1 pc 1,300 1,300 1,300
Brake Pad front 1 set 6,800 6,800 6,800
Fuel filter 1 pc 3,100 3,100 3,100
Labor Services (Replace brake
pad, Ball joint, Leaf spring bushing,
stab bar bushing) 1 lumpsum - - 6,000 6,000
Leaf spring spacer 2 pcs 390 780 780
Lower ball joint 2 pcs 2,680 5,360 - 5,360
Stabilizer bar bushing 2 pcs 1,200 2,400 - 2,400
upper ball joint 2 pcs 2,900 5,800 - 5,800
wiper blade 2 pcs 900 1,800 - 1,800
NOTHING FOLLOWS
MILEAGE: TOTAL 33,340

NOTE: All Services are delivered in good order and condition.

GUILLERMO I. PELOTIN II
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