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NOEL BRIANS MOTOR WORKS

Brgy. Camambugan, Daet, Camarines Norte


09982782998

Date: ___________________

CUSTOMER: _________________________________________________________________
KIND OF VEHICLE: ____________________________________________________________
PLATE NO.: __________________________________________________________________
SCOPE OF WORKS:
1. __________________________________________________________________________
2. __________________________________________________________________________
3. __________________________________________________________________________

PARTS AND SUPPLIES USE:


1. __________________________________________________________________________
2. __________________________________________________________________________
3. __________________________________________________________________________
4. __________________________________________________________________________
5. __________________________________________________________________________
6. __________________________________________________________________________
7. __________________________________________________________________________
8. __________________________________________________________________________
10. _________________________________________________________________________
11. _________________________________________________________________________
12. _________________________________________________________________________
13. _________________________________________________________________________
14. _________________________________________________________________________
15. _________________________________________________________________________

OTHERS:
1. __________________________________________________________________________
2. __________________________________________________________________________
3. __________________________________________________________________________
4. __________________________________________________________________________

LABOR ONLY: ___________________________________


LABOR AND MATERIALS: __________________________
DURATION: ______________________________________
WARRANTY: _____________________________________

PREPARED BY: APPROVED BY:

______________________ ______________________

RECEIVED IN GOOD ORDER & CONDITION

BY: _________________________________

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