WORK ORDER

FOR SGE 02 Rev. 14.05.2008

ELECTROGUAY AS S. A.
SOLIDARITY FUND COMPANY

Date of entry to the workshop:

CUSTODIAN DATA
Name: Position:
Department: ________________
________________ Central:
________________
VEHICLE IDENTIFICATION AND
CHARACTERISTICS
No. Official: Plate:
_______________ __________________
Brand: Mileage:
_______________ __________________
Year: _______________________ Central office to which the vehicle provides services: ____________________________
WORK REQUESTED

Preventive Maintenance
Corrective Maintenance

Detail:

□ General oil change

□ Suspension
□ Transmission oil change
Engine oil change
□ Crown
□ Filter change □ Cardan
□ Spark plug replacement □ Cross brackets

□ General engine washing □ Gearbox

□ Carburetor □ Transmission
□ Distributor □ Engine
□ Motor calibration □ Cooling system

□ Brakes in general □ Distribution system

□ Clutch □ Ignition system

Lubrication system

□ □
Remarks:

Delivered by: Responsible for performing the

work:
DELIVERY OF THE WORK DONE

Date of delivery of the vehicle:

Description:

Secretary Supervisor I received

Mechanical Mechanical according to
Workshop Workshop
Automotríz Automotive