H a r d s t o n e

Trading

and

Construction

San Isidro-Alasas Rd., Brg. Alasas, City of San Fernando, Pampanga-2000

Tel Nos. 0919 812 4805 * 0922 664 9152

TO: JACKBILT INDUSTRIES INC.

21/F, Pet Plans Tower, #444 Edsa
Guadalupe Viejo, Makati City, M.M.

STATEMENT OF ACCOUNT
Date
11-915
11-1115

Customer Name

Delivery Address

ARMANDO KHONG
HUN

SCristobal
Calamba Lag.

ARMANDO KHONG
HUN

SCristobal
Calamba Lag.

11-1415

ONE NINE ELEVEN

CONST.

Brg.Gaya-gaya
SJDM Bul

11-1515

ONE NINE ELEVEN

CONST.

Brg.Gaya-gaya
SJDM Bul

TOTAL AMOUNT

Plate
No.
RGS
164
RGS
164
RGS
164
RGS
164

D.R.
No.
15832

Product Description

16047

100x100x200mm
Paving Blk.
SLEX TOLL FEES
100x100x200mm
Paving Blk.
SLEX TOLL FEES
150mm ST 3C LB-700

16048
16073

150mm ST 3C LB-700
150mm ST 3C LB-700

15882

Quanti
ty
7,600
pc
7,600
pc

Amount

19,000.00
1,288.00
19,000.00
1,288.00

3,078
pc
422 pc
3,500
pc

Received Original Invoices and Statement of Account: __________________Date: ____________________