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Legally binding statement
I/we hereby assert that the device and accessories found in this package have been
cleaned and/or disinfected pursuant to current laws and regulations and that the
information provided in this declaration are correct and complete:
Company /
Institute:
Street and
number:
Postal code, city:
Department:
Name:
Telephone,
extension:
Fax:
Reason for return:
Thank you, in this
way you help us to
reduce costs.
Date
Signature
Company stamp
Certi
fi
cate of decontamination
! ! ! CAUTION! ! !
This form must be visibly af
fi
xed
to the outside of the package!
Summary of Contents for Sonorex Digitec DT 510 F
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