Service Manual Miditron
®
Junior
II
/ ID 1997491 / MJ / 1.0 - June 1998 / Page 24
3. Introduction
RA form
In the following please find important hints on how to fill in
the RA-Form correctly.
BOEHRINGER MANNHEIM GmbH
Friedrich-Ebert-Strasse 100
Telefon :
+49 (621) 759 81 84
D-68167 Mannheim
Fax :
+49 (621) 759 80 93
Germany
Return Authorization
No.:
Country code:
Date:
Instrument:
Serial No.:
Installation date:
Spare Part:
Customer:
Address:
(will be filled in by BM)
Part No.:
Qty.:
Part Name:
Repair
Comments
Mat.-No.:
Warranty
Installation date of Spare Part:
Warranty Repair
OLD serial No.:
Modification
NEW serial No.:
Replacement
Fault Description:
Alarm Code:
Service Report No.:
Workshop Report No.:
Place:
Date:
Signature:
Remarks (will be filled in by BM)
NOS Credit
FC
BM