15
12. Order Sheet for Spare Parts
To:
HOMA Pumpenfabrik GmbH
D – 53819 Neunkirchen-Seelscheid
Fax: ++49 / 22 47 / 7 02 44
Pump type
(see pump label)
:
Year of construction
(see pump label)
:
Part details:
1) Pos. no.:
Part description:
Required Quantity:
2) Pos. no.:
Part description:
Required Quantity:
3) Pos. no.:
Part description:
Required Quantity:
4) Pos. no.:
Part description:
Required Quantity:
5) Pos. no.:
Part description:
Required Quantity:
Delivery adress:
Signature / Company stamp
13. Ersatzteilzeichnung / Spare part drawing
Saniquick UFT mit C235-C290, CR360V
Saniquick UFT with C235-C290, CR360V
Saniquick UFT mit TP28V
Saniquick UFT with TP28V
