AZ 1140/14
page
64
чÌÌ˚Â
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ÂÏÓÌÚÂ:
чڇ
ÔÓÒÚÛÔÎÂÌËfl
‚
ÂÏÓÌÚ:_________________________________
чڇ
ÓÍÓ̘‡ÌËfl
ÂÏÓÌÚ‡:
___________________________________
‹
Í‚Ëڇ̈ËË:
_____________________________________________
Çˉ
ÌÂËÒÔ‡‚ÌÓÒÚË:
________________________________________
_________________________________________________________
èÓ‰ÔËÒ¸
òÚ‡ÏÔ
Ò‚ËÒ-ˆÂÌÚ‡
чڇ
ÔÓÒÚÛÔÎÂÌËfl
‚
ÂÏÓÌÚ:_________________________________
чڇ
ÓÍÓ̘‡ÌËfl
ÂÏÓÌÚ‡:
___________________________________
‹
Í‚Ëڇ̈ËË:
_____________________________________________
Çˉ
ÌÂËÒÔ‡‚ÌÓÒÚË:
________________________________________
_________________________________________________________
èÓ‰ÔËÒ¸
òÚ‡ÏÔ
Ò‚ËÒ-ˆÂÌÚ‡
‹
Ú‡ÎÓ̇
(Card
#)
êéëëàü
ÅõíéÇÄü
ùãÖäíêéçàäÄ
ÉÄêÄçíàâçõâ
íÄãéç
(warranty
card)
àáÑÖãàÖ
(item)
______________
åéÑÖãú
(type/version)
_______
/_
_
ëÖêàâçõâ
‹
(serial
#)
______________________________________
ÑÄíÄ
èêéÑÄÜà
(date
of
purchase)
_____________________________
îàêåÄ-èêéÑÄÇÖñ
(seller)
__________________________________
èéÑèàëú
èêéÑÄÇñÄ
(seller’s
signature)
_________________________
èÖóÄíú
èêéÑÄÇñÄ
(seller’s
stamp)
____________________________
ç‡ÒÚÓfl˘ËÈ
Ú‡ÎÓÌ
‰ÂÈÒÚ‚ËÚÂÎÂÌ
ÚÓθÍÓ
ÔË
̇΢ËË
Ô˜‡ÚË
Ë
Á‡ÔÓÎÌÂÌËfl
‚ÒÂı
Ô˂‰ÂÌÌ˚ı
‚˚¯Â
„‡Ù.
(This
card
is
only
valid
when
all
information
is
filled
in
and
the
stamp
is
present.)
èéäìèÄíÖãú
(buyer)
_______________________________________
ÄÑêÖë
(address)
____________________________________________
íÖãÖîéç
(telephone)
________________________________________
✃
XP AZ 1140/14 CE 06-03-2001 11:55 Pagina 64